Cases of swine flu, or H1N1, are climbing and spreading to more states.  At least 141 people in the U.S. have been infected, and one Mexican boy visiting Texas has died.  Many more cases will be diagnosed—likely many thousands—before the spread of the illness ebbs.  Public health officials and journalists warn of a pandemic, an epidemic of infectious disease that sweeps across a large geographic area, such as a continent, or around the whole world.
 
The toll of this new flu may turn out to be disastrous, but there’s no current evidence that a calamity is brewing.  Thus far, every American who has contracted the illness has survived.  Even if there turns out to be 250,000 cases this year, the number will still be dwarfed by the toll of diseases like cancer, heart disease, diabetes, asthma, depression and alcoholism on our population.
 
What the 141 cases of H1N1 flu have already proven, however, is how vulnerable we are to panic.  Americans are on edge, uncertain about the economy and uncertain about the direction our President is leading us.  Ultimately, for all but those with the steadiest of nerves and most solid sense of self, we are a nation collectively experiencing a sense of impending doom—one of the hallmarks of panic disorder.  H1N1 may or may not cause serious physical suffering for our population, but its emergence will cause serious psychological suffering for a nation already traumatized by deep doubts about whether the solutions to our collective problems reside in bailouts, embracing dictators and apologizing for our national shortcomings.
 
 Some might say that connecting our reaction to H1N1 flu to the economic crisis and cultural crisis at hand is too great a leap, that we are as steady on our feet emotionally as a population as ever.  I don’t think so.  I’ve been at my work 16 years, seeing adults and adolescents facing every imaginable twist and turn of fate.  Never before I have seen as many individuals who feel disempowered, unable to mount any resistance (words intentionally chosen) to the stressors impacting them.
 
Our psychological resistance to trauma of any kind is down right now.  That’s one reason that Air Force One flying low near Ground Zero was such a grand faux pax:  It re-traumatized thousands of people who don’t have emotional bandwidth to spare.  It’s even possible that our psychological stress could reduce our resistance to physical illnesses, including H1N1.
 
 It’s time for a real public health initiative, rolled out through private health care providers and, perhaps, community health educators, that targets two certain epidemics already sweeping the nation:  anxiety and depression.  They may not be spread by coughing and sneezing, but they have the capacity to paralyze us emotionally and cost our nation dearly.

Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His newest book, “Living the Truth: Transform Your Life through the Power of Insight and Honesty” has launched a new self-help movement. Check out Dr. Ablow’s website at livingthetruth.com.

Are we done paying for Bernie Madoff’s crimes? Not any time soon. Bernie may get at least 20 years in prison, but it seems we’re going to have to be paying for his lifestyle — although more modest behind bars — for quite some time.

According to some estimates, Bernie is going to cost taxpayers an average of $29,000 a year — and that’s not including any extra perks that his lawyers may negotiate in court.

Things may have changed since the days of Michael Milken spending a few years in “Club Fed” only to be released to his $500 million dollar fortune, but the Bernie Madoff tab is still open.

At a time when 45 million Americans are living without the benefits of health insurance, and reform is the hot topic on everyone’s lips, it’s quite disheartening to know that the only people with a constitutional right to government-funded health care are convicts. And isn’t it ironic that in the midst of an economic crisis, where many Americans are struggling to get by, that we taxpayers are once again footing the bill for those same greedy crooks who got us into this mess?

So the question is: Should Bernie Madoff have to pay for his own imprisonment? And I think the answer is yes. Now I know many of you smart lawyers out there might tell me this is a ridiculous notion, but I can’t help but think ― if I was planning my retirement, what would I want?

Well, I think I would want secluded place to spend my time, three hot meals a day, 24/7 health benefits ― including dental and vision ― and visitors that would come and see me once in a while, but would never stay long enough for me to have to kick them out. Sounds an awful lot like Bernie’s new retirement plan, doesn’t it?

