Asbestos Lung Cancer In The US

Other Information

Asbestos Lung Cancer
Medical information on asbestos lung cancer states that it can take from 20 - 40 years to show signs leading to a mesothelioma diagnosis. The technical name for asbestos lung cancer is mesothelioma. The prognosis of asbestos exposure is not good, once the symptoms do appear there is a limited time.

Medical information on asbestosis tells us the majority of people who have recieved a positive mesothelioma diagnosis die within one year. The prognosis of asbestos exposure does increase if caught early and treated quickly. Please click here for lung cancer pics.

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Medicare to Extend Access to Certain Drugs for Beneficiaries with Serious and Chronic Illnesses

FOR IMMEDIATE RELEASE Thursday, June 24, 2004
HHS Secretary Tommy G. Thompson today announced a new Medicare demonstration program that will save seniors and persons with disabilities substantial money -- up to 90 percent in some cases -- on the life-enhancing medicines they take for serious diseases, including cancer, multiple sclerosis and rheumatoid arthritis.

The demonstration program, created as part of the Medicare Modernization Act, will extend Medicare coverage to prescription medicines that can be self-administered rather than administered by a health care provider. The demonstration will help up to 50,000 beneficiaries with serious illnesses who do not have comprehensive prescription drug coverage today.

"This demonstration will provide access and affordability to life-saving medicines for people fighting serious diseases," Secretary Thompson said.  "Through this coverage, seniors will save thousands of dollars on essential medicines that they can take at home. It will relieve some of the burden of battling a debilitating disease."

The initiative, known as the Medicare Replacement Drug Demonstration, was mandated under Section 641 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA). As set by Congress, enrollment in the demonstration will be open to 50,000 people and total spending on the covered drugs will be up to $500 million.

Under this initiative, Medicare will pay for certain drugs and biologicals that can be taken by the patient at home and that replace drugs which are currently covered under Medicare Part B when given in a doctor’s office.  In addition, newer, more effective medications that replace some currently covered oral anti-cancer drugs will also be covered.

"Covering drugs that you can administer yourself improves access to high-quality care", said Mark B. McClellan, M.D., Ph.D., administrator of the Centers for Medicare & Medicaid Services (CMS). "In some cases, by avoiding the need for doctor visits and intravenous injections, costs and medical complications may be reduced and access and ease of treatment will increase. And many beneficiaries will get literally tens of thousands of dollars worth of help in purchasing these critical medicines right away, ahead of the Medicare drug benefit in 2006."

Drugs for treatment of such diseases as rheumatoid arthritis, multiple sclerosis, pulmonary hypertension and a variety of cancers will be included in the demonstration. The drugs were selected based on criteria developed after extensive input from physicians and other experts.  The drugs and the diseases that are covered are listed below.

Beneficiary cost sharing for these drugs will mirror the "standard" Medicare Part D prescription drug benefit when it is implemented in 2006 (participants will not pay the monthly premium in the demonstration, however).  Beneficiaries with limited resources and incomes of less than 150 percent of the federal poverty level (FPL) will have even lower cost sharing requirements.

The demonstration will give Medicare beneficiaries a glimpse of the significant savings coming their way when the Part D prescription drug benefit is fully implemented in 2006.

Examples of estimated savings over a year include:

• Patients with Chronic Myelogenous Lymphoma (a cancer) using Gleevec could save nearly 90 percent or $40,654 annually. Gleevec has an estimated annual cost of $45,952, but patients in the demo would o

nly pay $5,298.

• Patients with Multiple sclerosis could save 75 percent or $12,260 annually off medicines that cost an estimated $16,298 annually. They would pay only $4,038.

• Patients with rheumatoid arthritis could save 75 percent or $11,975 annually off medicines that cost an estimated $16,000. They would pay only $4,025.

• And patients with pulmonary hypertension using Tracleer could save 86 percent or $31,255 off of a cost that otherwise could reach $36,136. They would pay only $4,881.

Low-income beneficiaries in the demonstration would save significantly more.  Using the above examples, for those between 135 and 150 percent of the FPL estimated savings would be: for Gleevec they would pay $638, for MS and rheumatoid arthritis patients they would pay $628, and for someone taking Tracleer their annual cost would be $638.  For those between 100 and 135 percent of the FPL, they would pay at most $60 per year for any of the drugs covered in the demonstration program, and seniors below 100 percent of FPL could pay less.

