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You Can Go Vegan and Be A Power Athlete and Build Adequate Muscle

 

 

By Albert Gibosse | Blue Label Weekly Magazine | Website |

 

There’s this nasty rumor that’s been going around for years. Maybe you’ve heard it, or maybe you’ve even spouted it yourself: There’s no way a guy’s going to get enough protein from a vegan diet to build the kind of ultra-ripped body you’re aiming for.

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IoT enabling Intelligent and Connected Supply Chain | The importance of an IAM-driven IoT platform in The Supply Chain

Your muscles don’t reward the seemingly superior source. It doesn’t matter whether protein intake is from animals or plants—as long as men and women are getting at least the recommended daily allowance (that’s 0.8g/kg of bodyweight), carnivores and omnivores had roughly the same muscle mass and strength.

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Of course, switching over to veganism is totally different from trying a new diet like Paleo or high-fat, low-carb. But once you learn the basics, it’s actually really, really easy. So if you’ve been thinking about ditching meat—for animal advocacy, environmental impact, or maybe just because you watched What the Health and haven’t been able to look at chicken since—we’re serving up everything you need to know.

 

The Basics of Gaining Muscle While Vegan

Your basic dietary tenets still apply:

Eat protein after a workout
Eat fewer carbs late at night
Eat a balance of fat, protein, and carbs at every meal

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The Primary Difference:

Eating only plants is totally different for your digestive system. Not all your calories will be getting digested in the same way. Just eat more in that sitting, although You might be hungry more often.
What’s primordial is to eat enough to fuel those HIIT workouts to shed body fat. Likewise, as long as you’re hitting your protein goals, you’ll have no problem being an ultra-ripped vegan.
Best Way To Give up All the Meat, poultry, fish, and dairy—pretty much every source of protein you probably eat right now—and still get totally ripped.

 

Ease into veganism / Avoid Going Cold Turkey

Bloating and gaing is normal when you first switch over. Eating a super high-protein diet and not all that much fiber, your gut bacteria is pretty brutal. Eating more vegetables, whole grains, and legumes is radically different on your system. Over time, your stomach will build up its stores of good bacteria, but in the interim, the bloating can be enough to freak out any body-conscious dude—potentially to the point of retreating back to the safer the usual diet.

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Moreover, nixing animal products all in one go implies a vastly different way of grocery shopping, cooking, snacking, and eating out. Until you learn your go-to meals, it’s going to be more mentally exhausting to eat than normal—especially if you’re super-busy and can’t devote a ton of time to finding non-dairy grab-and-go snacks. Just like with any diet, that mental exhaustion increases your risk of giving up.
Give soy a chance

Giving up chicken, meat, fish, milk, cheese, eggs, whey, and casein means you’re definitely adding in soy (among other proteins). But if you still equate eating soy with growing man boobs, you need to get with the 2017 science. “As much as people want to say there’s an issue with soy, the science says it’s just fine,” Guest says. “There is some research showing the testosterone spike you get from a workout is slightly blunted when you consume soy post-workout compared to other proteins, but testosterone has no bearing on muscle protein synthesis or how much strength gains you’ll get, and it doesn’t affect your other testosterone levels.”

Plant proteins’ ability to build just as much bulk as dairy varieties, namely soy and brown rice. And even if there is an advantage to whey, “That extra bit of leucine will make maybe 1% difference in building muscle.

 

Learn Your Plant Proteins

Protein is extremely important for fitness and building muscle, as 20g of protein at each meal is actually very easy to do when beans and whole grains are part of your eating habits.

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Your heaviest hitters are now soy milk, tempeh, seitan, tofu, edamame, black beans, chickpeas, lentils, and vegan meats. Yes, you’ll certainly bite into a few terrible soy dogs and veggie burgers before finding brands that actually taste good—but hey, the same could be said for all the whey powders you sipped before finding the one brand that doesn’t taste like chalk.

Worth checking out is the ” Beyond Meat product line at Whole Foods, particularly the Beyond Burger, which everyone from Ruscigno to the 76ers’ Reddick recommends thanks to its high protein count and texture that’s as close to meat as you’ll get from plants.

