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Economic Recession Prompting California Women To Seek Health Care In Clinics
The current economic recession has prompted more women in California to seek health care -- including routine gynecological exams, contraceptives and abortions -- at clinics and family planning agencies, the Los Angeles Times reports. Many of the services, such as contraception and abortion, are related to avoiding or ending pregnancies as women experience job losses and subsequent loss of insurance coverage amid the recession, according to the Times. For example, Planned Parenthood clinics report that they are performing a record number of abortions, while other women"s health agencies report higher call volumes, more visits and additional requests for abortion funding. Clinic officials also report that women increasingly are switching their contraceptive methods to longer-term options than can last five to 10 years.According to the Times, the increased demand for reproductive health services -- particularly abortions funded by Medi-Cal, the state"s Medicaid program -- are putting a strain on some clinics. In addition, paying for an abortion can be difficult for women who already are struggling financially. The Times reports that as women attempt to raise the money for abortions, thereby postponing the procedure, the cost increases from about $450 during the first trimester to $1,200 during the second trimester. Delays in abortion funding also can cause more difficult choices for some women. Destiny Lopez -- executive director of ACCESS, a group that helps low-income women seeking reproductive health care -- said that some women who decided to terminate an early pregnancy are forced to decide between a second-trimester abortion or continuing an unwanted pregnancy because of funding delays. "It"s not like women are making these decision at the drop of a hat," she said, adding, "They are considering their life situations."Stephanie Poggi, executive director of the National Network of Abortion Funds, said, "We are seeing poor women get poorer and we"re also seeing low-wage women become poor," adding, "The economy is definitely having an impact. ... We see a greater demand for assistance." According to clinic officials, pregnant women who call in for assistance increasingly are considering the costs of raising a child when deciding how to proceed with their pregnancies. Lopez said, "Women are really having to make thoughtful decisions whether now is the right time to get pregnant or not."According to a recent Gallup Organization survey conducted on behalf of the American College of Obstetricians and Gynecologists, nearly one in 10 married women reported that the recession is a contributing factor in a decision to postpone a planned pregnancy; one in five women reported being more concerned now than one year ago about an unintended pregnancy; and about one in five women reported being more conscientious about using contraceptives (Yoshino, Los Angeles Times, 5/20).
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Finding The Right Connection After Spinal Cord Injury
In a major step in spinal cord injury research, scientists at the University of California, San Diego School of Medicine have demonstrated that regenerating axons can be guided to their correct targets and re-form connections after spinal cord injury. Their findings were published in the advance online edition of the journal Nature Neuroscience on August 2.
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RCN Responds To New Report Into Nursing Regulation
Responding to the annual report from the Council for Healthcare Regulatory Excellence (CHRE), Dr. Peter Carter, Chief Executive & General Secretary of the Royal College of Nursing (RCN), said:
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MPS Clarifies Indemnity Arrangements For GPs During A Pandemic Flu Outbreak

Medical Protection Society (MPS) GP members, who are expected to work outside of their normal duties during a pandemic flu, should feel confident that they can turn to the MPS for assistance, in the event they are subject to a clinical negligence claim or other medicolegal matter such as a complaint. Dr Nick Clements, MPS, Head of Medical Services said: "During a pandemic flu outbreak GPs may be expected to extend their current responsibilities and some retired GPs might be asked to return to clinical practice. It is crucial that there is clarity about indemnity arrangements for GPs during a pandemic flu outbreak, as different considerations apply. "We would expect doctors who are asked to extend their responsibilities in a pandemic flu outbreak to confirm with MPS or their indemnity provider that they would be indemnified for clinical negligence claims. GPs who are members of MPS and working as a GP during a pandemic flu emergency would be entitled to seek MPS indemnity and assistance in the usual way in the event that they are subject to a clinical negligence claim, complaint or other medicolegal matter. "This would apply for example if a GP was asked to care for someone at home because the nearest hospitals were full, as we would consider this to be part of their professional responsibilities during a flu pandemic." Commenting on GPs who are asked to return from retirement or work as NHS hospital staff, Dr Clements said: "There are special arrangements envisaged for GPs who are asked to return from retirement or work in NHS hospitals. "We anticipate further guidance will be published by the Department of Health in the event that these emergency measures need to be put in place. We believe that GPs who are asked to return from retirement to be an employee of a PCT should be offered an honorary NHS contract and, therefore, receive NHS indemnity. GPs who are asked to return to work as an independent contractor should contact MPS and we would be happy to arrange appropriate indemnity. "GPs - whether currently practising or retired - who are asked by the NHS to work in NHS hospitals should be offered an honorary NHS contract and, therefore, receive NHS indemnity." The GMC, in its guidance Good Medical Practice, states that in an emergency doctors must offer assistance taking account of their own safety, competence and the availability of other options for care. GPs will continue to be responsible for their own individual clinical decisions during a flu pandemic. Dr Clements added: "GPs, like in any emergency situation, are expected to do the best they can in the circumstances. Doctors and other healthcare professionals will bear the brunt of the strain as the current flu pandemic intensifies. However, GPs, like all doctors, are highly trained professionals who are well used to acting in stressful and demanding situations." "Following on from previous discussions MPS had with the Department of Health, the GMC and other medical defence organisations, we expect further guidance will be published in the event the pandemic flu outbreak intensifies." Notes 1. The guidance, Pandemic Influenza: Good Medical Practice - Responsibilities of doctors in a national pandemic can be found here. Medical Protection Society


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