THE BOOMER'S GUIDE TO PLANET RETIREMENT

mumpsimuspreviousΤεχνίτη Νοημοσύνη και Ρομποτική

25 Οκτ 2013 (πριν από 3 χρόνια και 9 μήνες)

139 εμφανίσεις

BOOMER'S GUIDE

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THE BOOMER'S GUIDE TO PLANET
RETIREMENT

DR. MARILYN BRUNO



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WWW.GYNOSAPIENS.COM




IN THIS ISSUE:

Pa
ge

1
:

A Cure for the Common
Hangover










Page
2
:

Estate Planning






Page
5
:


3
-
D Printer Made a Car!


Page
6
:


3
-
D Printer Made Stem Cells!


Page 7: 3
-
D Printer to Make a Lunar Station!






Page
7
:

Tips for Extending Life







Page

8
:

Space Heater
s


Page
9
:


Cephalopod to Keep

Our Borders Safe







Page
9
:

Food Recalls







Page

9
:

Autism
-
Alzheimer’s Link


Page
10
:

The Future of Medicine is Now







Page
1
2
:

Medicare Update
: Sequester, Rx denials, Bankruptcy, Dashboard






Page 13: Identity Theft








Page

1
4
: Paraprosdokians



QUOTE OF THE MONTH:

TODAY IS THE OLDEST YOU'VE EVER BEEN, YET THE YOUNGEST YOU'LL EVER BE SO
-

ENJOY THIS DAY WHILE IT LASTS.

Anonymous


A Cure for the Common Hangover

Finally, our tax dollars have funded a valuable
scientific breakthrough we can all use


just in time for
Spring Break: an

enzyme combination could be used as a preventative measure or ant
idote for
alcohol intoxication
!


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A
team of UCLA engineers has identified a method for speeding up the body's react
ion to the
consumption of alcohol.

They placed
in mice
two complementary enzymes in a tiny capsule to speed
up the elimination of alcohol from the body
, mimicking the way
the liver does.

The
blood alcohol
levels in mice that received the enzyme
p
ackage
fell more quickly than in mice that did not.


Blood
alcohol levels of the antidote test group were 15.8 percent lower than the control group after 45
minutes, 26.1 percent lower after 90 minutes and 34.7 percent lower after three hours.

This is good news f
or the non
-
designated drivers out there.

For more info:
http://www.bioresearchonline.com/doc.mvc/a
-
cure
-
for
-
the
-
common
-
hangover
-
0001?sectionCode=TOC&templateCode=LifeScienceSponsor&user=2562089&source=nl:36464


ESTATE PLANNING

This is a topic that I have
been researching lately because, since I moved recently to
California, I am trying to put all of my ducks in order in accordance with this State’s tax
and estate laws.


Updating your basic Estate Documents.

The four documents of the Estate Planning
Holy
Grail

are your Will, Trust, Durable Power
of Attorney, and
Advanced
Health Care Directive
(“Living Will”)
.
Make sure that you
review these often. If you move to another State, as I did,
these documents needed
to
be revised and amended or totally
re
-
written.

-
Will.

I have a “Pourover Will” that transfers all assets to my Revocable
Living
Trust
,
which is the Beneficiary.


-
Th
e Revocable Trust

is

a
n agreement that covers three phases of your life: while you
are alive and well;

i
f you become
mentally incapacitated; and

a
fter you die
. However, I
had to “fund the trust”


putting all of my assets (bank accounts, house, etc.) in the
name of my Trust. This is very do
-
able, but a big hassle. So I recommend that you
start early. My house title w
as easily transferred using a Quitclaim Deed (downloadable
for free) from my name to the name of my Revocable Trust. I only had to show the
deed to have my Homestead Tax exemption re
-
recorded in the name of the Trust. My
car title could be transferred by

using a power of attorney on a form downloadable from
the State DMV’s website, etc.

O
nce the trust agreement is signed

and the assets are titled in the name of the Trust,
the
revocable living trust has become the record owner of your assets

and will not h
ave
to pass through Probate Court upon your passing.
If any of your assets sit outside of
the trust at the time of your death, the
y
will need to be probated unless they have a
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beneficiary designation or are owned with rights of survivorship with someone w
ho
survives you.

-
Durable Power of Attorney

(POA)

is
a written document that remains valid even if you
should later become unable to make your own decisions.