High-protein veggie options (tempeh, tofu, edamame, and most vegan meats) are soy. Please try to cap yourself at up to three servings of soy a day, as you should be getting your protein from a variety of sources. Plants variety is important, as they offer such a variety of phytochemicals. The more phytochemicals, the more your hard-training body is getting what it needs.”

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Even leafy greens—which every athlete should be eating because of their ability to increase nitric oxide, which helps deliver oxygen to the muscles—contain protein, which is right around the protein of one egg. Thus, as long as you’re eating a variety of protein sources throughout the day, you’re good.

Adjust your macros to account for more clean carbs

Chances are your meat-eating macro breakdown was either 30% protein, 30% fat, 40% carbs or 30% protein, 50% fat, 20% carbs. But on a muscle-building vegan diet, your new breakdown will land closer to 20% protein, 30% fat, and 50% carbs.

Wait—50% carbs?!

Don’t freak out.

“When you switch over, your macros will have to change somewhat because plant-protein sources are inherently lower-fat and higher-carb,” Guest says. “Tofu, soy milk, any protein powders—all can be low-carb or zero-carb. But most pulses, like beans, lentils, or dried peas, are between 15-30g of protein per cup. That’s the same as beef, chicken, or fish, but they come with more carbs.”

Otherwise, the same eating rules apply—every meal should have a balance of fat, protein, and carbs; pre-workout snacks should be a hit of carbs without too much fiber or fat; post-workout fuel should be a mix of protein and carbs.

 

Learn to Love Carbs

Regardless of how tempting they may be, there’s no room in a healthy, muscle-building, athletic diet for refined bread and cookies.

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Obviously you know refined junk was never on the “OK” omnivore list, but if you’re cutting out eggs and butter, suddenly the small cheats that quickly fill your 20% bucket—a small piece of birthday cake, a few bites of croissant—aren’t even options anymore.

Plus, fiber and starch are part of the carb count, so the grams on the label aren’t necessarily how many grams your body is actually getting, Ruscigno says. “Fiber isn’t ‘zero’ calories, but it’s definitely not the four calories per gram that other carbs are—which is why vegetarians and vegans weigh less, according to ongoing study cohorts with hundreds of thousands of people.”

 

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So: Definitely pop B12 and DHA/EPA every day. And add 5g of creatine to your post-workout shake if you don’t already: A recent study review Opens a New Window. found that creatine can significantly improve the performance and recovery in vegetarian athletes, since the nutrient is mainly found in beef and fish.

 

Blue Label Weekly Magazine www.bluelabelweeklymagazine.com

Blue Label Weekly Magazine http://www.bluelabelweeklymagazine.com

Eat Way More Often

It’s totally normal to be hungry more often and to need snacks when you follow a vegan diet and when switching to plants. You end up eating a larger volume of food but fewer calories, so it’s important to make sure you’re eating more, and eating more often.

Listen to your body rather than your daily count. If you are hungry right after eating, it’s a sign that you need to add more volume and/or more fat and protein. Start adding bean spreads to your raw vegetables. Instead of just plain ol’ oatmeal, make it with soy milk, frozen blueberries, walnuts, and/or chia seeds. Believe it, the small additions really go a long way when you’re vegan.

 

 

Learn New “Anchor” Foods

Getting serious about your training takes planning and effort, and nutrition is part of that program. Being vegan requires meal planning and cooking, but that’s true of healthy eating whether it includes meat or not.

 

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The good news: It’s way, way easier to be vegan now than ever before. Go to Whole Foods or your local health grocer and check out what pre-made vegan options are available to give you an idea for meal prep. Develop a few go-to foods for breakfast, lunch, and dinner (we’d suggest just straight copying what these seven elite vegan athletes eat to get (and stay) ultra-jacked).
Most important, keep snacks on hand. “If you’re a busy athlete, snacks can be the hardest since most of the easiest grab-and-go foods are dairy-based, like Greek yogurt or string cheese,” Guest points out. “Drinking two cups of soy milk can deliver about the same amount of protein to hold you over.” We’d also suggest stocking up on vegan bars like GoMacro, CLIF Builder’s, and PROBAR to keep hangry from happening.

