Reining in the high cost of healthcare

From the Reuters News Service: Washington, D.C.

Want to save health care dollars? Give vitamins to the elderly, a study published on Thursday suggests.

The study, done on behalf of Wyeth Consumer Health by health care consultant The Lewin Group, finds that vitamins could improve overall health, making elderly people less likely to need drugs or hospital care.

"The Lewin Group study found that daily use of a multi-vitamin by older adults is a relatively inexpensive, yet potentially powerful, way to improve one's health," Lewin said in the report.

As people age, and especially after age 65, the immune system generally weakens, leaving them vulnerable to infections.

"The five-year estimate of potential savings (or cost offsets) resulting from improved immune functioning, and a reduction in the relative risk of coronary artery disease, through providing older adults with a daily multivitamin is approximately $1.6 billion," the report concludes.

"The five-year estimated cost offset, associated with avoidable hospitalization for heart attacks, is approximately $2.4 billion," it adds.

The study assumed that 50 percent of adults over the age of 65 would take the vitamins at first, but that up to 85 percent would take them after five years of having Medicare or health insurance pay for them.

Over five years, the report concludes, it would cost a minimum of $2.3 billion to provide a daily multivitamin to older adults in the United States.

The study was launched with the aim of finding an inexpensive way to save money in health care.

"Evidence from numerous sources indicates that a significant number of older adults fail to get the amounts and types of food necessary to meet essential energy and nutrient needs."

The group looked at a range of studies and reports to make its own findings. It studied the effects of taking vitamins on five diseases — coronary artery disease, diabetes, osteoporosis, prostate cancer and colorectal cancer.

"Additionally, we examined literature concerning the effects of multivitamins on immune functioning in older adults, and the potential health care savings that might result from avoiding the costly hospitalizations, nursing home stays and home health services associated with pneumonia, cellulitis (a skin infection), kidney and urinary tract infections and septicemia (a blood infection)," the report read.

For instance, one 1998 study, involving 80,000 nurses, found a 24 percent reduction in the risk of heart attacks among women who took daily multivitamins.

The study defined a multivitamin as a tablet providing 100 percent of daily requirements for "most vitamins and minerals". The researchers noted that some supplements contain mega-doses, and these were not included in the study.

Just think of the saving we could see if they were dealing with real nutritional supplementation.