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Alyssa

How ‘The Mindy Project’ Can Pull A ‘New Girl’ In Its Second Season By Mashing Up RomComs and Medicine

When Fox announced that it would be airing The Mindy Project, a sitcom by The Office star and writer Mindy Kaling, based in part on Kaling’s own mother’s work as an OB/GYN, I had high hopes. Like many freshman comedies, particularly its timeslot partner New Girl, The Mindy Project had a first season that involved throwing a lot of elements at the wall to see what stuck and what didn’t. Last night’s finale of The Mindy Project, though, contained a near-perfect sequence that united the series’ two core elements, the practice of medicine, and the pursuit of romantic comedy perfect, and provided a terrific template for how the show can follow New Girl‘s lead and level up dramatically in its second season.

Pulled out of a party to celebrate Mindy and Casey’s moving to Haiti for a year that had become an utter disaster after Danny’s ex-wife had praised his androgyny in a photograph, Mindy had tried to get Casey to break up with her by demanding that he propose, and Casey, unaware that he was playing relationship poker, called her bet and asked her to marry him on the advice of “the Notorious G.O.D.” and she freaked out, Mindy, Danny, and Jeremy ran off to deliver triplets. Their display of extreme competence, set, in a flashback to the premiere, to M.I.A.’s “Bad Girls,” not only gave Mindy a professional win and the ensemble a nice character moment, with Jeremy bragging that the triplet that he was responsible for “had the highest Apgar score.” But the willingness of Mindy’s patients to embrace the chaos of triplets also gave her a critical insight in what she needs to have a grand romantic comedy moment, and it isn’t a checklist of compatibility, or a meet cute in an elevator: it was courage. She rushed to Casey’s apartment, delivered a demented speech on the gap between her aspirations to be in a serious relationship and her actual ability to handle her dream scenario, revealed her chopped-off hair, and reunited with her pastor boyfriend.

This is The Mindy Project‘s sweet spot, the interaction between Mindy’s role as an expert in the mechanics of what it takes to have safe sex or deliver a health baby, or what makes an individual moment cinema-worthy, and her total lack of understanding about how two people get to a point where they want to have a baby in the first place. The finest episodes of the show’s first season were the ones where Mindy’s work helped her realize important things about her approach to dating and relationships—and ultimately made a sly argument that even if Mindy has to run out of dates and parties to deliver children, her commitment to her career is actually one of the things that’s helping her make incremental progress towards a healthier personal life.
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Health

STUDY: Medicaid Provides Better Insurance Than Private Coverage And Medicare

Medicaid gets a bad rap from a lot of conservatives for poor access to health care and poor health outcomes. It’s one of the main arguments in favor of schemes to cut Medicaid funding and block grant it to the states, on the grounds it will promote efficiency and innovation in the program.

But a new study in the Journal of General Internal Medicine found that when you compare the proper groups, Medicaid actually does a better job delivering access and affordable coverage than either private coverage or Medicare.

As Aaron Carrol summed up at the Incidental Economist, the study focused on the underinsured — that is, people on insurance plans that just aren’t very good — rather than those who have no insurance. More importantly, it only looked at people at or below 125 percent of the poverty line. That’s important because the problem with the studies showing Medicaid delivering inferior results to private coverage is that it’s difficult for their comparisons to avoid the apples-to-oranges problem. Medicaid is meant for poorer Americans — you have to be below a certain income threshold to qualify for it — but private coverage is available to the poor and well-off alike. It’s a matter of basic economic logic that the private plans only the well-off can afford will will provide much better access and quality care then the plans the poor can afford as well. Products poor people can afford tend to be poor products.

That’s why safety net programs like Medicaid, which provide people more assistance than they could afford in a pure free market world, are so important. And why, when the proper apples-to-apples comparison is made between poor people on private insurance and poor people on Medicaid, the latter’s performance improves remarkably:

For the purposes of this study, underinsurance was defined as (1) having out-of-pocket expenses that were more than 5% of household income, (2) delaying or failing to get needed medical care because of cost, or (3) delaying or failing to get needed medications because of cost. This study specifically looked at adults who had full-year continuous coverage in some form, but had an income less than 125% of the poverty line. They specifically wanted to know how many of those people were still underinsured.

They found that more than a third of these adults were underinsured. What’s more is what kind of insurance left people underinsured. More than 65% of those people on Medicare were underinsured. More than 37% of people with private insurance were underinsured. But only 26% of people on Medicaid were underinsured. People who were underinsured were more likely to be White, in poor health, and unemployed. Even after adjusting for these factors, those on Medicaid were significantly less likely to be underinsured than those on private insurance (odds ratio 0.22).

The gap between Medicaid and Medicare, meanwhile, is most likely due to Medicare’s higher co-pays and other forms of cost-sharing. While this generally won’t be a problem for seniors in the middle class and up, it can be difficult for poor seniors to meet their share of the costs.

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Climate Progress

The Nocebo Effect: Wind Farm Health Worries Probably Caused By Anti-Wind Scare Campaigns

By Graham Readfearn, via DeSmogBlog

Anti-wind farm activists around the world have created a silent bogeyman they claim can cause everything from sickness and headaches to herpes, kidney damage and cancers.