 

 

Keep It Simple

New vegans must keep it simple by thinking of meals like this: grain, bean, vegetables, sauce, brown rice, black beans, salsa, avocado, fajita vegetables; quinoa, chickpeas, kale, pesto; wild rice, falafel, hummus, roasted cauliflower, and tahini dressing. However, you must adjust your ratios based on your macros, adding more legumes or less grains, and controlling the calories with the sauce or dressing.

 

Chew Your Food For Long Enough

Eating slower and chewing your food is the best ways to reduce bloating, though it’s a tough habit for people to acquire, since not chewing beans all the way is one of the leading causes of the quintessential discomfort. Eating more mush: Making hummus or refried beans is a way to get your protein without risking bloating or GI distress from beans since they’re already somewhat broken down.

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Stop Obsessing

Just be sure to fuel your workouts and eat enough to fuel the workouts to build the muscle to be lean. The most important factor in gaining mass is eating enough energy, or calories. Most meat-eating men who want to gain mass, almost always consume around three times the protein they need, half as many carbs, and not enough calories.

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IoT in Supply Chain

Best Principles To Secure The IoT

By: Albert Gibosse | Blue Label Weekly Magazine | Website

Leaders Must Take The Lead in Security and Privacy

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With the Internet of Things (IoT) is still in its infancy stage, well over 80 percent of consumers still don’t know what IoT means. Fortunately, the relative novelty of the IoT — along with the innumerable lessons we’ve learned from continual tech innovation over the last half-century — presents an unprecedented opportunity to proactively address security issues as the technology catapults forward.

 

 

As industry experts, we know that it’s better to self-regulate and implement strong protocols and procedures than to abandon leadership — which always wind up at the mercy of governmental regulatory proposals.

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Let’s lead in the security arena, especially with the number of IoT devices right now exceeding the world’s population, and that is expected to rise to over 21 billion IoT devices around the globe in just a couple of years.

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Current regulatory proposals lack substance, momentum

Political leaders must recognize the importance of balancing privacy and security with broader business demands. Legislators must focus on tackling  IoT security to ensure confidence in the system.

 

 

The dangers of IoT security failures

In the meantime, just one highly publicized major security breach can devastate the fledgling IoT industry. For example, in the home:

  • Some solar panels remain vulnerable to hackers who might maliciously control power access or — worse — spy on residents and children.
  • Certain toys are riddled with security holes that can expose images of those playing with them to third parties.
  • Fitness trackers, heart-rate monitors and security systems all transmit sensitive personal data users don’t want falling into wrong hands.
  • Actuators embedded within several products can be hacked to rewire triggers to malevolent ends. Connected kitchen appliances can be maliciously programmed to overheat and catch fire while connected vehicles can theoretically be shut off in the middle of a highway.

In the corporate world, poorly secured IoT devices connected to a company’s data storage infrastructure can lead to customer and corporate data exposure, leading to significant reputation and brand damage as well as crippling legal and liability issues.

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Guidelines to secure IoT devices and apps

As leaders in the IoT industry, we must lead when it comes to securing and safeguarding connected systems. If we don’t, any major mishap will encourage government to step in and impose rules that likely won’t have as nuanced a view of the needs and challenges of the IoT ecosystem.