"Seniors are going to save substantial money on their prescription medicines thanks to the new drug benefit under Medicare, and this demonstration will give them a sense of the savings that are on the way," Secretary Thompson said. "For seniors currently without drug coverage, this new benefit will help strengthen their health and their pocketbook. It provides substantial savings on the out-of-pocket costs they currently pay for medicines."

As directed by Congress in creation of the demonstration, approximately 40 percent of the funding will be allocated for oral anti-cancer medications. If more beneficiaries apply than Medicare is able to serve, CMS will select participants among the cancer and non-cancer groups randomly from the applications received, on an alternating basis between the two groups.

To be eligible for the demonstration, a beneficiary must be enrolled in Medicare Part A and Part B, Medicare must be their primary payer, and the beneficiary may not have comprehensive drug coverage through other sources (such as TriCare, Medicaid, or an employer or union sponsored plan). A beneficiary must also have a signed certification from a doctor that he or she requires one of the drugs covered under the demonstration for the indicated disease. 

"We intend to work with our state and local partners, and with patient organizations and others, to help beneficiaries with these serious diseases find out about how to take advantage of this program -- and about the additional help now available to assist with drug costs," Dr. McClellan said.

CMS is conducting an Open Door Forum on June 29 with patient advocacy groups, physician specialty groups, physicians and drug manufacturers so they can help beneficiaries in applying for the program.

To enroll in the demonstration program, beneficiaries should complete an application, get their physician to complete the required form certifying their need for the covered drug, and submit both forms to CMS’ demonstration contractor, TrailBlazer Health Enterprises.

Participants in the demonstration will be able to get their drugs at a local retail pharmacy or by home delivery through Caremark, Trailblazer’s subcontractor for administering the drug benefit.

The demonstration will run through Dec. 31, 2005, at which time all beneficiaries will be able to enroll in the new Medicare Part D drug benefit.

Starting immediately, applications may be downloaded from the CMS Web site at http://www.cms.hhs.gov/researchers/demos/drugcoveragedemo.asp.  Starting July 6, customer service representatives will be available at 1-866-563-5386, TTY Number: 1-866-536-5387 to answer questions about the demonstration and assist beneficiaries in obtaining and completing the application forms.  Between now and July 6, beneficiaries who have questions can call 1-800 MEDICARE. Applications will be accepted for consideration beginning July 6 through Sept. 30.

Those beneficiaries who are able to get their applications in by Aug. 16 will be in an "early selection" process that will give them coverage by Sept. 1.

Applications will be accepted through Sept.30, at which time another selection process will be held.  As long as the application is received by Sept.30, all applicants will have an equal chance to get into the demonstration.  If enrollment slots are still available, applications will continue to be accepted after that date. 

Contact: CMS Public Affairs
(202) 690-6145

Note: All HHS press releases, fact sheets and other press materials are available at http://www.hhs.gov/news.

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How to Find Medical Information

• You May Want More Information
• Start With Your Community Library
• Take Advantage of Services Provided by the Federal Government and Other Organizations
• Look for a Medical Library
• Investigate Other Options for Finding Information
• Use Telephone and Fax Services
• Explore Computer Databases
• Search the Internet
• Don't Believe Everything You Read
• Use Information Wisely
• To Make Informed Decisions About Your Health Care, You Need to Understand Your Health Problem
• For More Information
• Acknowledgments

You May Want More Information

After contacting the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) or the NIAMS Information Clearinghouse, you may want to find additional information on a disease or disorder. Searching for medical information can be confusing, especially for first-timers. However, if you are patient and stick to it, you can find a wealth of information. Today's computer technology is making it easier than ever for people to track down medical and health information. There are also many other sources of medical information available in textbooks, journal articles, and reference books and from health care organizations. This booklet explains how to locate these important sources of information.

