Psychiatric drug use soars during past decade
Atlanta, GA, United States (AHN) – Over the past decade, the medicating of Americans for mental illness has continued to grow.
From 2001 to 2010, overall use of psychiatric drug use among adults rose 22 percent. One on five adults now takes at least one psychotic drug such as anti-depressants, antipsychotics and anti-anxiety medications.
The new figures, released Wednesday, are based on prescription drug pharmacy claims of 2 million insured American adults and children reported by Medco Health Solutions Inc., a pharmacy benefit manager.
In 2010, Americans spent $16.1 billion on antipsychotics to treat depression, bipolar disorders and schizophrenia; $11.6 billion on antidepressants; and $7.2 billion on treatment for ADHD, according to IMS Health, which tracks prescription drug sales.
While the use of most psychotic drugs grew strongly, declines were seen in antidepressant use in children and anti-anxiety drug use in the elderly.
A pronounced increase in medication to treat ADHD among young and middle ages adults was seen, particularly in women.
Use in the over-65 population also spiked by about 30 percent for men and women over the last decade.
Reasons for the rise could include people who were diagnosed and treated as children for ADHD continue to suffer symptoms, adults who were never before treated but suspect they have symptoms sought help, and increased awareness.
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More American patients seek treatment abroad to escape high medical costs
Washington, D.C., United States (AHN) – The number of Americans heading abroad for medical care rose sharply last year amid high health care costs and a poor economy in the United States, according to medical tourism industry figures.
Some of their preferred locations for life-saving surgeries and other procedures are India and Mexico, the health information company Health Digital Systems reported.
Surgeries like hip replacements, dental implants and heart bypasses can cost half as much in Southeast Asia and Latin America compared with the United States.
Among the six million Americans who traveled abroad for medical care last year, 45 percent traveled to Asia, 26 percent to Latin America and 2 percent to the Middle East, according to industry statistics.
Health care officials in the countries treating foreigners are upbeat about their patients. Medical tourism, primarily from the United States and Europe, represents a nearly $100 billion a year industry.
Mexico’s Health Ministry recently produced a report saying “the globalization of health services can offer excellent medical care at lower costs than developed countries.”
The health ministry has developed a strategic plan to encourage medical tourism by continuing “the effort to improve the perception of public safety and promote [Mexico's] image as a global capital of culture and entertainment.”
Any success by Mexico’s health providers in reaching American patients is most obvious in border cities like Monterrey, Tijuana and Chihuahua, according to the Health Digital Systems. Pharmacies, hospitals and medical specialty practices have sprung up to take care of them.
However, patients also assume risks by trusting their health care to foreign medical standards.
Only 2 percent of Mexico’s hospitals have earned “Joint International Commission” certification.
The certification means a hospital and its staff have met international standards that would allow them to be reimbursed by foreign medical insurance companies.
India’s medical tourism industry is losing patients to competing hospitals in Singapore, Thailand and Malaysia amid concerns about poor sanitation.
Indian hospitals have been struggling with a “superbug” that is resistant to disinfectant.
As a result, some patients are reporting they become sick when they enter Indian hospitals for other treatments.
Nevertheless, the discount price of foreign medical treatment is creating a backlog of patients for hospitals with good reputations.
Mediescape, an Indian medical tourism company, reports that India’s hospitals offering medical services to patients from the United States and Europe say their booked up to December.
Between 15 percent and 20 percent of India’s hospital income now comes from medical tourism, according to industry data.
There were 800,000 foreign patients in India last year. They are expected to generate a $3 billion a year industry for India by 2015, up by more than a third from 2010.
Behind the figures on rising medical tourism is the desperation of patients who cannot afford health care in the United States, where about 40 percent of the population lacks adequate medical insurance, according to U.S. government statistics.
Some Americans are even treating themselves for serious ailments, not always with successful outcomes, according to a recent survey by TMD Limited, a medical tourism company.
“Today we are seeing many breast cancer patients that self-treated for years,” said Antonio Jimenez, a doctor raised in New Jersey who now runs the Hope4Cancer Institute in Mexico’s Baja California. “Unfortunately, cancer treatment is not a do-it-yourself project.”
Many of the women search for treatments on the Internet.
“We see more and more women who have spent thousands of dollars on supplements and wonder cures they used at home,” Jimenez said. “When those treatments fail, they look for a clinic that can help.”
The American Cancer Society reports that 230,480 American women will be diagnosed with breast cancer this year. Of those, 39,520 will die.
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