To stay ahead, it’s primordial that we integrate security into every level of the hardware, cloud software and firmware stacks, and every system and device needs to be designed with a minimal attack surface area. These six principles will help to achieve that goal:

  • Embrace microcontroller-based designs over full operating systems.mel branco cpae verdean rum nips now available
  • Close unnecessary open ports toward closing potential points of attack. Avoid opening ports on microcontrollers, and actively close or secure every open port and available protocol on more powerful systems.
  • Encrypt all communications between the device and the cloud to ensure confidentiality, integrity and authenticity.
  • Actively monitor dependencies for known vulnerabilities, both in device firmware and cloud services. GitHub and other service providers assist with this process.
  • Secure the cloud with network segmentation and immutable infrastructure that can quickly and easily replace suspect servers.diri shela rice afb hyde park ma
  • People are often the weakest link, so enable or require multi-factor authentication to use device management software for IoT fleets.
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Setting an example for legislators and regulators

Being on the front lines of the IoT industry means that we are pioneers in that brand-new industry. That’s a huge responsibility. As we continue to innovate and create the connected systems of the future, leadership in the realm of security will play a large part in smoothing the path ahead. Political leaders will notice that we take privacy, safety and data protection seriously.

IoT will not only do amazing things but will also unleash substantial value across the global economy. Investing in keeping the IoT safe will help build public confidence in our growing industry — and ensure regulators maintain trust in our intentions and capabilities.

 

 

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Industries That Are Currently Leading The IoT Revolution

By Albert Gibosse | Blue Label Weekly Magazine | Website

 

With the Internet of Things (IoT) spreading across all verticals, including the home and the enterprise, key industries are leading investments in the revolutionary technologies that are changing how we live and work.

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Although others are quickly catching up, manufacturing, transportation, and utilities top the list of industries investing heavily in the Internet of Things.

 

IoT will fundamentally change how business and manufacturing will be done worldwide. IoT adoption has already reached over 43 percent of enterprises worldwide and has been identified as the next wave of internet technologies, and is expected to create hundreds of thousands of well-paying professional jobs.

 

Over $6 trillion will be invested in the consumer and industrial IoT markets, with industrial IoT leading the growth, by 2020.

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Among the industries, thus far, manufacturing made the largest IoT investments – or $178 billion .  Transportation followed, at $78 billion, and utilities comes in third, at $69 billion.

 

Good news! These investments represent just the start of this journey.

 

That being said, here are the top five industries that are leading IoT investments and adoption as well as valuable tips for how your enterprise can benefit:

 

Manufacturing

IoT is evolutionary and emerges out of a history of using networked automation systems in industries such as manufacturing and transportation. As networking technology improves and advances in processing technology and sensors, monitoring and optimizing the use of physical assets extends to all industries.

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IoT’s manufacturing origins continue, as the largest investments in the technology remain in that space, Middleton said. These investments fall into two categories: Inward facing (those concerned with optimizing systems and saving costs), and outward facing (those that make improvements in customer usage).

 

In terms of internal investments, manufacturers are using IoT to optimize their processes, monitor equipment, and do preventative and predictive maintenance on that equipment. Manufacturing operations was the IoT use case that saw the largest investment in 2016 across all industries, at $102.5 billion, according to IDC.

 

In the outward-facing arena, those in this industry use IoT devices to examine how their products are used by customers by maintaining a networked link to those products, and sampling usage data and sensor measurements. This way, manufacturers can analyze results and see broad patterns in terms of how the product is used, which can inform the next generation of the product, or help diagnose problems early.blue label weekly advertising flat

 

Transportation

The transportation industry has invested heavily in IoT and  represents the second-largest IoT use case across all industries. Freight monitoring drives much of the IoT spending in this sector, at $55.9 billion in 2016, according to IDC,

 

Increasing numbers of freight and public transportation vehicles are equipped with sensors that help schedule maintenance, optimize fuel consumption, monitor operating or driving behavior for insurance purposes, digital data recorders that are programmed to take video samples under conditions of heavy acceleration that might be indicative of a serious traffic accident. That video could then be used in an investigation.mel branco cpae verdean rum nips now available

 

Utilities

In the utilities industry, investments in the Smart Grid for electricity and gas totaled $57.8 billion in 2016, according to IDC. The case for electricity meters has power and makes a straightforward case– you don’t have to pay someone to read the meter.”