With a durable
POA
, you are able to appoint
an agent to manage your financial affairs, or conduct
other business for you during your
incapacitation.

A general durable
POA

may allow your agent to do every act which may legally be
done by you. A limited durable
POA may
cover specific events, like selling property

or

making
investments.

One of the most
important parts of creating a durable power of attorney is choosing an agent. The
agent is the person you choose to carry out the duties you have outlined
, so
should be someone you
trust to carry out your wishes. The agent is usually a family member or a friend, but you can choose
anyone.

-
Advanced
Health
Care Directive

This is
a legal document that a person uses to make known his or her wishes regarding
life p
rolonging medical treatments.

It can also be referred to as an advance directive,
health care directive, or a physician's directive
, or durable power of attorney for
healthcare
.

It is important to have
this Directive in place,
as it informs your health c
are
providers and your family about your desires for medical treatment in the event you are
not able to speak for yourself.

The requirements for a living will vary by
S
tate so you may want to have a lawyer
prepare your living will.

Many lawyers who practi
ce in the area of estate planning
include a living will and a health care power of attorney in their package of estate
planning documents.

If you need to write or update a will or trust, you can take care of
your living will at the same time.

But be very
careful before you sign this document
. My mother had signed a Directive
with both Do Not Resuscitate and Do Not Feed provisions checked off, thinking that
these would be invoked only if she were unconscious. However, this was not the case.
Since Mom wa
s deaf without her hearing aids and the nurse removed them, she was
unaware of what was being said to her. The end result was that the intake doctor wrote
a “Do Not Feed By Mouth” order, and Mom literally starved to death two and a half
weeks later.

Even

w
ith all that I know about these things, there was absolutely nothing
I could do to change the Directive or have her change the Directive.

I was almost
thrown out of the hospital on many occasions. Tragic.

More to keep in mind:

-
Avoiding Probate

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As you
can see, there are only a limited number of ways to avoid probate. What will
actually work for you will depend on your own unique family and financial situations, but
the bottom line is that by using one or more of the techniques described above to avoid
t
he probate of your property, you will be creating peace of mind for you as well as peace
of mind for your loved ones during a difficult time.

-
Assets not titled to a Revocable Trust

If you own life insurance or assets held in a retirement account such as
an IRA, 401(k)
or annuity, then you are already taking advantage of probate avoidance through the use
of beneficiary designations.

Most S
tates allow you to designate beneficiaries for your
bank accounts (this is referred to as a "payable on death" or
"POD" account
), and also
for your non
-
retirement investment accounts (this is referred to as a "transfer on death"
or
"TOD" account)
.

In addition, a handful of
S
tates allow you designate beneficiaries for
your real estate through the use of a
transfer on death deed

or beneficiary deed or
affidavit.

In other
S
tates you can use a life estate deed to retain ownership of real
estate during your lifetime and then pass the property on to the beneficiaries of you
r
choice after you die without the need to probate the real estate.

Bur b
eware of relying on joint ownership with rights of survivorship or tenancy by the
entirety

for bank accounts or property titles

to avoid probate because there are several
downsides to doing so:

-

In many cases adding a joint owner to an account or deed will be a taxable gift
that needs to be reported to the IRS on a federal gift tax return (IRS
Form 709
).

-

If a joint owner is sued or gets divorced, then a judgment creditor or divorcing
spouse may be able to take the assets in the joint account.

-

If a joint owner dies before you do, then 50% or even 100% of the

joint account
could be included in the deceased owner's estate.

-

If you are in a second or later marriage, leaving your property to your spouse by
right of survivorship or tenancy by the entirety will mean that your spouse will be
free to do whatever he or

she wants with your property after your spouse later
dies. This may not be what you want
-

in other words, you may want your spouse
to have use of your property after you die, but then after your spouse later dies
you may want your property to go to your
own children.

In this situation, joint
ownership with right of survivorship or tenancy by the entirety will not accomplish
your final wishes since your spouse may freely choose to leave your property to
your spouse's children instead of your children.

Joi
nt
Bank Account
Ownership in Your Lifetime

Under F
ederal Deposit Insurance Corporation (F
DIC
)

rules, a joint account is a deposit
account owned by two or more people who have equal rights to withdraw 100 percent of
the deposits
, write checks, pay bills,

an
d close the account.

In addition, each co
-
owner
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is insured for up to $250,000 for his or her share in all joint accounts at an insured
bank.