So I guess I better start saving now for my retirement at the age of 70. But I wonder if all the people that he stole from, whose lives he destroyed, are going to be able to see some the benefits that American taxpayers will provide good ol’ Bernie for the rest of his miserable existence.

In these uncertain economic times, it is not unusual for many patients to postpone their regular preventive care. Often viewed as unimportant if there are no obvious problems and “nothing hurts,” the routine dental checkup and cleaning are put on hold in the interest of saving some money.

Unfortunately, nothing can be further from the truth. To begin with, the checkup examination can often help you avoid or detect a dental problem early before it becomes painful both physically and financially. Regular dental care helps ensure healthy teeth and gums, which in turn strengthen a healthy oral immune system.

Good oral health is essential to maintaining total body health as research continues to emerge showing a strong correlation between dental disease and many systemic problems ranging from Alzheimer’s disease to pancreatic cancer. If you are a pregnant woman, you have a seven times higher chance of having a pre-term baby. You also have up to a ten times greater chance of heart attack or stroke, and a seven times higher chance of developing type 2 diabetes. Basically, gum disease is a major source of chronic low-grade inflammation which can have ravaging effects on many body organ systems.

Several recent studies, including one completed with 145,000 patients at Columbia University’s dental school, went even one step further. They found that maintaining or restoring good oral health actually reduced total health care costs up to 21 percent for the management of patients with various systemic diseases. A study performed in Japan concluded virtually the same. The actual potential health care cost savings could easily be in the trillions of dollars if this is considered on a large population scale.

So if you’ve considered putting off your last checkup, think again. There’s a lot to be said about being “penny wise and dollar foolish.”  Now is the time to be more preventive and proactive about your health as a healthy smile is also healthy for your wallet.

Dr. Gerald P. Curatola is a renowned aesthetic dentist and pioneer in the emerging field of rejuvenation dentistry, which improves patients’ overall health and appearance by integrating total wellness with cutting edge oral care and restorative procedures. In addition to his private practice, research, and work as a Clinical Associate Professor at NYU College of Dentistry, he is an internationally sought after speaker, author and expert who has been featured widely in print and broadcast media. For more information, go to DrGerry.net

These are interesting times we’re in ― to say the least. Over the past couple of weeks, we have all been concentrating on “Octomom” from California, and with new developments in the story everyday, it’s easy to see why she’s been the topic of conversation. I was following the story too, calling for an ethical investigation of the fertility clinic from day one, but with the state of our economy and the country experiencing what could be one of the most pivotal moments in American history, I want to move past that story.

I think it’s time the media starts concentrating on the changes that the Obama administration will be proposing in the future and some of the ideas that have already been approved.

Now, let’s look at the facts … The American health care system needs help! Why? Well, because it is filled with inefficiencies and overpriced operational costs.

How did it get like that? Well, it’s possible the American health care system has seen a lot of the same issues as our financial sector ― which we all know by now is quite a mess. Our financial experts have given us many explanations for the current economic crisis: Many blame the banks for recklessly handing out loans and credit, some blame the public for borrowing more money than they could ever repay, then there’s all the greedy Wall Street executives making profits off back of funds that don’t even exist, and who can forget those elaborate Ponzi schemes that went unnoticed by federal agencies for years.

Well, believe it or not, we have a lot of the same things happening in health care. We have some patients that demand every test in the book on the basis of what they’ve read or seen on television, hospitals that have been enamored with demands because of technological advances and profit margins, and doctors that have concentrated on sub-specialty service, rather than primary care and prevention.

So now, we are all looking to President Obama’s stimulus bill to see how he will resolve these problems. Some of his proposed ideas are very interesting. Electronic medical records, for instance, provide us with computerized data entry on patients, a way to track symptoms, disease processes, a way to dramatically decrease the overutilization of certain tests, minimize medical mistakes both by physicians and hospitals. And down the road, it might even decrease costs.

But many critics worry about privacy issues. I totally agree that patient confidentiality should always be protected. I remember when the new HIPPA laws came into effect under President Clinton, I could not even discuss a patient’s medical condition or get a second opinion from a colleague without getting a written consent from the patient.

