When you’re making that amount, and you lose your job, paying for that insurance plan is no longer possible. I give the median salary, because the range of salaries is so vast that outliers skew the value out of whack. If someone wants insurance that actually functions primarily as insurance, instead of prepayment for all routine health care needs plus the insurance component, then they can easily address the affordability issue by purchasing a catastrophic plan. The best outcome for unemployed people who are suddenly cast out into the group market and into an individual market in which affordable catastrophic coverage is no longer available is that they get heavily subsidized first dollar coverage through and exchange.
Energy drinks are flavored beverages containing high amounts of caffeine and typically other additives, such as vitamins, taurine, herbal supplements, creatine, sugars, and guarana, a plant product containing concentrated caffeine.
Consumption of energy drinks is a rising public health problem because medical and behavioral consequences can result from excessive caffeine intake. The Drug Abuse Warning Network (DAWN) is a public health surveillance system that monitors drug-related emergency department (ED) visits in the United States and can be used as a source of information for assessing the more negative medical consequences associated with consuming energy drinks. In years prior to 2007, ED visits involving energy drinks were either not shown due to low statistical precision (in 2004) or because they occurred in very low numbers (in 2005 and 2006). Among energy drink-related ED visits, there were more male patients than female patients in each year since 2007, accounting for approximately two thirds or more of visits. In each year from 2007 to 2011, patients aged 18 to 25 were most commonly involved in energy drink-related ED visits, followed by patients aged 26 to 39. Most ED visits involving energy drinks only, with no other drug involvement, were classified as adverse reactions (94 percent). The occurrence of energy drink-related ED visits among adolescents and young adults shows that these vulnerable populations experience negative health events after consuming energy drinks.
A new finding in this report suggests that older adults may also be vulnerable to the effects of energy drinks, even though the drinks are marketed with claims of having a positive impact on energy and concentration. 7 Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. 9 Misuse or abuse cases within DAWN are broadly defined to include all visits associated with illicit drugs, alcohol use in combination with other drugs, alcohol use only among those younger than 21 years old, and nonmedical use of pharmaceuticals.
The Drug Abuse Warning Network (DAWN) is a public health surveillance system that monitors drug-related morbidity and mortality. Unemployment is very high, especially in groups that tend to also need health care the most.

Even if the income-indexed transfers mitigate this problem somewhat, it’s not clear how many non-group plans will still be around if the 80%MLR requirement sticks.
These drinks are sold in cans and bottles and are readily available in grocery stores, vending machines, convenience stores, and bars and other venues where alcohol is sold.
To be a DAWN case, the ED visit must involve a drug, either as the direct cause of the visit or as a contributing factor.
The number of visits in years prior to 2007 were not used in statistical tests because of low numbers; the number of visits in 2004 was not shown because of low statistical precision. In each year from 2007 to 2011, visits involving adverse reactions were about twice as commonly reported as visits involving misuse or abuse. An exception occurred in 2008, when half (54 percent) of visits involving energy drinks were made by male patients (data not shown). The safety of these products among adults who take medications or have medical conditions has been questioned.5 Health professionals can discourage use of energy drinks by explaining that perceived health benefits are largely due to marketing techniques rather than scientific evidence. Although energy drinks are not treated as drugs by the Food and Drug Administration, ED visits involving energy drinks were classified as adverse reactions if the chart documented them as such.
DAWN uses a probability sample of hospitals to produce estimates of drug-related emergency department (ED) visits for the United States and selected metropolitan areas annually. At times like this, it’s hard to imagine attacking the safety net programs that protect the poorest among us. I expect that the difference between the median and the mean insurance plan is not as large, but I don’t have the median. Sell the house, sell the cars, sell the jewelry, cut the cable, stop eating out, stop taking vacations, etc, etc, and then lets talk about what you can afford.
Will the ACA make it easier for people who are either unemployed or self employed to secure insurance that they can afford?
These beverages provide high doses of caffeine that stimulate the central nervous system and cardiovascular system. The number of ED visits involving energy drinks doubled from 10,068 visits in 2007 to 20,783 visits in 2011. ED visits involving energy drinks doubled from 2007 to 2011 for both male and female patients (Figure 3). Because of the drinks' widespread use, it may be beneficial for ED staff to inquire about use of energy drinks when assessing each patient's use of medications or other drugs.

If other substances are reported on the chart as involved in the visit, an energy drink is not necessarily the sole reason for the adverse reaction. DAWN also produces annual profiles of drug-related deaths reviewed by medical examiners or coroners in selected metropolitan areas and States. SAMHSA has contracts with Westat (Rockville, MD) and RTI International (Research Triangle Park, NC) to operate the DAWN system and produce publications. I sure hope so but I’m not convinced that the actual outcomes will be consistent with the policy intentions here. Because of the popularity of energy drinks and the burgeoning literature suggesting the risks involved with their use, gaining additional information about these beverages is important. A previous report addressing ED visits involving energy drinks was published using 2009 data7; this issue of The DAWN Report highlights trend data for energy drinks from 2007 to 2011, as well as drug combinations found in 2011. From 2007 to 2011, increases did not always occur annually, but an overall upward trend was evident.
More specifically, visits by males increased from 7,210 visits in 2007 to 14,905 visits in 2011, and visits by females increased from 2,854 visits in 2007 to 5,878 visits in 2011.
Visits for younger adults (aged 18 to 25 and aged 26 to 39) appeared to have increased, but the difference was not statistically significant between 2007 and 2011.
Alcohol is considered an illicit drug for minors and is documented even if no other drug is involved. Some types of energy drinks may also contain alcohol, producing a hazardous combination; however, this report focuses only on the dangerous effects of energy drinks that do not have alcohol. Energy drink-related ED visits involving misuse or abuse of drugs nearly doubled from 3,060 visits in 2007 to 6,090 visits in 2011. Event-level analyses of energy drink consumption and alcohol intoxication in bar patrons.

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