Considerations: trustworthiness,
how limits on withdrawal rights could affect
your insurance coverage.


You can
also g
ive someone limited access to a deposit account on an as
-
needed basis
without granting ownership rights

through
a power of attorney


the written
authorization for one or more people to represent or act on another’s behalf in financial
affairs or oth
er personal matters.

Powers of attorney can be broad, allowing unlimited
access, or narrow, limiting access to accounts.


Allowing others to access your safe deposit box.

The rules and procedures for safe
deposit boxes can vary by
S
tate and by bank, so ask your bank about the options for
granting someone access and what you would have to do if you later change your mind.
The main c
onsideration

is
trustworthiness.

Adding co
-
owners vs. “authorized users” to a credit card account.

A c
o
-
owner is
financially responsible for all debt incurred, including any charges by an authorized user.
Depending on the cardholder agreement, authorized users may or may not be financially
responsible for any debt on the card.


A card owner also may be abl
e to place
restrictions on authorized users, such as limits on amounts that can be charged.


C
o
-
sign
ing

a loan.


I
f the other co
-
signer does not pay the debt, you will have to,

along with
late fees and collection costs
.
Additionally, your credit rating c
ould be
affected if this person fails to pay or pays late.


For more guidance, consult your attorney, accountant, or financial adviso
r
.



3
-
D Printer
M
ade a
C
ar!

No wonder MoTown is bankrupt! You don’t need a Detroit

assembly line
any more to make a car!
You just need a
warehouse of

plastic
-
spraying printers producing light, cheap and highly efficient
automobiles
!

Jim Kor, the engineer founder of Kor Ecologic, has created the “
Urbee 2



a car that maximizes
miles per gallon
by usi
ng
lightweight
plastic
construction
. This is
something that 3
-
D printing is
particularly well suited for.

The designers were able to focus more on the optimal automobile
physics, rather than working to install a hyper efficient motor in a heavy steel
-
bod
y automobile.

As
the Urbee shows, making a car with this technology has a slew of beneficial side effects.

Kor Ecologic is also designing t
ractors, buses,
even commercial swimming pools, and a
three
-
wheel,
two
-
passenger vehicle on
-
demand

at its

3
-
D printi
ng facility.

The printers he uses create ABS plastic
via
Fused Deposition Modeling

(FDM). Th
e printer sprays molten polymer to build the chassis layer by
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microscopic layer until it arr
ives at the complete object. The machines are so automated that the
building process they perform is known as “lights out” construction, meaning Kor uploads the design
for a bumper, walk away, shut off the lights and leaves. A few hundred hours later, he’s

got a
bumper. The whole car


which is about 10 feet long


takes about 2,500 hours.

Besides easy reproduction, making the car body via FDM affords Kor the precise control that would
be impossible with sheet metal. When he builds the aforementioned bumper
, the printer can add
thickness and rigidity to specific sections.

When applied to the right spots, this makes for a fender
that’s as resilient as the one on your Prius, but much lighter.

That translates to less weight to push,
and a lighter car means mo
re miles per gallon. And

the current model has a curb weight of just 1,200
pounds.

To further remedy the issues caused by modern car
-
construction techniques, Kor used the design
freedom of 3
-
D printing to combine a typical car’s multitude of parts into sim
ple unibody shapes.

For
example, when he prints the car’s dashboard, he’ll make it with the ducts already attached without
the need for joints and connecting parts. What would be dozens of pieces of plastic and metal end up
being one piece of 3
-
D printed
plastic.

With fewer parts, the car is even more light weight and
exceptionally aerodynamic.

T
he
10
horsepower hybrid
engine
,
base chassis
, and tubular metal cage around the driver

will be metal

for
versatility and safety. Kor’s goal is to get Department of Transportation approval.
With three wheels
and a curb weight of less than 1,200 pounds,
the Urbee is
more motorcycle than passenger car.

But
the
head engineer is planning to take the latest

prototype from San Francisco to New York on 10
gallons of gas, preferably pure ethanol
!

For more on this:


http://www.wired.com/autopia/2013/02/3d
-
printed
-
car/


3
-
D Printer
M
ade
Stem Cells!

A range of stem cell cultures based on human
mesenchymal stem cells

(hMSCs) can already be
grown in laboratory conditions.

