Holidays and the “Worried Well”

Our local paper, the thin-but-still-here San Francisco Chronicle, greeted the morning recently with a story about a new hospital facility for “the worried well.” And I say, just in time. Some of us may be sick; most of us, I suspect, are among the Worried Well. Especially from now until next January 1.

The facility in question is the Brain Health Center, part of the California Pacific Medical Center‘s Davies campus. It is designed (with a little help from an anonymous $21 million gift) to address a multiplicity of brain-related issues, including help and support for those in fear of lurking neurodegenerative disease. If you haven’t ever worried about where you put the car keys or left the cell phone you can stop reading right now. You are in that tiny population of the angst-free unworried. Then there are all the rest of us.

(Since I am a contented Kaiser member, I feared for a moment that CPMC was one-upping us. But a quick check reveals Kaiser offers things like core dementia training and behavioral understanding, not to mention support groups without end to comfort the Worried Well.)

Worried Well issues range far beyond the challenges of short-term memory loss.  WWs don’t know where the next paycheck, or mortgage payment, is coming from, or whether that little lump might be malignant. Or if the good-looking guy at the party is ever going to call. Closer to home for yours truly it’s how a half-century of accumulated Stuff scattered around a four-story Victorian will ever reduce into the 1600-sq-ft condo at the continuing-care place where worries would be less and wellness more.

Here is the good news: faith trumps angst. At the annual Thanksgiving Day interfaith service sponsored by the San Francisco Interfaith Council, the hearts of the Worried Well were encouraged by just about every known faith tradition. A little inner peace from the Buddhist bell, a few stories building trust and understanding from the Mormons and the Muslims, eloquent prayers from the Jews and the Brahma Kumaris. Pastor Maggi Henderson of Old First Presbyterian Church, who organized this year’s service, then spoke convincingly of how hard it is to be angst-ridden when simply contemplating being loved by the creator.

So it seems, with science and religion BOTH looking out for us, the worried may yet be well.

Safeway carrot-stick plan a boon to reform

There was a little local pride in a key segment of the Senate Finance Committee’s health care bill reported today by Andrew S. Ross of the San Francisco Chronicle:

It’s not every day a local grocery has a congressional amendment named after it. Such an honor has been bestowed on Pleasanton’s Safeway Inc., whose stick-and-carrot health insurance program is the model for a “wellness provision” in a health care reform bill that passed the Senate Finance Committee last week by an unusually bipartisan 18-4 vote.

“Yes, it’s quite fair to call it the ‘Safeway amendment,’ ” said a spokesman for Sen. John Ensign, R-Nev., who co-sponsored the amendment with Sen. Tom Carper, D-Del. “He’s a big advocate of the Safeway program.”The provision, designed to “incentivize Americans to lead healthy lifestyles in order to lower their overall health care costs,” would allow companies with self-insurance programs to reward employees with bonuses and/or premium reductions of up to 50 percent if they follow health guidelines, like undergoing regular screenings, quitting smoking, losing weight, taking cholesterol-reducing medications and so on.

While some question the accuracy of reported cost savings, the measure has strong support among key politicians up to and including President Obama.

As a beneficiary of Kaiser‘s “wellness” program — a constant push toward healthy lifestyles and preventive medicine — I hope this piece of the legislation stays. As long as he’s not going to resign, Senator Ensign might as well be doing something useful over there.

via Safeway plan part of Senate health care debate.