Letter to the Editor |Should Illinois legalize assisted-suicide?
David E. Smith, Executive Director
Illinois Family Institute
Holidays are no time to talk turkey, avoiding stress and tension around the table

OSF Healthcare

Strive Trauma Recovery Center Manager

It’s time to talk about rural mental health challenges


OSF Healthcare

- Get to know your neighbors and local organizations, like churches and businesses. Then, lean on them for help when the stress gets to be too much.
- Look into resources offered by state or federal agencies. In Illinois, where Varble works, the Family Farm Resource Initiative operates a 24/7 hotline and email.
“Individuals can receive support from trained professionals who understand the unique challenges faced by those in the agricultural sector,” the initiative website states. “The helpline offers specialized assistance, including mental health resources and agriculture-related support, ensuring that farm families have access to the help they need.”
- Health care professionals should encourage people with rural backgrounds to become therapists.



Unfortunately, mental health crisis hotline services found ineffective nationally

Illinois News Connection
CHICAGO - Addressing mental illness in America is a source of continued debate and a new report outlined areas in need of change. The study detailed the role of response teams in a mental health episode. Andy Wade, executive director of the National Alliance on Mental Illness-Illinois, sees a need to strengthen the disconnection between the 988 system and the services and facilities supporting post-crisis recovery services. "The progress has been positive but we need more," Wade asserted. "The crisis system isn't just the phone call. It's also about having a safe and appropriate mental health response, even if that means someone coming out to the house." He called the system "a work in progress" and emphasized 988 operators should have the tools they need to make immediate handoffs to the right services. Wade acknowledged while law enforcement does a good job, there is often an overdependence on police officers who are not always the best responders. He is encouraged by Illinois legislators' commitment to the crisis system, and wants to continue the forward momentum on funding started by state lawmakers. The crisis system in Illinois allows people to use it regardless of their ability to pay, which the report highlights as a success. Angela Kimball, chief advocacy officer for the mental health advocacy organization Inseparable, said state lawmakers are the key to change. "Lawmakers across the country need to understand, one, what does the system look like? And two, what is their role in helping make this happen?" Kimball outlined. "There is no one entity, no one person, that can make a new crisis response system happen." She added the challenge for lawmakers is to navigate the complex emergency service regulations in place in order to create effective legislation. Illinois Gov. JB Pritzker signed House Bill 2595 in 2021, requiring insurance companies to cover medically necessary mental health care services.
It is never too late to kick excessive drinking habits to the curb

There’s no magic number of drinks to have on a night out that will make you immune to alcohol problems.
OSF Healthcare

Guest Commentary | Getting shot at because you knocked on the wrong door is beyond insane

Dr. Glenn Mollette is a syndicated American columnist and author of Grandpa's Store, American Issues, and ten other books. He is read in all 50 states. The views expressed are those of the author and are not necessarily representative of any other group or organization.
This article is the sole opinions of the author and does not necessarily reflect the views of The Sentinel. We welcome comments and views from our readers. Submit your letters to the editor or commentary on a current event 24/7 to editor@oursentinel.com.
Guest Commentary | Rolling with the punches, turns & twist of life

Dr. Glenn Mollette is a syndicated American columnist and author of Grandpa's Store, American Issues, and ten other books. He is read in all 50 states. The views expressed are those of the author and are not necessarily representative of any other group or organization.
This article is the sole opinions of the author and does not necessarily reflect the views of The Sentinel. We welcome comments and views from our readers. Submit your letters to the editor or commentary on a current event 24/7 to editor@oursentinel.com.
Guest Commentary: This has to stop. Will it ever?