But

to preserve cell and tissue viability and functions, a key
challenge has been the development of printing processes that are both controllable and less
harmful, and that could also work with human
embryonic stem cells

(hESCs)
, which ha
ve a greater
potential to generate a wide variety of differentiated cell types

(
pluripotency
) than hMSCs.

The first hESCs we
re made by a group at the
Heriot
-
Watt’s Biomedical Microengineering
. Their
printers can create programmable patterns from two different bio
-
inks
that can create delicate cells
that are
spheroids of uniform size
, T
he natural spheroid process yields microt
issues that are more
simi
lar to native tissue structures
. The printed cells also better maintain their pluripotency. Tests
showed that 80
-
90% of the embryonic stem cells stayed viable.

In the longer term,
the team
envisage
s

the technology being further dev
eloped to create viable 3D
organs for medical implantation from a patient’s own cells, eliminating the need for organ donation,
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immune suppression, and solving the problem of transplant rejection.

For more info:
Alan Faulkner
-
Jones et al., Development of a valve
-
based cell printer for the formation of human embryonic stem
cell spheroid aggregates,
Biofabrication, 2013, doi:10.1088/1758
-
5082/5/1/015013

3
-
D Printer to Make a Lunar Station

This on
e is too ‘way too unworldly: making a habitable station made out of Moon dust!! The idea is
to build “SinterHab” near the
lunar south pole by construction modules from lunar dust by microwave
sintering and contour crafting, built by a large NASA spider ro
bot. This could be the start of a
housing bubble on the Moon! For more
:
http://www.kurzweilai.net/a
-
3d
-
printed
-
moon
-
base
-
baked
-
from
-
lunar
-
dust?utm_source=KurzweilAI+Weekly+Newsletter&utm_campaign=1311a2c5df
-
UA
-
946742
-
1&utm_medium=email
.


TIPS FOR
EXTENDING LIFE

--
Rotten Egg Gas

Bloomberg recently reported that, i
n the hunt for ways to extend life,
Chinese scientist turned

to the
gas that gives rotten egg
s their distinctive foul smell
--

h
ydrogen sulfide
! This gas, which also has
t
oxic and explosi
ve properties

(it was used in the
First World War as a chemical weapon
) appears to
slow aging and block damaging chemical reactions inside cells

in
the cardiovascular and nervous
systems.


Hydrogen sulfide
apparently
activates a gene
called “klotho”


named after the Greek Fate who
controls the length of human life. Klotho is
implicated in longevity in a similar way to resveratrol, an
antioxidant in red wine
, by promoting the production
of

the body’s own antioxidants.

Unlike
resver
atrol,
however,
hydrogen sulfide is made by the body.



L
ow levels of hydrogen sulfide are associated with high blood pressure, Parkinson’s disease and
Alzheimer’s disease.

Higher levels of
hydrogen sulfide can counteract free radicals,

which is why
bath
ing in volcanic springs is beneficial to people
suffer
ing

from inflammatory or autoimmune
disease
s
.

Also, d
iets rich in onions, garlic and other Allium plants are loaded with potential
compounds that can release or generate hydrogen sulfide.

Glasko Smit
hKline is experimenting with
a pill

that boost
s

levels of the
hydrogen s
ulfide
in order to tap into the
dietary supplement market
that’s worth $28 billion a year in the U.S. alone.


--
Resveratrol

We’ve heard this before.
R
esveratrol

a compound found in
grapes, red wine and nuts

may ward
off several age
-
related diseases, including certain metabolic diseases

like
type 2 diabetes and heart
disease. In animal studies, severely restricting calories can help prevent some of these diseases.
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Over a decade ago,

researchers found that resveratrol can mimic calorie restriction in some ways and
extend the lifespans of yeast, worms, flies and fish.

Harvard Medical School researchers now show that
r
esveratrol affects the activity of enzymes called
sirtuins, which co
ntrol several biological pathways known to be involved in the aging process.
Resveratrol is only one of many natural and synthetic sirtuin
-
activating compounds (STACs) now
known. STACs directly interact with sirtuins and ultimately increase the activity
of mitochondria, the
organelles that produce the cell’s energy.

So, pass another flagon of Merlot around. This stuff can
energize us!

For more on this:
http://www.nih.gov/researchmatters/february2012/
02132012resveratrol.htm

Increasing longevity is one of humanity’s greatest
goals.
Babatunde Osotimehin, executive director
of the United Nations Population Fund,
reported that t
here were almost 810 million
people older than
60 years on the planet in 2012, up from 205 million in 1950.