Where to Find Medical Information

Community library Federal Government clearinghouses Associations and voluntary organizations Medical, hospital, or university libraries Personal physician Nurse, pharmacist, dietitian, or other health professional Telephone or fax services Computer databases The Internet

Start With Your Community Library

Most people have a library in or near their community, and it's a good place to start to look for medical information. Before going to the library, you may find it helpful to make a list of topics you want information about and questions you have. Also, if you've received a NIAMS information package, you'll notice the list of additional references at the end of most articles. You may want to get a copy of some of these articles. Your topic list and the information package will make it easier for the librarian to direct you to the best resources.

Basic Medical References

Many community libraries have a collection of basic medical references. These references may include medical dictionaries or encyclopedias, drug information handbooks, basic medical and nursing textbooks, and directories of physicians and medical specialists (listings of doctors). You may also wish to find magazine articles on a certain topic. Look in the Reader's Guide to Periodical Literature for articles on health and medicine that were published in consumer magazines.

Other Resources

Infotrac, a CD-ROM computer database you're most likely to find at a public library, indexes hundreds of popular magazines and newspapers, as well as some medical journals such as the Journal of the American Medical Association and New England Journal of Medicine. Your library may also carry MEDLINE®, Index Medicus, Abridged Index Medicus, or the Cumulative Index to Nursing and Allied Health Literature in print format or on a computer database. The Consumer Health and Nutrition Index may be available in print form as well. These resources will help you find journal articles written for health professionals. Many of the indexes have abstracts that provide a summary of each journal article. Articles published in medical journals can be technical, but they may be the most current source of information on medical topics.

Interlibrary Loans

Although most community libraries don't have a large collection of medical and nursing journals, your librarian may be able to get copies of the articles you want. Interlibrary loans allow your librarian to request a copy of an article from a library that carries that particular medical journal. Your library may charge a fee for this service.

Medical and Health Directories

You may find many useful medical and health information directories at your library. Ask your librarian about the following resources:*

• Directory of Physicians in the United States. Chicago, IL: American Medical Association (AMA) updated yearly-provides information such as address, medical school attended, year of license, specialty, and certifications for physicians who are members of the AMA.
  
• Health Hotlines-a booklet of toll-free numbers of health information hotlines available from the National Library of Medicine (NLM) or on the Internet at http://newsis.nlm.nih.gov/hotlines/.
  
• Medical and Health Information Directory. 9th edition. Detroit, MI: Gale Research, 1997-includes publications, organizations, libraries, and health services (three volumes).
  
• The Official ABMS Directory of Board Certified Medical Specialists. New Providence, NJ: Marquis Who's Who, updated yearly-provides information on physicians certified in various specialties by the American Board of Medical Specialists.
  
• Rees, A., editor. The Consumer Health Information Sourcebook. 5th edition. Phoenix, AZ: Oryx Press, 1997-lists information clearinghouses, books, and other resources.
  
• White, B.J., & Madone, E., editors. The Self-Help Sourcebook: The Comprehensive Reference of Self-Help Group Resources. 6th edition. Denville, NJ: Northwest Covenant Medical Center, 1997-lists over 700 organizations that offer support groups.

* Names of resources and organizations included in this fact sheet are provided as examples only, and their inclusion does not mean that they are endorsed by the National Institutes of Health or any other Government agency. Also, if a particular resource or organization is not mentioned, this does not mean or imply that it is unsatisfactory.

If you find a particularly useful book at the library, you can buy a copy at your local bookstore. If the book isn't in stock, your bookstore can probably order a copy for you.

Some medical references have been converted from book form to a CD-ROM or disk for use on a personal computer. If you have a computer with a CD-ROM drive, color monitor, and sound card, you can use compact disks to locate medical information. Check with your local bookstore or computer store for software programs that contain health information.

Take Advantage of Services Provided by the Federal Government and Other Organizations

Federal Government

The Federal Government operates a number of clearinghouses and information centers-the NIAMS Information Clearinghouse is one of them. Services vary but may include publications, referrals, and answers to consumer inquiries. To obtain a free list of Federal information clearinghouses, visit the National Health Information Center's home page (http://www.health.gov/nhic), write to P.O. Box 1133, Washington, DC 20013-1133, or call (800) 336-4797.