Dr. Glenn Mollette is a syndicated American columnist and author of American Issues, Every American Has An Opinion and ten other books. He is read in all 50 states. The views expressed are those of the author and are not necessarily representative of any other group or organization.
This article is the sole opinions of the author and does not necessarily reflect the views of The Sentinel. We welcome comments and views from our readers. Submit your letters to the editor or commentary on a current event 24/7 to editor@oursentinel.com.
With more workers struggling with the pandemic’s aftermath, employers begin to expand mental health benefits
Kaiser Health News
Meanwhile, the proportion of employers offering health insurance to their workers remained steady, and increases for health insurance premiums and out-of-pocket health expenses were moderate, in line with the rise in pay. Deductibles were largely unchanged from the previous two years.
“With the pandemic, I’m not sure that employers wanted to make big changes in their plans, because so many other things were disrupted,” said Gary Claxton, a senior vice president at KFF and director of the Health Care Marketplace Project. (KHN is an editorially independent program of the foundation.)
Reaching out to a dispersed workforce is also a challenge, with on-site activities like employee benefits fairs curtailed or eliminated.
“It’s hard to even communicate changes right now,” Claxton said.
Many employers reported that since the pandemic started they’ve made changes to their mental health and substance use benefits. Nearly 1,700 nonfederal public and private companies completed the full survey.
At companies with at least 50 workers, 39% have made such changes, including:
- 31% that increased the ways employees can tap into mental health services, such as telemedicine.
- 16% that offered employee assistance programs or other new resources for mental health.
- 6% that expanded access to in-network mental health providers.
- 4% that reduced cost sharing for such visits.
- 3% that increased coverage for out-of-network services.
Workers are taking advantage of the services. Thirty-eight percent of the largest companies with 1,000 or more workers reported that their workers used more mental health services in 2021 than the year before, while 12% of companies with at least 50 workers said their workers upped their use of mental health services.
Thundermist Health Center is a federally qualified health center that serves three communities in Rhode Island. The center’s health plan offers employees an HMO and a preferred provider organization, and 227 workers are enrolled.
When the pandemic hit, the health plan reduced the copayments for behavioral health visits to zero from $30.
“We wanted to encourage people to get help who were feeling any stress or concerns,” said Cynthia Farrell, associate vice president for human resources at Thundermist.
Once the pandemic ends, if the health center adds a copayment again, it won’t be more than $15, she said.
The pandemic also changed the way many companies handled their wellness programs. More than half of those with at least 50 workers expanded these programs during the pandemic. The most common change? Expanding online counseling services, reported by 38% of companies with 50 to 199 workers and 58% of companies with 200 or more workers. Another popular change was expanding or changing existing wellness programs to meet the needs of people who are working from home, reported by 17% of the smaller companies and 34% of the larger companies that made changes.
Beefing up telemedicine services was a popular way for employers to make services easier to access for workers, who may have been working remotely or whose clinicians, including mental health professionals, may not have been seeing patients in person.
In 2021, 95% of employers offered at least some health care services through telemedicine, compared with 85% last year. These were often video appointments, but a growing number of companies allowed telemedicine visits by telephone or other communication modes, as well as expanded the number of services offered this way and the types of providers that can use them.
About 155 million people in the U.S. have employer-sponsored health care. The pandemic didn’t change the proportion of employers that offered coverage to their workers: It has remained mostly steady at 59% for the past decade. Size matters, however, and while 99% of companies with at least 200 workers offers health benefits, only 56% of those with fewer than 50 workers do so.
In 2021, average premiums for both family and single coverage rose 4%, to $22,221 for families and $7,739 for single coverage. Workers with family coverage contribute $5,969 toward their coverage, on average, while those with single coverage pay an average of $1,299.
The annual premium change was in line with workers’ wage growth of 5% and inflation of 1.9%. But during the past 10 years, average premium increases have substantially exceeded increases in wages and inflation.
Workers pay 17% of the premium for single coverage and 28% of that for family coverage, on average. The employer pays the rest.
Deductibles have remained steady in 2021. The average deductible for single coverage was $1,669, up 68% over the decade but not much different from the previous two years, when the deductible was $1,644 in 2020 and $1,655 in 2019.
Eighty-five percent of workers have a deductible now; 10 years ago, the figure was 74%.
Health care spending has slowed during the pandemic, as people delay or avoid care that isn’t essential. Half of large employers with at least 200 workers reported that health care use by workers was about what they expected in the most recent quarter. But nearly a third said that utilization has been below expectations, and 18% said it was above it, the survey found.
At Thundermist Health Center, fewer people sought out health care last year, so the self-funded health plan, which pays employee claims directly rather than using insurance for that purpose, fell below its expected spending, Farrell said.
That turned out to be good news for employees, whose contribution to their plan didn’t change.
“This year was the first year in a very long time that we didn’t have to change our rates,” Farrell said.
The survey was conducted between January and July 2021. It was published in the journal Health Affairs and KFF also released additional details in its full report.
Subscribe to KHN's free Morning Briefing.
To the Editor: Focus on mental health year-round

Rosecrance
Filling time productively key to reducing loneliness

Bond set for the accused in St. Joseph murder, victims' identities are released
ViewPoint | There are a few things our culture needs to admit
Some big government types want new legislation severely restricting gun purchases. But it won't work.
Recently, a convicted felon walked into the Jesse Brown VA Medical Center in Chicago and open fired with a rifle; another convicted felon with an extensive criminal history of weapons opened fire on Philadelphia police officers, wounding six; and a shooter, also a felon, killed a California Highway Patrol Officer.
Current gun laws did not stop these criminals who are already legally barred from possessing a firearm from using guns to attack others.
We should stop the feckless politicking and political correctness and admit that we have a cultural problem. We should look at the rise in secularization, family breakdown, drug abuse, mental illness, identity-politics and demand personal responsibility and accountability.
BTW - with the legalization of weed, the numbers of intoxicated drivers and deaths will certainly increase in the coming years, as will violence-related marijuana-induced psychosis.
Forgetting God and His ways have consequences.
Illinois Family Institute
Tinley Park, IL
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I worked hard my whole career and retired feeling secure. Then I lost every last dime in a scam. I was left with $1,300 a month in Social Security benefits to live on in an area where monthly expenses run about $3,700.
I’m a smart woman, but scams against older Americans are increasing in number and sophistication. Whether through scams, strained savings, or costs of living going up, half of older Americans — that’s 27 million households — can’t afford their basic needs.
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Renovating your home can be affordable with the right approach. Simple changes, like repainting walls or updating fixtures, can create a fresh, modern look without a high price tag. Whether you’re improving outdated spaces or enhancing functionality, these budget-friendly renovation ideas to modernize your home will help you achieve a stylish, updated space while staying within your budget.


Death, taxes and body odor.
They’re things we can all expect in life, no matter how clean you are. But health care providers want you to know when body odor is a sign of a more serious health problem.
B.O. basics
Luis Garcia, MD, an OSF HealthCare pediatrician, says sweat and bacteria are the main culprits behind body odor. Warmth and moisture in parts of the body (like your armpits and feet), plus going through puberty and general poor hygiene, can make the smell worse.