This “infrasound” exists at frequencies too low for the human ear to detect but is present almost everywhere from offices and roadsides to waves tumbling on ocean beaches. These low frequencies can crawl menacingly from the back of your kitchen fridge or from your heart beating.

Despite the ubiquitous nature of infrasound, anti-wind farm groups such as Australia’s Waubra Foundation like people to think that it’s only inaudible infrasound from wind turbines which might send residents to their sick beds.

But two new studies suggest the cause of health complaints by people living near wind farms could in fact be down to the scare campaign of the anti-wind groups and reports about such scares in the media.

The first study, “Can Expectations Produce Symptoms From Infrasound Associated With Wind Turbines?” was published earlier this month in Health Psychology — a journal of the American Psychological Association.

The researchers from the University of Auckland in New Zealand wanted to find out if simply exposing people to warnings that turbines might make you ill was enough to cause them to report typical symptoms such as headaches and nausea.

Using 54 people, the researchers showed half the group five minutes of footage of people complaining that wind farms had made them ill. Some of the footage was taken from this Australian Broadcasting Corporation report (watch it here) into “Waubra disease” where residents were filmed complaining about a wind farm at Waubra in Victoria. Footage was also taken from this CTV Network report from Canada about a wind farm in Ontario.

This group was called the “high expectancy group” because the information they were given had led them to expect they might experience certain symptoms if exposed to infrasound. The other half of the group was shown interviews with experts stating that the science showed infrasound could not directly cause health problems.

The researchers then told each person they were going to be exposed to two 10-minute periods of infrasound in a special acoustic room when, in fact, for one of those periods they would be exposed to no sound at all, or “sham infrasound” as the researchers describe it. So what happened?

The response from the “high expectancy” group was to report that the “infrasound” had caused them to experience more symptoms which were more intense. This was the case whether they were exposed to sham infrasound or genuine infrasound. The report explains that “the number of symptoms reported and the intensity of the symptom experienced during listening sessions were not affected by exposure to infrasound but were influenced by expectancy group allocation.”

In the low expectancy group, the infrasound and sham infrasound had little to no effect. In other words, the study found that if a person is told that wind turbines will make them ill then they are likely to report symptoms, regardless of whether they are exposed to infrasound or not.

Clearly, this points the finger at anti-wind farm campaigns as a potential cause of people’s symptoms, rather than “infrasound” from turbines. The research added: “The importance of findings in this study is that symptom expectations were created by viewing TV material readily available on the Internet, indicating the potential for such expectations to be created outside of the laboratory in real-world settings.”

Writing about her research on The Conversation, lead author Fiona Crichton says:

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Climate Progress

As CO2 Emissions Rise, So Will Pollen Counts And Asthma Attacks

Climate change could cause pollen counts to more than double over the next 30 years, according to an ongoing Rutgers University study.

The research, presented at the American College of Allergy, Asthma and Immunology conference in November, tested how allergenic plants respond to conditions that mimic those of a warming world, including changing weather patterns and increases in temperature and carbon dioxide.

Based on these tests, the researchers predict pollen counts could reach 21,735 particles of pollen per cubic meter by 2040 — a drastic spike from 2000’s average of 8,455. An “extremely high” pollen count for trees — which account for most of spring pollen — is 1,500. The research also predicts that, as spring arrives earlier due to climate change, pollen seasons will begin earlier as well. In 2000, pollen production began April 14 and peaked May 1, but by 2040, the researchers predict production will start more than a month earlier, peaking by April 8.

Though the research is not yet published, it lines up with what scientists already know about plants’ reactions to increased carbon dioxide and temperature. A 2002 study in the Annals of Allergy, Asthma and Immunology found that ragweed, which causes most fall allergies, produces 61 percent more pollen when grown in an atmosphere with double the normal amount of carbon dioxide. A 2006 study on the same plant produced similar results. Pollen produced under high CO2 conditions may even be more highly allergenic, as Clifford Bassett, an allergist and ACAAI fellow, told CNN:

As you increase CO2, it tells the allergenic plants to produce more pollen to the tune of three to four times more, and the pollen itself, we think, may actually be more potent.

Pollen records have been off the charts over the last few years, as warm weather arrived early in many states. Last year, pollen season began early due to a mild winter and early onset of warm weather, and pollen counts across the U.S. were extremely high. In Atlanta, the pollen count reached 9,369 particles per cubic meter of air, shattering the city’s 1999 record of 6,013. Vanderbilt University in Nashville recorded a pollen count of 11,000, the highest count recorded since the university began counting 12 years ago. Many places saw similarly high counts and early pollen releases in 2010 and 2011. This year has already seen early spikes and dips in the pollen count, due to temperatures rising and falling — some places, like Gainesville, Fla., logged high pollen counts as early as January.

Higher pollen counts aren’t just uncomfortable for allergy sufferers — since allergies can trigger asthma attacks, higher pollen counts and earlier pollen releases can have serious implications for those suffering from asthma, and could even be connected to the global rise of asthma cases.

As the climate warms and springs and summers become longer, allergy seasons in fall, spring and summer could extend as well, exacerbating allergy symptoms. When allergy sufferers have no respite from symptoms, it makes them more prone to serious allergy attacks than if they had had a break between seasons.

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