But I think that before we start throwing good money in to solve the problems bad money got us into, the way previous financial stimulus plans have, we need to really understand how our current health care system is working, and address the issues that got us here in the first place.

Click here to share your thoughts on my Facebook page.

For millions of Americans, every New Year begins with resolutions about losing weight and getting fit.  But with the arrival of 2009 in particular, it seems like we’re being deluged with messages about how to shed pounds and sculpt our physiques.  It seems like every magazine, newspaper, Internet site and morning show is paying homage to those who have achieved control over their appetites, directed their energies into exercise and emerged healthier, sexier or more powerful. 

“The Biggest Loser” is bigger than ever, not to mention weight-loss programming like the “Joy Fit Club,” “Celebrity Fit Club,” “X-Weighted,” “Big Medicine,” “Bulging Brides” and “I Can Make You Thin.”  Vegetarian kids are getting lots of airtime.  Television segments on eating better in ‘09, women now half their size and The 4-Day Diet seem like an everyday event.

I believe that this intense focus on our bodies — which we may also see echoed in increasing sexual contact between teenagers, increasing teen pregnancy rates, increasing rates of infidelity and even increasing birth rates — could be fueled by our growing sense that we can control little else.  With the global economy in chaos, with the continued threat of terrorism and with our nation at war, it is natural that we would want to show somehow that we are the masters of our own destinies — if only in what number pops up when we stand on a scale, or what our muscles look like when we look in the mirror.

Not all of this is a bad thing, of course.  Fitness is a noble goal that more Americans should embrace.  A focus on physical beauty isn’t the end of the world.  Very few of us are without any interest in whether others perceive us as attractive.  And no one can find fault with creating children we can embrace, love and nurture.

The trouble comes when a desire for control becomes hyperbolic, because it is fueled by social or economic anxieties.  That’s the “breeding ground” not just for increased rates of teen sex and pregnancy, but for increased rates of anorexia and bulimia and steroid use in gyms. 

If all we can believe in is our bodies, then manipulating them into the right size and shape, and using them to assert we are capable, worthwhile and powerful can become a national preoccupation bordering on addiction.  In exactly the same way, more and more of us can fall victim to manipulating our brains to deliver pleasure on demand (when little flows from the world around us) through the use of illicit drugs. 

This literal turning in on ourselves isn’t just fueled by an inability to control the national debt or whether GM goes out of business or whether Americans lose their homes or keep their jobs.  I worry it is also fueled by a lack of trust in individuals and institutions that Americans once believed in.  In a year that starts out with headlines on banks gone bust, CEOs in private jets begging Congress for bailouts, Rod Blagojevich, Bernie Madoff and rogue Attorney Marc Dreier (to name a few), it is as if Americans are reverting to what they know they own — their bodies.  There, they still have a shot at having final say over what happens.  If they trust nothing else, they can trust what they literally consume, see, touch and feel.

What’s that old line about what to do when you feel like you’re lost in a dream — or a nightmare?  Pinch yourself.  (Or pinch an inch.) 

Well, there’s no harm in focusing on our bodies as long as we don’t lose sight of everything else.

Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His newest book, “Living the Truth: Transform Your Life through the Power of Insight and Honesty” has launched a new self-help movement. Check out Dr. Ablow’s website at livingthetruth.com or e-mail him at info@keithablow.com.

Tales of traders throwing themselves out of windows on Wall Street in the wake of 1929 were essentially myths, as John Kenneth Galbraith noted in his 1955 account of the crash.

Nevertheless, current economic woes are clearly impacting on our country’s mental and physical health. Stress is a well documented cause of depression, suicide, heart disease, stroke, predisposition to infection, and certain kinds of cancer.

Stress is often subliminal, it may overtake you before you realize it.  The last thing a person in financial trouble needs is to be simultaneously dealing with illness, yet stress-induced illness is common.
 
