Others say lifestyle medicine should be incorporated into every facet of health care.
I don t think it s appropriate to segment it off, said Dr. Thomas W. Rowland, chief of pediatric cardiology at Baystate Medical Center in Springfield, Mass., who routinely counsels children and parents on how to adopt health lifestyles. it needs to be a fundamental part of every doctor s practice and therefore a part of every medical school s core curriculum.
Still, he acknowledges that there are significant obstacles, because lifestyle consuming is time-consuming and is seldom compensated by Medicare or health insurers.
Reimbursement is a chief concern of the American College of Lifestyle Medicine. The group plans to lobby Congress to that end. And it wants Congress to require that patients be informed about the relative effectiveness of lifestyle changes before receiving certain medications--including blood pressure, acid reflex and cholesterol drugs-and before undergoing procedures like back surgery, bypass surgery and stent placement.
But first, Dr. Kelly said, patients and insurers need to be assured of the professionalism of lifestyle medicine providers.
Some doctors say the movement suffers from fringe elements that advocate unproven strategies like strict vegan diets and daily saunas .
Lifestyle medicine has to be scientifically base to distinguish it from all the quackery out there, said David R. Brown, senior behavioral scientist in the division of nutrition and physical activity at the disease control center.
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