Health

DRINKING WATER from page 133

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Since
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diagnosed every year.
Experts at the American Society of
Clinical Pathologists recommend
these skin-saving steps:
- Limit sun exposure, regardless of
the season or time of day.
- Stay in the shade whenever possi-
ble.
- Wear a hat and clothing to protect
skin from the sun. Also wear sunglass-
es with UV-protective lenses.
- Use waterproof sunscreen with
SPF 15 or higher. Remember to reap-
ply sunscreen every few hours.
- Take extra
precautions on
sand, concrete or
any surface the
reflects the sun.
People with the
highest risk of
developing skin cancer
include those living in
sunny climates, those with
fair skin and freckles and any-
one with frequent, long-term
exposure to the sun. Those
with a family
history of skin
cancer and/or a
large number of
moles also face
a greater risk.
Because sun damage to skin has a
cumulative effect, more than half of
new cases of skin cancer are diagnosed
in people over 65. The damage begins
early, so parents should teach children
savvy sun habits.

50 Is Nifty

A survey of 300 50-year-olds con-
ducted by One-A-Day multivitamins
shows that the nation's newest golden-
agers are feeling pretty good about
themselves. While most say they feel
better and more confident than they
did at 30, they're not as thrilled about
their sex drive and overall health.
More than half of the 50-year-old
women surveyed said they eat a bal-
anced diet, a claim made by just 55
percent of men. A lot of older men
think adequate rest is the key to better
health - they are twice as likely to say
they sleep more.
They found plenty of terrific role
models among their celebrity peers,
including former basketball star
Kareem Abdul-Jabbar and
actor/dancer Gregory Hines. Maybe
all that activity keeps these gentlemen
in such great shape. Respondents also
cite President Clinton and Cher as
two 50-year-olds who are holding up
well.

As baby boomers always have,
today's 50-year-olds say they're doing
the aging thing better than Mom and
Dad. More than half claim to think
younger than their parents, and 57
percent report knowing more about
health and nutrition. But only 42 per-
cent think they look younger.

Medical Emergency

Managed-care organizations are
putting the squeeze on emergency-
room doctors, according to the
Association of Emergency Physicians,
because MCO policies place limita-
tions on care for
urgently ill or
injured patients.
"MCOs have
inappropriately
focused on emer-
gency medical care
as a leading cause
of unnecessary
expenses," says Dr.
Ian Cummings,
the association's
president. "In so
doing, they disre-
gard fundamental
facts related to the
delivery of emer-
gency medical care."
The association is particularly con-
cerned by MCO spending limits,
which it considers dangerous. 'We
now see physicians who are potential-
ly reimbursed more for denying care
or for decreasing utilization of hospi-
tal or outpatient services," says
Cummings.
Although emergency medicine
accounts for less than 3 percent of the
total U.S. gross medical product,
many MCOs have targeted it with
money-saving measures.
"Some MCOs have established toll-
free numbers for patients to call for
advice on whether they need to go to
the emergency department," says
Cummings, adding that this "tele-
phone medicine" may be delivered by
nonmedical personnel.
"In effect, they are trying to bypass
the 911 dispatch system," Cummings
says. "We've even seen cases where
MCOs work with contracted ambu-
lance providers that will take their
subscribers to a hospital that is part of
the managed-care plan, even if that
hospital is farther away."
The moral here? When signing up
with a managed-care organization, ask
about its policy regarding emergency
care. If you're not satisfied, choose
another plan.

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