Dallas allergy immunology
Part of the problem, according to experts, is industrialization. Dr. David Rosenstreich, M.D., director of the division of allergy and immunology at the Albert Einstein College of Medicine in New York City, reports that incidences of the disease are not only increasing in the United States, but also in most developed nations. Twenty-one million Americans are currently living with the potentially fatal disorder, and that number is likely to increase.
Dr. Rosenstreich, who also served as a senior investigator on the InnerCity asthma Study, which aims to identify factors related to the development of asthma in children, says that genes, allergies, environment, and socioeconomic factors related to quality and access to care are major contributing factors. Inner-city children in urban areas, like Dallas allergy immunology, Austin, and Houston, are far more vulnerable to elements that can cause or aggravate symptoms of the disease, and they are far less likely to have quality health insurance and access to outpatient health care. This would seem to validate one of the studies released this year by the non-profit organization, the Commonwealth Fund, which states that lack of health insurance is directly related to less access to care.
What many doctors seem to miss, however, is the extent to which the lack of quality health insurance may impede this management process. It's difficult, if not impossible, for a poor family with no health insurance to afford the necessary medications, to see the doctor several times a year, and to constantly monitor their children's activities. TEDAS, and other initiatives, are of vital importance, but so, too, are initiatives to make sure that families are insured. Similar results may be seen if more aggressive action was taken to enroll such children in low-income, and more affordable, health insurance plans.
Massachusetts may be on to something with its requirement that all individuals get some kind of health coverage, but that such plans — even private plans — could be subsidized by the state if one is below a certain income level. In the end, it's a collaborative effort; we, as a country, got ourselves into an industrial, pollution-based mess that is now causing or aggravating many diseases. Now it's our job to take care of each other and get ourselves out of it.
"In a way, each [emergency department] visit represents a failure," said Dallas allergy immunology Marianna Sockrider, M.D., of Texas Children's Hospital. "Managing asthma often comes down to good care and well visits. Ideally, if families take control of their children's asthma — following action plans, using medication and controllers, communicating with their primary care providers — most of those [emergency department] visits aren't needed."
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