 

With the oil and gas industry being spread across large areas with lots of equipments (lots of pipes and valves and pressure gauges) to monitor, IoT solutions can prevent loss of revenues, help with predictive maintenance as well as with providing additional safety oversight.diri shela rice with bowl

 

Healthcare

Healthcare, which include medical machines that share images with a patient’s other caregivers, monitoring and troubleshooting problems with equipment, and real-time location systems that can track equipment, dispensation of medicine, and even staff and patients, is one of the industries that is expected to see the fastest spending growth in IoT.

 

IoT’s use in the healthcare field is very broad and includes advances in implants, prosthetics, and wearables also take advantage of IoT, streaming data back to medical providers. Connecting pacemakers and other medical devices to the internet benefits patients by reducing errors and providing more data to doctors to improve diagnosis and quality of care.

 

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Consumer electronics and cars

With digital assistants, such as the Amazon Alexa and Google Home becoming prominent, home and office automation systems have risen significantly making consumer IoT purchases the fourth-largest market segment toward becoming the third-largest segment by 2020. In the past year we’ve seen the rise of

 

Although digital assistants have gained popularity recently, it will be awhile before most people invest in fully connected homes and offices as the inertia of needing to buy a new refrigerator or home security system that has these capabilities, unless the old one breaks.blue label weekly MAGAZINE municipal kiosk

 

With connected vehicles being also an IoT industry leader in the consumer space, Cisco’s IoT connectivity management platform wasted no time and already hosts 8,500 enterprise customers worldwide — including General Motors – that utilize the platform to manage connectivity of 43 million IoT devices.

 

For example, every General Motors car produced today has IoT capabilities that allow drivers to gain diagnostic information and connect to the internet, among other features, Bui said.afb randolph ma

 

Smart buildings are also predicted to rank among the top industry segments for IoT adoption throughout the next few years.

 

Cautionary words

With every industry now investing in IoT, it’s imperative to ensure that these devices have strong security systems built in to prevent attacks like denial-of-service attacks from IoT devices that have been hijacked.

 

Although the cost of building a product that connects to a network continues to fall, architecting a low-cost product, such as a smart light bulb, still requires paying attention to network security, because it would be possible for an attacker to enter a network through that one inexpensive IoT device.

 

For companies beginning their IoT journey, “we recommend that operations or engineer departments strive to work more closely with IT departments,” Middleton said. “It will enable a more cohesive plan in the use of technology across a given enterprise, as opposed to having islands of usage where people don’t communicate and leverage best practices.”

 

Forming a team within your organization that coordinates the selection of technologies, considers possible use cases, shares best practices, and provides security oversight. This group can start with pilot projects, and use lessons learned from those to develop more detailed return on investment calculations and justify scaling up to a full initiative.

 

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American policies implemented through the Children’s Health Insurance Program (CHIP) and the Patient Protection and Affordable Care Act (ACA) extended access to affordable health care coverage to millions of previously uninsured, non-Medicare eligible adults and children pushing the uninsured population to a historic low of 8.8% under the implementation of these policies.

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health care coverage for all while making primary care a pivotal role and redesigning the manner of primary care delivery and payment system(s). Increased focus on resources on specialty care only creates fragmentation, decreased quality, and increased cost. Health care quality improves along with the cost efficiency, when primary care practices redesign their process(es) so that they are more accessible, promote prevention, proactively support patients who have chronic illnesses, and engage patients in self-management and decision-making.

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Family medicine and comprehensive primary care are the best entities that can reliably ensure longitudinal continuity of care for the whole patient. In this relationship, the patient and primary care physician rapport and its comprehensiveness have the greatest effect on health care outcomes and costs over the long term. Healthcare systems that rely more on primary care have lower overall medical cost, lower resource inputs (hospital beds, intensive care unit [ICU] beds, total physician labor, primary care labor, and medical specialist labor); lower utilization rates (physician visits, days in the ICU, days in the hospital, and patients seeing 10 or more physicians); better quality of care that includes fewer ICU deaths and a higher composite quality score.

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The direction of the existing healthcare system must be shifted fundamentally toward ensuring healthcare for all as well as an emphasis on comprehensive and coordinated primary care. Likewise, appropriate resources must be allocated adequately, and new resources must be deployed to achieve effective and efficient results. Payment policies by all payers must change to reflect a greater investment in primary care to fully support and sustain primary care transformation and delivery.

