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Health reform moves to close U.S. Medicare drug gap

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Health reform moves to close U.S. Medicare drug gap

Democratic leaders moved on Friday to build support among the elderly for a massive overhaul of the U.S. healthcare system, saying the measure would immediately start closing a gap in Medicare prescription drug coverage.

The coverage gap, the so-called doughnut hole, occurs after a certain amount of money is spent. This year that level is $2,700 of which $896 is out of pocket expenses by the beneficiary. Coverage begins again once drug costs reach $6,154.

Speaker Nancy Pelosi said the healthcare reform bill being considered by the House of Representatives would reduce the that doughnut hole and lower the cost of medicine for as many as 4 million elderly next year.

“As of January 1, 2010, our legislation will give a 50 percent discount for brand-name drugs to recipients in the doughnut hole, and it will reduce the size of the doughnut hole by $500,” Pelosi said.

An earlier version of the bill would have started closing the doughnut hole beginning in January 2011.

House Democratic leaders are working to merge three healthcare reform bills approved by committees into a single bill that can pass the House and give President Barack Obama a major victory on a top domestic priority.

The emerging bill would also gradually eliminate the gap in prescription drug coverage in 10 years. The earlier version of the bill would have eliminated the gap in 15 years.

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Combo pill an option for diabetes-related nerve pain

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Combo pill an option for diabetes-related nerve pain

A single pill containing the pain relievers tramadol and acetaminophen is as effective as the drug gabapentin for treating diabetes-related nerve pain, according to study findings presented Tuesday at the 20th World Diabetes Congress in Montreal.

Gabapentin is an anti-seizure drug frequently prescribed for epilepsy. The drug is also used to treat persistent neurological pain.

In general, gabapentin is regarded as a first-line therapy for “diabetic neuropathy” — a painful condition that causes a range of symptoms from a tingling sensation or numbness in the toes and fingers to paralysis, lead researcher Dr. Bong Yun Cha, from the Catholic University of Korea, Seoul, told Reuters Health.

In the current study, Cha and colleagues compared gabapentin with the tramadol/acetaminophen (TA) combination pill in adults with painful diabetic neuropathy in the lower extremities. Sixty-six study subjects received TA and 73 received gabapentin.

The study was sponsored by JANSSEN KOREA, which markets the combination pill as Ultracet in the US.

Cha and colleagues report that the two groups experienced similar improvements in pain and related parameters over the 6-week study period.

Moreover, the rate of treatment-associated side events in the TA group was not significantly different from that in the gabapentin group: 50.6 percent vs. 36.9 percent.

The current findings, said Cha, support TA as a suitable alternative to gabapentin as a first-line therapy for painful diabetic neuropathy.

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More fruit, fewer calories urged for school lunches

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More fruit, fewer calories urged for school lunches

U.S. children should get more fruits, vegetables and whole grains in their school meals even though this will push up costs, and calories should be limited, a panel recommended to the federal government on Tuesday.

As obesity among adolescents continues to rise, a report from the Institute of Medicine, an arm of the National Academies, proposed updating school meal programs to meet nutritional needs and foster better eating habits, but recognized healthier, fresher ingredients would boost costs, especially at breakfast where fruit servings would increase.

It estimated the changes could increase the cost of breakfast by as much as 25 percent and lunch by 9 percent.

Many school cafeterias serve such fare as hot dogs, chicken nuggets and french fries and a dearth of fresh produce. Under the new guidelines, most school food providers would need more government money to help pay for food, training and equipment, the report said.

“This will be a very wise investment in children’s health,” Virginia Stallings, chair of the group that conducted the study said in an interview.

The Institute of Medicine conducted the review of the country’s school breakfast and lunch programs at the request of the Agriculture Department, which runs them. School meal programs provide 40 million meals daily and more than half of students’ food and nutrient intake during the school day.

Students can receive free or subsidized school meals if their family’s income is low enough.

Officials at the USDA are updating the nutrition and meal requirements used for school meals. The framework, last updated in 1995, sets food and nutrient standards that must be met by school programs to qualify for cash reimbursements and food from the government.

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