November 6, 2009 – CBS News – New York, NY, US
As health care reform heads into the next phase, Congress will miss the boat if it ends up perpetuating a system that reacts to illness rather than preventing it. Chronic diseases such as obesity, hypertension, and diabetes wreck our quality of life and cost a fortune. For obesity alone, according to The Centers for Disease Control (CDC), the annual medical price tag in the United States is $147 billion.
In recent years there has been debate about whether preventive services would actually lower health costs.
Preventive medicine must become an integral part of health care reform. Counseling and other lifestyle interventions are effective in the treatment of diabetes, hypertension, and smoking. And in recent years, a new and intriguing concept has emerged in the prevention and treatment of chronic illness: the health coach.
I learned about health coaching during a trip to Duke Integrative Medicine, which has pioneered its use. Dr. Tracy Gaudet, Executive Director of Duke Integrative Medicine, explained, “There is currently no one in the healthcare system who has the job or the expertise to actually help people make the lifestyle and behavior changes that they want to make. It is hard to change engrained behaviors. The Integrative Health Coach is trained to help people clarify their personal health goals and achieve them.” I saw an example when I interviewed health coach Linda Duda and her patient, Nasera Hassan, a woman with type II diabetes who was having trouble sticking to her doctor’s prescribed regimen of exercise, diet, and medication. Hassan told me, “I think when you’re so busy with life in general you forget to take medication. You forget to make your appointments for exercise. You don’t really think about how you’re eating or what you’re eating.”
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