Understanding and Preventing Human Error

Workforce policies must be addressed to ensure a strong cadre of the family physicians and other primary care physicians who are so integral to a high-functioning health care team. Congress and/or state legislatures must enact comprehensive legislation to achieve this change. If such legislation only addresses the uninsured and fails to fundamentally restructure the system to promote and pay differently and better for family medicine and primary care, any solution will not reach its full potential to achieve the Quadruple Aim of better care, better health, smarter spending, and a more efficient and satisfied physician workforce.

Five fundamental areas each of us needs to understand and use to help fix healthcare delivery
Key Elements of the Framework

 

Affordable health care coverage providing equal access to all will have a primary care physician and a medical home.
Insurance reforms that have established consumer protections and nondiscriminatory policies will remain and will be required of any proposal or option being considered to achieve health care coverage for all. Those reforms and protections include, but are not limited to, continuation of guaranteed issue; prohibitions on insurance underwriting that uses health status, age, gender, or socioeconomic criteria; prohibitions on annual and/or lifetime caps on benefits and coverage; required coverage of defined EHB; and required coverage of designated preventive services and vaccines without patient cost sharing.

Understanding and Preventing Human Error

Any proposal must reflect at least a doubling of the percentage of healthcare spending invested in primary care. This investment will result in a payment model for primary care that supports and sustains primary care medical home transformation and reduces the current income disparity between primary care and subspecialty care to ensure an adequate primary care physician workforce.

Organizing People To Drive Change To Fix Healthcare Delivery
Appropriate medical education must be established to create a national physician workforce policy that produces a primary care physician workforce adequate enough to meet the nation’s urgent health care needs. Likewise, medical schools will be held to a higher standard in regard to producing the nation’s needed primary care physician workforce.

Understanding Systems
A defined set of visits and services to a primary care physician will not be subject to cost-sharing.
In any system of universal coverage, the ability of patients and physicians to voluntarily enter into direct contracts for a defined or negotiated set of services (e.g., direct primary care [DPC]) will be preserved. Additionally, individuals will always be allowed to purchase additional or supplemental private health insurance.
Five fundamental areas each of us needs to understand and use to help fix healthcare delivery

Achieving health care coverage for all should involve one or more of the following approaches, with the understanding that each of these have their strengths and challenges:
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A mixed health care system approach to the financing, organization, and delivery of health care that is designed to achieve affordable health care coverage and that involves competition based on quality, cost, and service. This approach includes multiple for-profit and not-for-profit private organizations and government entities in providing health insurance coverage. Such an approach to universal health insurance coverage must include a guarantee that all individuals will have access to affordable health care coverage.

Organizing People To Drive Change To Fix Healthcare Delivery
A Bismarck model approach that involves multiple nonprofit payers that are required to cover a government-defined benefits package and to cover all legal residents. Physicians and other providers operate independently in a mix of public and private arrangements.

 
A clearly-defined single-payer model that is organized, adequately financed, with a sound delivery model that is adequately administered. This model must incorporate a plan that competes directly for customers with private insurance plans that allows physicians and other providers to continue to operate independently.

 

Likewise, payment parity for the services provided to the patients of primary care physicians must be ensured.

 

Worth noting, though, for achieving coverage for all, each of these options has its strengths and challenges, which need and deserve to be debated by the people and their elected officials and representatives. These include, but are not limited to, the following important issues:

 

The current form of administrative and regulatory burden for physicians, clinicians and other health care providers, and patients/consumers
The effect on overall health care costs to government, employers, and individuals
Level of patient, consumer, physician, and clinician satisfaction

 

Level of tax burden
Impact on the timely delivery of health care services (wait times) and delays in scheduling elective health care services
Simplification of the financing model and levels of payment to physicians, clinicians, and other health care providers

 

Inclusion of family physicians on payment, delivery, and other health care decision-making boards
Elaborated set of essential health care benefits available to all, especially primary and preventive care, management of chronic illnesses, and protections from catastrophic health care expenses