Let’s see if we Boomers can push that number over 1 Billion!


SPACE

HEATERS

On the cosmic level, s
pace
-
based solar power (SBSP) has once again begun to attract attention with
projects emerging in the US, Russia, China, India and Japan, among others.

All are driven by
increasing energy demands, soaring oil and gas prices, a desire to find clean alterna
tives to fossil
fuels and by a burgeoning commercial space industry that promises to lower the cost of entry into
space and spur on a host of new industries,
says BBC Future
.

Space
-
solar
-
power pioneer John Mankins, CTO of Deep Space Industries, is the man behind a project
called

SPS
-
Alpha
, which aims to assemble a huge bell
-
shap
ed structure that will use mirrors to
concentrate energy from the sun onto solar panels. The collected energy would then be beamed
down to ground stations on Earth using microwaves, providing unlimited, clean energy and overnight
reducing our reliance on p
olluting fossil fuels.

The snag? It is unproven technology and he estimates it will
take at least $15

$20 billion.
However,
a


2011 report by the International Acade
my of Astronautics

(IAA) found that SBSP could be
commercially viable within 30 years, driven in part by the rise of private space companies.

For more
on this:
http://www.kurzweilai.net/space
-
based
-
solar
-
farms
-
power
-
up?utm_source=KurzweilAI+Weekly+Newsletter&utm_campaign=b5da8de6ff
-
UA
-
946742
-
1&utm_medium=email


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CEPHALOPOD TO
KEEP OUR BORDER
S SAFE

W
hen

the sequester kicked in, new ideas
emerged

to keep our border
s safe, while reducing payrolls.
Here’s a weird one that may actually get funded

using taxpayer’s money, thanks to the
Small
Business Innovation Research (SBIR) Office in the
Department of Homeland Security’s Science and
Technology Directorate (S&T)
:
the
S
afe,
Q
uick,
U
ndercarriage
I
mm
obilization
D
evice

(SQUID).

Yes,
just as Captain Nemo found out, giant squids can glom on to anything, so why not use
squid
technology
to
stop vehicles remotely
?

In 2010,
engineers merged
the characteristics of a squid’s sticky tendrils w
ith

the concept of
fictitious
Spiderman’s super
-
strong webbing to create a prototype of the first remote device to stop vehicles in
their tracks
.

At the push of a button, spiked arms sho
o
t out and entangle in a car’s axles

bringing
a

vehicle to a screeching
halt
.

Sound like something “Q” would have come up with? Well, the
engineers
seem to have perfected
this

technology, named
Pit
-
BUL™
(something
like a speed bump with embedded spikes and net) and
NightHawk™
(a

remote
-
controlled spike strip disguised as a
small suitcase
)
. They

can stop anything
from a compact car to a full
-
size SUV.


The company is taking orders
from every corner of the globe
about these products.

I guess the days of the high speed chases are over.



FOO
D

RECALLS

Sometimes I am shocked to

see what is being recalled from our supermarket shelves.
The latest recalls are for Bumble Bee and Chicken of the Sea tuna fish cans


which have

not been properly sealed
. Check out these sites to see the recalled dates
:
http://content.govdelivery.com/bulletins/gd/USHHSFS
-
6f9529
;
http://content.govdelivery.com/bulletins/gd/USHHSFS
-
6fa484

Be careful what
you eat!

AUTISM
-
ALZHEIMERS LINK

I am
pretty appalled that the number of children affected by autism in the U.S. is incr
easing
in the
U.S.
and nobody seems to know the cause.

Scient
i
sts at McGill University have now shown that abnormal br
a
in development i
n high
-
risk infants
may be detected as early as age 6 months


before the appearance of autism symptoms at the age
of 2 or 3

years
. The research focused on the brain’s white matter tract development


fiber
pathways that connect brain regions.
After cond
ucting MRI scans at 6 and 12 months of age of at
-
risk infants, a
t 24 months, 30% of infants in the study were diagnosed with autism.

The symptoms
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of autism
--

problems with communication, social interaction and behavior


can be improved upon
with early
intervention.

(For more on this
:

Jason J. Wolff. et al., Differences in White Matter Fiber
Tract Development Present From 6 to 24 Months in Infants With Autism,
American Journal of
Psychiatry
, 2012, DOI: 10.1176/appi.ajp.2011.11091447
.)

