health

Genesee County is putting together an employee health plan for the 21st Century, according to County Manager Jay Gsell.

In 1996, the county switched employees to a self-funded insurance plan, but then didn't update it for more than a decade.

Gsell said today that the old plan no longer really served employees well and hadn't kept up in changes in medicine.

"Over time, we've made little changes here and there and most of them are subtle, but now we're here in the 21st Century," Gsell said. "That old plan is not very responsive to the health care needs of people here in 2009 ... and it's not very cost effective."

The new plan has been in the works for two years, with employee unions, management and a consultant participating in putting together the new plan, which even though it was implemented in January is still a work in progress.

The new plan puts a greater emphasis on wellness, well being and prevention.

The plan now covers health care screenings for men and women and preventative diagnostic tests.

"Those kinds of things are in the plan to keep people from getting really sick or avoiding visiting a doctor's office until they have to go to the emergency room," Gsell said.

Still under consideration is coverage for gym memberships.

The committee is also reviewing prescription benefits, such as allowing employees to bulk order medicines through mail order and allowing over-the-counter remedies where patents have expired and a script is no longer necessary.

The main goal of the changes is to be cost neutral, Gsell said, but over the next five or more years, the county could save from $100,000 to $200,000.

"So what we're looking at is whether this plan over the next five years will help us better provide for our employees, but also save us money."

So far, not all employees have opted into the program, but Gsell expects more workers to see the benefits of the plan.

WHAM 13 is reporting that health officials have said there is one suspected case of 'Swine Flu' in Genesee County.

We can't confirm that at this time.

Earlier today when we contacted the Genesee County Health Dept. we were told that some sort of e-mail related to 'Swine Flu' would be released to local media in the afternoon. That e-mail was never received.

We will try to get an update on this suspected case first thing in the morning.

UPDATE: Dan Fischer at WBTA is actively working on this story. Channel 2 also reported a suspected case. We'll keep you posted.

UPDATE II: It occured to me that we hadn't checked Billie's e-mail account since we left the office. At 5:03 p.m., we received an e-mail from Karen Smykowski at the health department. It reads, "Genesee County has one suspect and one possible suspect case of Swine flu. It is currently en route to Wadsworth Laboratory for further testing." Dan Fischer also spoke with Randy Garney who also said there is one possible case and one suspected case in Genesee County.

Daily News writer Paul Mrozek has a lengthy piece out today on Gov. Paterson's plans to tell parents how to raise their children -- specifically how to control their diets.

He includes all the facts from the governor's perspective, but passes over one lone skeptical voice deep in the article.  There is little focus on the propriety of New York engaging in social engineering, nor the degree to which this plan is going to create new bureaucracies and hence new expenses, whether there is any evidence such a plan will work, nor how the plan will impact businesses and create new costs that will be passed along to all consumers.

The most far-reaching of the proposals is an 18 percent sales tax on sugar-sweetened beverages such as soda. Juices from fruit such as oranges and grapes are excluded from the proposed tax.

In the past 40 years New York residents have increased their consumption of pop from an average of five 12-ounce cans or bottles per week to 11 per week. Research has shown that consumption of non-diet soft drinks is one of the primary factors that increases the risk of obesity in children and adults.

"No question about the link. We have a core fact in front of us," Daines said.

Not so fast. There is a question. A big fat question.

To blame all low-income obesity on soda pop alone is myopic. Low-income diets tend to be heavy in empty carbohydrates of all kinds, not just sugar. Children living in food insecure homes consume less healthy food. One reason there is such an abundance of empty-carb foods can be traced to farm subsidies for corn, but even that connection is a rather simplistic view of the obesity problem among poorer children.

There is also the question of proper exercise.  In too many homes, children are allowed to watch TV or play video games rather than being required to run around outside.

These are largely parental issues, not government issues.

If the government wanted to do something to help, they would restructure aid programs to make it easier to buy healthier food.  Given a choice, most parents would pick more meats, fruits and vegetables. But right now these options are beyond their budgets. 

Driving up the costs of the high-carb foods isn't going to help them afford the good foods.

The article says, "You raise prices. You provide alternatives."  But what are those alternatives. How are they paid for and provided?  If the alternatives are paid for by the tax, how does the state ensure sufficient revenue for those alternatives once consumption of the taxed items goes down?

Will taxed drinks receive some sort of stamp like alcohol and cigarettes?  If so, aren't we just creating yet another environment for potential illegal black market activities?

And one issue about the proposed tax I've not seen discussed anywhere is the impact on business: Who will levy the tax? Will retail outlets be burdened with the the expense of tracking and tallying the tax, which could include the expense of reprogramming cash registers?  And if the tax is imposed at the wholesale level, won't it just get passed along to all consumers of soft drinks and other beverages from those particular wholesalers?

What about vending machines? Will vendors be required to have two prices on drinks in their machines -- one for taxed items, and one for non-taxed? Or will us diet drinkers just pay more? Who pays for the expense of reprogramming machines or replacing machines that aren't capable of handling tiered prices on soft drinks?

Per usual, any time the government starts interfering in private lives and private enterprise, there are as many if not more problems created than solved.

Here's an appropriate and timely video from Reason Magazine.

The last flu shot clinic of the season will be held by the Genesee County Health Department between 4:00 and 7:00pm at County Building Two on West Main Street Road, Batavia.

The Genesee County Legislature will meet tonight at 7:00pm in the Old County Courthouse.