 

Effect on the reasonable availability and delivery of health care services

Influence on quality and access
Comprehensive budgets and price/payment negotiations
Prerequisite of a clear and uniform definition of a single-payer health care system
Comprehensive Primary Care

Primary care embodies the principle that patient-centered primary care is comprehensive, longitudinal, continuous, coordinated, connected, and accessible for the patient’s first contact with the health system. Clinical quality must be improved through the delivery of coordinated, longitudinal care that improves patient outcomes and reduces health care spending. Medical practice that provides comprehensive care and a partnership between patients and their primary care physician and other members of the health care team, as well as a payment system that recognizes the comprehensive work of providing primary care. The key functions of a primary care medical home are:

Manufacturing Principles

Essential Benefits

At a minimum, essential benefits should include items in the following categories:
Ambulatory patient services
Emergency services
Hospitalization
Maternity and newborn care
Mental health and substance use disorder services, including behavioral health treatment
Prescription drugs
Rehabilitative and habilitative services and devices
Laboratory services
Preventive and wellness services and chronic disease management
Pediatric services, including oral and vision care

 
Moreover, independent of financial barriers (i.e., deductibles and co-pays), all proposals or options must ensure that primary care is provided through the patient’s primary care medical home and must include the following service:

 

  1. Medical evaluation and management services
  2. Transportation to and from medical appointments
  3. Evidence-based preventive services
  4. Health Education
  5. Population-based management
  6. Hygiene Education
  7. Well-child care
  8. Disease Prevention
  9. Basic mental health care

 

Affordability

Achieving the proposed goal entails ensuring that health care coverage for everyone must also be aimed at identifying and reducing the costs of health care services including the administrative costs of delivering those services.

A health care system that is comprehensive and prioritizes primary care must also emphasize the cost and affordability of care.  This is important not only for consumers, but also for the decision-making of physicians, clinicians, payers, and government agencies. Affordability is a critical component in efforts to create or reform any health care system.

Prevention & Public Health

 

Investment in preventive care, specifically those preventive services that have been proven to reduce the prevalence of preventable diseases (e.g., access to free vaccines and screening programs).  A focus on reducing preventable diseases likely would reduce or, at minimum defer, future high-cost spending for preventable diseases.  In addition, there should be an increased focus on identifying societal and environmental factors that contribute to increased health care spending.

 
Fees and Transparency

Increased investment in primary care and the medical home, generally, allows health plans to not only reduce the costs of treating high-risk patients but improve the quality of health services.  However, this increased investment must be supported with aggressive efforts to establish fee transparency for all health care services.  Such transparency likely will contribute to reducing excessively high health care costs by informing the public about their costs of care and creating more competition in the health care industry.

 

 

 

Avoid Consolidation

Consolidation creates a less competitive market which leads to higher health care costs and insurance premiums.

 
Site-Neutral Payment Policies

Site-neutral payment policies and the elimination of some facility fees can address the discrepancy in payments for some services, which are higher for the same services performed in a hospital ambulatory surgery center versus a physician’s office, despite no significant differences in quality or outcomes of care. These are part of policies that typically incentivize consolidation, decrease competition between providers of care, and facilitate over-utilization of high-cost health care services.

 

 
Administrative Costs

Administrative costs are due to complexities in billing which is exasperated by multiple payers. Countries with lump-sum budgets and fewer health care payers have seen lower costs in administrative spending. Whereas 25%, nearly $200 billion, of all hospital costs is dedicated to administrative costs in the US, Canada dedicates only 12% of hospital spending to administrative costs, which does not guarantee care quality.

 
Pharmaceutical & Biologics

Advances in pharmaceuticals and biologics have improved the health of millions of people, decreased the prevalence of preventable diseases, and allowed for chronic diseases to be maintained over a prolonged period of time. However, the escalating costs of pharmaceuticals and biologics places these interventions and treatments out of reach for far too many people. Policies should be established that allow purchasers of health care, including Medicare, to negotiate the costs of prescription drugs.  Additionally, there should be greater flexibility in the design of formularies that allow for increased use of generic and bio-similar products.