SOME WORRISOME EXAMPLES OF THE EFFECTS OF FINANCIAL TROUBLES:

* In New York, calls to the Hopeline network for people with depression or suicidal thoughts leaped 75 percent to 10,368 in the 11 months ending in July 2008.

* In Chicago, ComPsych Corp., the world’s largest provider of employee assistance programs, logged 21 percent more calls seeking help for stress from financial pressures in July than they received a year earlier.

* Hospital admissions for psychiatric services are up 10 percent this year over last year in claims submitted to UnitedHealth Group Inc., the largest U.S. health insurer.

* ValueOptions Inc., the fourth-largest U.S. provider of behavioral health and wellness services, reported that calls for assistance with home foreclosures, bankruptcy and other financial hardships have grown 89 percent this year over 2007.

* Research based on 17 years of Pennsylvania unemployment records concluded that employees affected by a mass layoff at a plant were 15 percent more likely to die of any cause over the next two decades.

* Harvey Brenner, professor emeritus at Johns Hopkins’s Bloomberg School of Public Health, projects that rising unemployment could cause as many as 47,000 more deaths than would have otherwise occurred, including 1,200 more suicides, as well as nearly 26,000 more heart attacks.

WHAT TO DO ABOUT IT:

* Seek emotional support, from loved ones and if needed, professionals.

* Try to continue to focus on business as usual, and to avoid obsessive negative thoughts.

* Emphasize regular exercise, try relaxation techniques such as yoga or meditation, eat regular meals, and as much as possible, observe regular sleep habits.

* Consult with your physician if your fear over your financial future is spiraling out of control. Anti-anxiety medication may be necessary to break the cycle of worry.

Dr. Marc Siegel is an internist and associate professor of medicine at the NYU School of Medicine. He is a FOX News Medical Contributor and writes a health column for LA Times, where he examines TV and movies for medical accuracy. Dr. Siegel is the author of “False Alarm: the Truth About the Epidemic of Fear” and “Bird Flu: Everything You Need to Know About the Next Pandemic”. Read more at www.doctorsiegel.com

This morning as I was leaving the house to come to work at FOX, my 12-year-old son asked me a question that stopped me dead in my tracks.

“Hey dad, is America in a depression?” he said.

And I said “No, why do you ask?”

“Because I hear everybody talking about the economy and all this trouble that I don’t understand,” he said.

“What do you know about the Great Depression of the 1920s,” I asked.

“Well,” he said, “I know there was no money and I think people were jumping out of buildings in New York.”

I tried to reassure him that things were okay and that nobody was jumping out of windows…yet.

But as I left, I started thinking about our conversation, and I asked myself: Why do innocent people suffer? How is all this anxiety and stress over the current economic crisis going to be remembered by the next generation in America?

Yes, every mental health professional will tell us that there are multiple studies that correlate severe financial debt and depression – even suicide.

I remember reading a recent report of two college student that killed themselves after being overwhelmed by credit card debt.

In India, an estimated 150,000 debt-ridden farmers have committed suicide since 1997.

Yes, we all know that suicide is not the solution, but again I asked myself, why do innocent people suffer?

And as I stopped to ponder the answer to my burning question, I began to evaluate some of the things that many of us have forgotten – the things that are truly important.

Love and respect for ourselves and others – that’s what’s important. You can’t buy happiness. The integrity of our lives and the way we love and respect the people we are so fortunate to have in them is far more important than any economic indicator on Wall Street.

So I thought long and hard, and I decided to tell my son the biblical story of Job – a story I think many people should read in these times of financial crisis.

Job was a happy man, a wealthy man who lived a prosperous life filled with family and good fortune. But one day, Job was tested by God. He was stripped of his fortune, his family and his health. Job began to complain of God’s indifference, he wondered why God did not punish the wicked instead of him. But after all of his analysis, he understood that what was important to God was the love that should never be questioned — the love that he has for his children. And, in the end, Job’s prosperity was restored.

Why do innocent people suffer? Because perhaps they forget that love, compassion and respect settles all debt.