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Report Shows Economic Toll of Smoking on California’s Fiscal Health

Smoking costs in California are nearly $16 billion annually, or $ 3,331 per smoker every year, according to a report by the UCSF School of Nursing Institute for Health & Aging. The healthcare costs alone would equal one-quarter of the projected state deficit, according to Wendy Max, PhD, co-director of the Institute for Health & Aging and UCSF professor of health economics. “Our study shows that even though tobacco control efforts in California are among the most successful in the nation, the cost of smoking in the state continues to increase,” said Max. “These numbers should be a wake-up call that we need to continue our efforts to reduce the health care costs, lives lost, and pain and suffering caused by smoking.”

California Physicians Dropping Out of Managed Care

Only 58 percent of patient care physicians in California are accepting new patients with HMO coverage, and the “California Model” of loose networks of private practice physicians organized into large managed care practice organizations is unraveling, according to University of California research. “California led the nation’s charge into managed care. Our study of the state’s physicians tells us that California has now sounded the retreat,” said Kevin Grumbach, MD, director of the Center for California Health Workforce Studies. “Private physicians are starting to abandon HMOs, IPAs and managed care networks.”

No brain benefit from hormone therapy in women with heart disease

Another menopausal myth is challenged: Women with existing coronary disease do not realize improvement in their cognitive function as a result of taking the most common form of hormone replacement therapy, a UCSF study has found. Investigators followed more than 1000 women from ten US test sites for four years. Half took a placebo; the other half took hormone replacement therapy (HRT). Although other, smaller studies have shown an improvement, in the UCSF study the women who received HRT performed no better on standard tests of cognitive function than those who received placebo.

Fat cells converted to bone

Pre-cells destined to become fat can be converted instead into true bone cells in
response to outside signals, say researchers at the University of California, San Francisco. The finding could pave the way for scientists to replenish lost bone cells in patients with conditions like osteoporosis, and to help repair bone defects. The new bone cells have all the hallmarks associated with mature bone formation, including production of bone proteins and calcification, the UCSF team says.