 
Payment

It is primordial that all primary care physicians be compensated in a manner that is consistent with a comprehensive payment model for family medicine and primary care, as that is essential to a better system of care. This model, however, will be best if built on the population-based care, which supports small and independent practices and reduces administrative burden in the health care system.

Key Components of Successful model

For any health care system to achieve its goals, there must be greater investment in the primary care component. Increased investment in comprehensive primary care  as well as family physicians is primordial, as they serve two distinct functions: direct patient care and non-face-to-face care.

Equally crucial is a payment model built on the realization that high-quality primary care is delivered through both direct patient care and the population-based services that are provided by the primary care team, which must move to a prospective payment model with an appropriate evaluation that strongly emphasizes performance and quality. This model must also emphasize prospective payments for a direct patient care global payment, a population-based global payment, and a performance-based incentive payment.

Building on our belief that primary care should remain comprehensive at the primary care level. The presence of this FFS component recognizes that a comprehensive primary care practice will provide episodes of care that are beyond the scope of the direct patient care global payment.

Adequate investment in primary care is more likely to ensure sustaining success through the simplified payment structure and a dramatic reduction in administrative burden. More importantly, we believe patients will achieve better outcomes and have a more favorable experience through this model.

KEY COMPONENTS OF THE FRAMEWORK

This framework offers important policy options to move healthcare toward a primary care-based system in which all people have appropriate and affordable health care coverage, are provided a medical home, and have primary care-oriented benefits. However, this is achievable only if legislatures act to ensure the implementation of the policy objectives.

 

 

Moving toward a primary care-based system that can secure improvements in access, quality, and cost, requires a fundamental change in the health care system. A primary care-based health care system ensures coverage for everybody.

 

The primary care framework must be predicated upon the premise that achieving better health outcomes from primary care, reaching higher patient satisfaction, and getting more efficient use of resources are essential requisites. We will only achieve the type of health care system that the population needs through this sound framework of health care coverage for all that is foundationally built on primary care.

How IoT Technologies Enable Smart City Initiatives | Smart City Privacy and Security

How IoT Technology Enables Smart City Initiatives | Smart City Privacy and Security

By Albert Gibosse | Blue Label Weekly Magazine | Website |

Through Their Quest To Become Smart, Cities Must Get Connected by Designing and

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Implementing A Redundant IoT infrastructure

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With the Internet of Things (IoT) spreading rather rapidly to more and more areas of our lives, our experiences will be greatly improved.

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IoT will enable smart cities to reap the benefits of existing and upcoming technological innovations. Existing public infrastructure currently offers countless locations to place sensors to collect data on everything from pedestrian safety to traffic management. Using cloud-based analytics tools via the internet will enable city governments around the world to aggregate anonymous, raw numbers into intelligent insights that can improve how they deliver services and respond to emergencies toward improving the quality of urban life.

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With all these considerations, it is imperative that cities employ proactive strategies and implement  redundant plans before they can become IoT-Connected toward maximizing the return on their IoT investments.

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IoT technology offer vast promise of benefits, new services as well as cost savings for smart cities that plan ahead. While IoT is becoming quite pervasive because falling costs of the devices that are involved, the degree of complexity around of collecting, managing and sharing data must be taken into consideration. Great use of IoT sensors will aid with monitoring crucial infrastructure, such as monitoring the location of trucks hauling hazardous materials, in turn, raises a host of issues to be addressed:

  • Privacy concerns
  • Determining the agencies that are authorized to issue or place  sensors
  • Data access and security
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Granted the private sector has taken the lead in deploying  IoT devices and solutions widely and quickly,  the public sector must now follow suit in deploying IoT devices and adopting interoperable data standards and policies on privacy and access.

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That said, government agencies can become proactive by integrating with modern technologies, either by using existing cloud-base IoT and predictive analytics or developing their own to spot issues before citizens even encounter them.

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