Jeremy Olson's Nov. 27 piece, "Minnesota Department of Health report says diabetes takes heavier toll on young adults," points out something obvious to anyone who cares for hospitalized patients — high insulin prices and lack of affordable health insurance are huge barriers for people who struggle to control their diabetes. On Nov. 26, Glenn Howatt's piece, "Out of prison, but struggling for health care," illuminates the difficulties that newly released inmates have in accessing health insurance, despite the fact that most should qualify for Medicaid; it was proposed that there should be more "navigators" helping people complete the burdensome enrollment paperwork required by our nearly incomprehensible health insurance system.
Both problems outlined above (and many more) would be much better addressed by redesigning our health care system so that all people are covered for any medically necessary care with no out-of-pocket expenses at the point of care. A universal single-payer system, such as proposed in state Sen. John Marty's Minnesota Health Plan and in national Expanded and Improved Medicare for All legislation, would improve health outcomes generally, enable better chronic disease management and significantly improve equity by guaranteeing the same high standard of health care for everyone, rich or poor, privileged or socially marginalized. It also would be fiscally prudent, saving money through bulk drug price negotiations, global hospital budgets and the elimination of administrative waste associated with our bloated insurance system. As an added bonus, a single-payer system would be so straightforward that we could navigate it ourselves.
Dr. Brian Yablon, Minneapolis
Diabetes
Changing diet, lifestyle would combat disease in young
It is disturbing to see so many young people being devastated by a preventable/reversible disease once called "adult onset diabetes." ("Young adults hit harder by diabetes," Nov. 27.) Yes, type 2 diabetes can be prevented and reversed!
Diabetes is caused by our industrial diet of refined sugars, flours and seed oils. These ingredients provide up to 50 percent (or more) of many teenagers' calories and provide virtually no vitamins and minerals. In addition, these ingredients are highly inflammatory, do not satiate our appetites and take our blood sugar on a roller-coaster ride.
Case in point: Many high school students keep boxes of breakfast cereals (blends of highly refined sugars, flours and seed oils) in their lockers so they can feed their hunger pangs between classes, and many of them are downing two or more cans of sugary drinks per day. Such foods are designed to keep us coming back for more and more. Because most industrial foods are highly caloric and lack micronutrients, many young people are overweight, nutrient-deficient and susceptible to diabetes.
Alternative? Many clinicians across North America and Western Europe are helping patients reverse diabetic symptoms with no medications. This is a functional medicine approach, getting to the root cause, and prescribing not pharmaceuticals, but dietary and lifestyle changes.
While it is advised that people make these changes under the guidance of a physician, there are published guidelines, such as "Dr. Neal Barnard's Program for Reversing Diabetes"
Gary Engstrom, Cannon Falls
Mars landing
This NASA milestone brings pride in accomplishment and staff
I'm a senior citizen, a retired math teacher, who many times has shared with others the exciting successes of NASA, including the U.S. moon landing, and then Monday's successful landing on Mars. On TV, I have watched both the anxiety and jubilation of NASA's engineers and staff as their successes were broadcast worldwide from Mission Control.