Associations and Voluntary Organizations

Many associations and voluntary organizations are excellent sources of information. Some are devoted to specific diseases or conditions, such as the Scleroderma Foundation, National Alopecia Areata Foundation, National Psoriasis Foundation, and numerous others. Other organizations, such as the American Association of Retired Persons, serve a particular population group and provide a variety of information, including health-related topics. Your librarian or a NIAMS Information Clearinghouse information specialist can help you locate appropriate organizations and support networks. Many of these organizations offer referrals, publications, newsletters, educational programs, and local support groups. Your doctor may be able to tell you about support groups in your community as well.

Examples of Health-Related Associations and Organizations

American Academy of Dermatology American Academy of Orthopaedic Surgeons American College of Rheumatology American Skin Association Arthritis Foundation Lupus Foundation of America There are many more organizations; call the NIAMS Information Clearinghouse for additional information.

Look for a Medical Library

Medical libraries can usually be found at medical, nursing, and dental schools; large medical centers; and community hospitals. Not all hospital or academic libraries are open to the public, but a librarian at your community library may be able to give you information about the closest medical library open to the public. Medical libraries may also be listed in your telephone book under "hospitals," "schools," or "universities." In addition, you can call the National Network of Libraries of Medicine of the NLM, National Institutes of Health, at (800) 338-7657 to find the location of the nearest regional medical library.

A medical library has a large collection of resources, including many medical and nursing textbooks and a comprehensive collection of medical and health-related journals. Although you may not be allowed to check out materials, most libraries have photocopiers you can use to copy material you want to take home.

Investigate Other Options for Finding Information

People who are unable to get to a community or medical library have several options for finding additional medical information. Some community libraries provide access to on-line databases that can be searched from a home computer via a modem. In addition, your doctor, nurse, pharmacist, dietitian, or the patient education department at your local hospital may be able to provide you with pamphlets, brochures, and journal articles or direct you to classes, seminars, and health screenings.

Use Telephone and Fax Services

Some communities have a telephone medical service that allows callers to listen to audiotapes on certain disease topics. Also, your health insurance company or health maintenance organization may have a nurse available to answer health-related questions over the telephone. If you have access to a fax machine, you can get health information from some organizations in just a few minutes. If a faxback system is available, use the telephone on your fax machine to call the faxback number of the organization and listen to the instructions. In most cases, you can request a list or menu of information to be sent to you first.

Other organizations also have information available by fax; one example is the Centers for Disease Control and Prevention at (888) 232-3299 (toll free). Your librarian can help you locate other fax services.

Explore Computer Databases

The computer has become an important tool for helping people locate medical and health information quickly and easily. Most software and information services are user friendly and allow people with no formal training in computer searching to use databases to obtain information. Using a computer at home or in the library, you can find health information by searching CD-ROM databases, searching on-line on the Internet, or using a health-related software program.

As mentioned earlier, many public libraries have Infotrac, a database that includes consumer health information. It indexes popular magazines and newspapers and 2 to 4 years' worth of medical publications. Medical libraries have more extensive medical databases. Start with the following list and ask your librarian to help you find the most appropriate CD-ROM or on-line (Internet) databases for your needs:

• MEDLINE^®. The largest and best known of the MEDLARS databases, MEDLINE^® contains citations and often abstracts for over 9 million articles in 3,900 biomedical journals on all aspects of biomedicine and allied health fields from 1966 to the present. MEDLINE^® is available at medical and university libraries, at some community libraries, and through a variety of fee-based and free Internet sites, including the NLM Web site at http://www.nlm.nih.gov/.
  
• DIRLINE^®. This database, a part of MEDLARS, contains location and description information about a wide variety of resources, including organizations, research resources, projects, databases, and electronic bulletin boards concerned with health and biomedicine. The database is available on-line through the NLM at no fee.
  
• CHID (Combined Health Information Database). Developed and managed by health-related agencies of the Federal Government, this database can help people find information and educational resources such as brochures, books, and audiovisuals on selected topics. CHID contains 17 subfiles, including the Arthritis and Musculoskeletal and Skin Diseases subfile. It is available on the Internet at no fee at http://chid.nih.gov/.

Search the Internet

The Internet is a worldwide network of computers that can exchange information almost instantaneously. The World Wide Web (abbreviated www in computer addresses), or more simply, the Web, is a system of electronic documents linked together and available on the Internet for anyone with a computer, a modem, and an Internet provider account. While the terms "Internet" and "World Wide Web" are often used interchangeably, the Web is actually the part of the Internet that supports the use of graphics, pictures, sound, and even video.