But what about us Geezers? Are we also capable of
making progress with intensive therapy
?

The answer may be Yes!

New research in the FASEB Journal by NIH scientists
suggests

that a small molecule called TFP5
rescues plaques and tangles by blocking an overactive brain signal, thereby restoring memory in mice
with Alzheimer’s



without obvious toxic side effect
s.

(See:
Varsha Shukla et al., A truncated
peptide from p35, a Cdk5 activator, prevents Alzheimer's disease phenotypes in model mice,
The
FASEB Journal
, 2013, DOI: 10.1096/fj.12
-
217497
.)

Researchers h
ave
also
discovered

a molecule
(
called Dickkopf
-
1 or Dkk1
)
that accumulates with age
and inhibits the formation of new neurons.

Adding the molecule to aged mice ne
ural stem cells
showed the

self
-
renew
al

and
re
-
generation of

immature neurons in the hippocampus (involved in
memory)
.
The finding might help scientists design therapies to p
ostpone the onset of those Senior
moments! The treatment apparently also helped
to block the development of
acute stress
-
induced
depression

in mice (don’t ask me how they measured that!!!), which suggests
that, in addition to
slowing memory loss during aging, neutralizing Dkk1 (which is also present in human brains) could
be beneficia
l in counteracting symptoms of depression.

For more on this:
http://www.kurzweilai.net/blocking
-
this
-
molecule
-
in
-
the
-
brain
-
could
-
prevent
-
age
-
related
-
cognitive
-
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Additionally, a

new drug
is entering clinical trials that has been
designed to prevent the early stages
of Alzheimer’s disease
. The drug blocks the clumping of amyloid
-
β (Aβ) into plaques in the brain,
which have been identified in early
-
stages of
ne
rve cell

damage
leading to memory loss and
confusion.

The drug
reduced
the
number of senile plaques by a third and more than doubled the
number of new nerve cells in a particular region of the brain associated with memory.


It also
markedly reduced the am
ount of brain inflammation and oxidative damage associated with the
disease.

Alzheimer’s is the most common type of dementia,

expected to
more than double by 2050.
One in three people over 65 will die with dementia.

For more on this:
http://www.kurzweilai.net/treatment
-
to
-
prevent
-
alzheimers
-
disease
-
moves
-
a
-
step
-
closer?utm_source=KurzweilAI+Weekly+Newsletter&utm_campaign=02fe75facd
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The future of medicine is now

Six medical innovations are poised to transfor
m the way we fight disease,

The Wall Street
Journal

reported last December:

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Surgeons at Boston Children’s Hospital have developed a way to help child
ren born with half a
heart to essentially grow a whole one


by marshaling the body’s natural capacity to heal and
develop.



Oxford Nanopore Technologies has unveiled the first of a generation of tiny DNA sequencing
the size of a cell phone.



A test develope
d by Foundation Medicine Inc. enables doctors to test a tumor sample for 280
different genetic mutations suspected of driving cancerous tumor growth.



MK3475, being developed by Merck & Co., is among a new category of drugs that unleash an
army of immune
cells to hunt down a cancer.




Last November, the FDA cleared a new iPhone add
-
on that lets doctors take an
electrocardiogram just about anywhere. Other smartphone apps help radiologists read medical
images and allow patients to track moles for signs of ski
n cancer.



Gene therapy is poised to become a viable option for a variety of often life
-
threatening medical
conditions, especially those resulting from a single defective gene.

Glad we are around to see these breakthroughs!

And there is a lot more around th
e corner. IBM’s Watson Solutions, WellPoint, and Memorial Sloan
Kettering Cancer Center have developed “cognitive computing.” This is important for two reasons:
first, of course to allow doctors worldwide to interpret complex clinical information assess

patients
with cancer and other diseases and prescribe appropriate treatments; and second, because it
attributes to Watson the ability to think!

Over the past two years, clinicians and technology experts spent thousands of hours “teaching”
Watson how to

process, analyze and interpret the meaning of complex clinical information using
natural language processing, all with the goal of helping to improve health care quality and efficiency.
Watson ingested more than 600,000 pieces of medical evidence, two mi
llion pages of text from 42
medical journals and clinical trials in the area of oncology research, has the power to sift through 1.5
million patient records representing decades of cancer treatment history, such as medical records and
patient outcomes, and

provide to physicians evidence
-
based treatment options all in a matter of
seconds. In less than a year, Memorial Sloan
-
Kettering has immersed Watson in the complexities of
cancer and the explosion of genetic research which has set the stage for changing
care practices for
many cancer patients with highly specialized treatments based on their personal genetic tumor type.