If you have access to the Web, you can find information on everything from the latest medical research to facts on particular conditions. You may have access at home or at work to Internet databases through a commercial service such as America Online or through a local Internet provider. Many public libraries have computer stations that provide Internet access.

You'll find extensive health and medical information on the Internet. America Online and other Internet providers and sites offer MEDLINE®; some sites may charge a search fee. The Internet also offers other resources such as bulletin boards, online publications, forums for discussion of current medical issues, and on-line support groups. For example, the American Self-Help Clearinghouse offers an on-line version of its Self-Help Sourcebook at http://mentalhelp.net/selfhelp/.

 that provides information on support groups and networks available in your community and throughout the world. The site also provides a link to the Self-Help Resource Room that contains information about on-line support groups and other health resources.

Help With Searching on the Internet

Searching for health information on the Internet can be confusing and difficult. The sheer volume of information can be overwhelming, and people often find it difficult to narrow down search topics or find specific Web sites. Although an Internet search engine such as YAHOO! or Netscape^® is meant to help you find information, search results on specific topics often reveal thousands of Web sites, many of which may be unrelated to the information you want. You may want to get a copy of a reference book that provides tips on how to find health information on the Internet. Health On-line, by Tom Ferguson, M.D. (Addison-Wesley Publishing Company, 1996), is an example of one reference that can help you use the Internet to find health information and support groups.

National Library of Medicine

You can search the NLM's MEDLINE^® database, free of charge, on the Web. The link to this database can be found on the NLM home page at http://www.nlm.nih.gov/. You can conduct a search in one of two Web-based products, PubMed or Internet Grateful Med. Both provide you with free access to MEDLINE^® and, for a fee, allow you to use Loansome Doc Delivery Service to order copies of articles. PubMed links you to publishers' sites for approximately 100 full-text journals; some are by subscription only. Internet Grateful Med also gives you access to other databases, including AIDSLINE, HealthSTAR, AIDSDRUGS, and AIDSTRIALS.

healthfinder^®

To help people find health information on the Internet, the Federal Government's Department of Health and Human Services has developed a Web site-healthfinder^® (http://www.healthfinder.gov/). This site serves as a gateway or point of entry to the broad range of consumer health information resources produced by the Federal Government and many of its partners. healthfinder^® includes a searchable index and locator aids for news, publications, on-line journals, support and self-help groups, on-line discussions, and toll-free numbers.

Don't Believe Everything You Read

As you make purchases for your home library or search the Internet, keep in mind that not all information is written by qualified medical experts. Your doctor or a health organization may be able to recommend some good books or helpful Internet sites. When looking for health information on the Internet, don't believe everything you see. Articles published in peer-reviewed medical journals are checked for accuracy, but anyone can put information on the Internet, so there's no guarantee that the information you find is accurate or up-to-date. In addition, many companies set up Web sites primarily to sell their products. It may be helpful to ask a health professional about the information you find on the Internet, particularly before you buy any products. If you search and shop with care, you can add some medically sound reference materials to your home library and find accurate information on the Internet.

Use Information Wisely

It can be hard to judge the accuracy and credibility of medical information you read in books or magazines, see on television, or find on the Internet. Even people with medical backgrounds sometimes find this task challenging. Following are some important tips to help you decide what information is believable and accurate.

Books, Articles, and Television Reports

• Compare several different resources on the same topic. Check two or three other articles or books to see whether the information or advice is similar.
  
• Check the author's credentials by looking up his or her affiliations, such as university and medical school attended, associations, and lists of other publications. For doctors, this information can be found in one of the physician directories at your library or on the AMA's Web site at http://ama-assn.org/ (click on AMA Physician Select). You can also call the American Board of Medical Specialists at (800) 776-2378 to see whether a physician is board certified in his or her specialty. Your librarian can help you find other resources to check the credentials of nonphysicians.
  
• Ask yourself if the information or advice "rings true." That is, is it feasible, plausible, and common sense, or is it wishful thinking or sensationalism?
  
• Look for a list of references at the end of the article or book. Information that is backed up by other medical professionals and researchers is more likely to be accurate.
  