Watson will do in seconds what used to take years for the latest medical developments to reach all
practice settings. As a result, IBM, M
emorial Sloan
-
Kettering and WellPoint are introducing the first
commercially based products based on Watson, including the Interactive Care Insights for Oncology,
WellPoint Interactive Care Guide and Interactive Care Reviewer. Coming soon is a first of
-
it
s
-
kind
Watson
-
based advisor, available through the
cloud that

is expected to assist medical professionals
and researchers worldwide by helping to identify individualized treatment options for patients with
cancer, starting with lung cancer.

On our level, w
e can expect shortening pre
-
authorization approval times for treatments. WellPoint
has deployed Interactive Care Reviewer to a select number of providers in the Midwest, and believes
more than 1,600 providers will be using the product by the end of the ye
ar. For more on this:
http://www.kurzweilai.net/watson
-
provides
-
cancer
-
treatment
-
options
-
to
-
doctors
-
in
-
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MEDICARE UPDATE


What the Sequester means for
Healthcare:

The impact of the sequestration (mandatory budgetary cuts) will be manageable, according to the
3/4/13 edition of
UBS


Weekly Guide
. The
2% across
-
the
-
board cuts in Medicare reimbursement
beginning 1 March

will generate
an annualized reductio
n of
$
11

billion, and will
have a direct effect
on healthcare providers


namely physicians, hospitals, skilled nursing and home healthcare


but a
more subdued effect on most other healthcare subsectors.

Managed
Care O
rganizations (MCOs)
that enroll Med
icare beneficiaries (via Medicare Advantage)
will pass their
2% rate cut

through
providers, mitigating the bottom line impact on MCOs.

Many
MCO
s may have already
anticipated
these cuts and

already adjusted provider payments, patient premiums and patient b
enefits to
minimize or even eliminate the impact to earnings.

Other healthcare product and service companies
will be indirectly influenced by the Medicare rate cuts, mostly through price pressure from providers.

N
ot too bad but, g
iven the budget deficit
debates currently underway and the significant portion of
healthcare costs within the federal budget (approximately 25% over the next ten years),
analysts

expect
that
additional h
ealthcare cuts are forthcoming.

Prescription Drug Denial
s
:

It
happens. Your prescription is denied at the pharmacy for any number of reasons:



Your drug isn’t on your plan’s
formulary

(list of covered drugs).



You have to get
prior authorization
, meaning that you must formally ask your plan for
permission before your plan will consider covering your

drug.



You have to try
step therapy
, meaning that you must try a different, less expensive drug first,
before your plan will cover your drug.



Your
drug has a
quantity limit
, meaning that your plan will cover only a certain amount of your
drug over a period of time.

Find out the reason and
tell your doctor what is going on. Your pharmacist may give you a notice
called “
Medicare Prescription Drug Coverage and Your Rights
.”

This notice wil
l give you information
on how
you or your doctor can re
-
contact your plan to submit a formal

written or verbal

request for
ex
ception to the plan’s coverage rules.
In addition, your doctor must fill out a form called a Coverage
Determination Request Form.

You or your doctor can get this form by contacting your plan or
by
visiting your plan’s website.

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If you plan denies your request, they
will send you a Notice of Denial of Medic
are Prescription Drug
Coverage.


This letter will explain how you can appeal th
e plan’s decision.

Oftentimes, your doctor
will send these documents directly to the plan for you. If your doctor can’t do this, you can send
these documents in yourself.

Contact your plan to find out where to fax or mail these documents.

Keep copies of

everything that you send and use certified mail to confirm that your plan receives the
information.

Your plan must give you or your doctor a decision, responding to the exception request within 72
hours of receiving your doctor’s statement.

If you need
your drugs sooner, you can request a fast, or
expedited, exception request and your plan should respond to your request within 24 hours.

You can

also go to your pharmacy and ask if you have the option of paying the full cost of your drug.

What to do if yo
ur
Health
Insurance Company
Goes Bankrupt

Yes, this happens too. Just last week in Florida,
Universal Health Care Insurance and Universal Health Care, Inc.

closed their doors and were placed in receivership. The
Centers for Medicare

& Medicaid Services

(CMS)

held a
conference call for the 40,000 Seniors affected by the closing and is following up with letters outlining options to
switch to other plans. When in doubt, call your local S.H.I.P. counselor.


Medicare Chronic Conditions
Dashboard

CMS announced this new service, which
furthers the Affordable Care Act’s goals for health promotion and the
prevention and management of multiple chronic conditions

(heart disease, diabetes, etc.), which affect 2/3 of
Medicare beneficiaries.
In 2011, spe
nding for Medicare beneficiaries with two or more chronic conditions was
about $276 billion, about 93 percent of all Medicare spending.

The
D
ashboard offers researchers, physicians, public
health professionals, and policymakers an easy
-
to
-
use tool to get
current data on where multiple chronic conditions
occur, which services they require, and how much Medicare spends helping beneficiaries with multiple chronic
conditions.

This is perceived as a step
in transforming Medicare from a fee
-
for
-
service based pa
yer to a value
-
based
purchaser of care that links payments to quality and efficiency of care, rather than sheer volume of services
. See:
http://www.ccwdata.org/busi
ness
-
intelligence/chronic
-
conditions/index.htm
;
CMS’s Medicare Chronic Conditions
Chartbooks and other reports may be accessed at

http://www.cms.gov/Research
-
Statistics
-
Data
-
and
-
Systems/Statistics
-
Trends
-
and
-
Reports/Chronic
-
Conditions/index.html
;
Information on HHS’s Initiative on Multiple
Chronic Conditions may be viewed at
http://www.hhs.gov/ash/initiatives/mcc/index.html
.

Identity Theft

Alert

I was throwing out documents from 2007 (bank stuff, etc.) and was shocked to see my date of birth
and Social Security Number on everything. Well, this is still the case
on medical records, so be
especially careful when storing and disposing them. LifeLock provides the following tips for taking
precautions with your personal info:

--
Password
-
protect your sensitive file on your computer

--
Don’t send any info in an email.

Look for the “s” after “http” for secure websites.

--
Report fraudulent activity to Medicare and the IRS (1
-
800
-
908
-
4490
)
.

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Paraprosdokians

Winston Churchill loved
paraprosdokians
--

figures of speech in which the latter part of a sentence or
phrase is
surprising or unexpected.

Here are some examples, courtesy of a dear friend of mine:

1. Where there's a will, I want to be in it.

2. The last thing I want to do is hurt you. But it's still on my list.

3. Since light travels faster than sound, some people
appear bright until you hear them speak.

4. If I agreed with you, we'd both be wrong.

5. We never really grow up; we only learn how to act in public.

6. War does not determine who is right
-

only who is left.

7. Knowledge is knowing a tomato is a fruit. Wi
sdom is not putting it in a fruit salad.

8. They begin the evening news with 'Good Evening,' then proceed to tell you why it isn't.

9. To steal ideas from one person is plagiarism. To steal from many is research.

10. Buses stop in bus stations. Trains stop

in train stations. On my desk is a work station.

11. I thought I wanted a career. Turns out I just wanted paychecks and benefits.

12. In filling out an application, where it says, 'In case of emergency, notify: ' I put 'DOCTOR.'

13. I didn't say it was yo
ur fault...I said I was blaming you.

14. Women will never be equal to men until they can walk down the street with a bald head and a
beer gut... and still think they are sexy.

15. Behind every successful man is his woman. Behind the fall of a successful ma
n is usually also a
woman.

16. A clear conscience is the sign of a fuzzy memory.

17. You do not need a parachute to skydive. You only need a parachute to skydive twice.

18. Money can't buy happiness, but it sure makes misery easier to live with.

19. There'
s a fine line between cuddling and holding someone down so they can't get away.

20. I used to be indecisive. Now I'm not so sure.

21. You're never too old to learn something stupid.

22. To be sure of hitting the target, shoot first and call whatever you hi
t the target.

23. Nostalgia isn't what it used to be.

24. Change is inevitable, except from a vending machine.

25. Going to church doesn't make you a Christian any more than standing in a garage makes you a
car.

26. Where there's a will, there are relative
s.


And my favorite is...

I'm supposed to respect my elders, but it is getting harder and harder for me to find one now.



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Please let me know how
topics you would like covered in our next
Newsletter
s
!


E
-
mail:
DrBruno@gynosapiens.com
.

All previous Newsletters are posted online on the homepage of
www.gynosapiens.co
m