• Check out your information source. Was the article published in a peer-reviewed journal? Look for a list of editorial or review board members at the beginning of a journal. In a peer-reviewed journal, articles are reviewed by other qualified members of the profession for accuracy and reliability.
  
• Look very carefully at information published in newspapers and magazines or reported on television. Most reporters are journalists rather than medical experts. In addition, newspapers and television reporters may use sensationalism to attract more readers or viewers. Medical facts and statistics can be misrepresented or incomplete. Check to see whether the newspaper or magazine cites a source for its information and includes the credentials of the persons cited.
  
• Examine a magazine's list of editors. Do medical experts serve as editors and review articles? Be especially wary of personal testimonials of miracle cures. There's often no way of judging whether the story is true. Furthermore, don't trust medical product advertisements claiming miracle cures or spectacular results.

The Internet

• Compare the information you find on the Internet with other resources. Check two or three articles in the medical literature or medical textbooks to see whether the information or advice is similar.
  
• Check the author's or organization's credentials. They should be clearly displayed on the Web site. If the credentials are missing, consider this a red flag. Unfortunately, there are many phony doctors and other health professionals making false claims on the Internet.
  
• Find out if the Web site is maintained by a reputable health organization. Remember that no one regulates information on the Internet. Anyone can set up a home page and claim anything. Some reliable Web sites providing health information include those of government agencies, health foundations and associations, and medical colleges.
  
• Be wary of Web sites advertising and selling products that claim to improve your health. More important, be very careful about giving out credit-card information on the Internet. Further, even if nothing is being sold on a Web site, ask yourself if the site host has an interest in promoting a particular product or service.
  
• Ask yourself whether the information or advice seems to contradict what you've learned from your doctor. If so, talk to your doctor to clarify the differences in the information.
  
• Be cautious when using information found on bulletin boards or during "chat" sessions with others. Testimonials and personal stories are based on one person's experience rather than on objective facts or proven medical research.

To Make Informed Decisions About Your Health Care, You Need to Understand Your Health Problem

Medical information, especially material written for health care providers, can be hard to understand, confusing, and sometimes frightening. As you read through your materials, write down any words or information you don't understand or find confusing. Make a list of your questions and concerns. During your next office visit, ask your doctor, nurse, or other health professional to review the information with you so that you understand clearly how it might be helpful to you.

If the medical information you gathered is for a personal health problem, you may want to share what you found with your spouse, other family members, or a close friend. Family members and friends who understand your health problem are better able to provide needed support and care. Finally, you might want to consider joining a support group in your community. You may find it helpful to be able to talk with others who have the same health problem and share your feelings or concerns.

Ultimately, the information you gather from print and electronic resources can help you make decisions about your health care-how to prevent illness, maintain optimal health, and address your specific health problems. Armed with this knowledge, you can more actively work in partnership with your doctor and other health care professionals to explore treatment options and make health care decisions. Health care experts predict that today's computer and telecommunication systems will result in a new era-the health care system information age-built around health-savvy, health-responsible consumers who are the primary managers of their own health and medical care.

For More Information

National Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse
NIAMS/National Institutes of Health
1 AMS Circle
Bethesda, MD 20892–3675
Phone: (301) 495–4484 or (877) 22-NIAMS (toll free)
TTY: (301) 565–2966
Fax: (301) 718–6366

Acknowledgments

The NIAMS gratefully acknowledges the assistance of Ron Gordner, M.L.S., and Gail Dutcher, M.L.S., of the National Library of Medicine; Mary Jo Deering, Ph.D., of the Office of Disease Prevention and Health Promotion, Office of the Secretary, Department of Health and Human Services; and Amye Leong, an arthritis patient advocate based in San Pedro Peninsula, CA, and a member of the NAMS Advisory Council, in the review of this booklet.

About NIAMS and Its Clearinghouse: The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), a part of the National Institutes of Health (NIH), leads the Federal medical research effort in arthritis and musculoskeletal and skin diseases. The NIAMS supports research and research training throughout the United States, as well as on the NIH campus in Bethesda, MD, and disseminates health and research information. The National Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse (NAMSIC) is a public service sponsored by the NIAMS that provides health information and information sources.

Additional information can be found on the NIAMS Web site at http://www.niams.nih.gov/.