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People often do not prioritize their health and visit the hospital or their doctors while detecting some disease-causing symptoms in their bodies. However, preventive care is the best possible way everyone can undertake and cease the risk factors before the symptoms become dangerous and life-threatening. The following article will focus completely on preventive health care and how it helps reduce further costs involved with healthcare.

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What is Preventive Care?

Preventive health care or prophylaxis involves the measures that people consider for preventing any diseases. The form of healthcare includes utilizing medical services or precautions that fight against the potential health crisis. It is the most important step that people can adopt in better management of their health.

Several factors such as genetic predisposition, lifestyle, environmental factors, and disease agents affect people’s health. Hence, everyone must undergo periodic health check-ups and screening tests from the doctors.

People opt for preventive health care for maintaining better health, and eliminating the disease becomes serious. Preventive care in conjunction with medicines will save a patient from health breakdown and save money from future expenses, especially if the patient is suffering from a chronic disease.

What are the Preventative Care Services?

Here are some of the examples of preventive health care services, along with their frequencies. ·

Annual Check-up (1 per calendar year): During the annual check-up, the doctor or Primary Care Provider (PCP) checks all areas of a person’s health, including physical and psychological. Examining the patients in detail helps in detecting any health care concerns in the early stages.

· Flu Shot (1 per year): Most health plans include flu shots and protect the patients from all strains of flu viruses.

· Mammogram (1 calendar year, after the patient attains the age of 40 years): Patients over the age of 40 must undergo routine x-rays of breast tissues and check for signs of cancer and other abnormalities. Some health plans might cover the costs of 3D imaging. ·

Colonoscopy (usually once in every decade after the age of 50) for detecting colon cancer.

· Vaccinations, including boosters for such as measles, rubella, polio, etc. administered during childhood.

Preventive health care helps keep people productive and active, enabling them to earn well during their senior years. Studies show that approximately 35% of people have to consider early retirement, even before they are financially ready. Opting for affordable, preventive care helps in reducing the numbers.

Why Should Patients Opt for Preventive Care?

Access to preventive health care helped reduce healthcare costs among Americans, as the physicians can prevent or treat the disease before the patient needs emergency room (ER) care. Almost one-third of costs in America include hospital care, which is undoubtedly very expensive. In 2010, 21.4% of adults paid at least a visit to the emergency room, which reduced to 18.6% in 2017. Adults not having affordable access to preventive care are more likely to pay a couple of visits to the emergency room.

Statistics show that 7% of the adults in the age group of 18-64 paid visits to the ER in 2014, as they had no other option, regardless of their health insurance status. About 77% of Americans went to the emergency rooms due to complications in their health, including those whose doctors advised them for emergency room care. Approximately 15.4% of uninsured adults in 2014 are more likely to use the emergency room, as they lacked other providers.

Undoubtedly, the cost of ER care for uninsured patients was extremely high. Hospitals provide care, even if the patient fails to provide fees for their services. As hospitals must recover the cost, they shift to Medicaid and health insurance premiums, which increases the healthcare cost for everyone.

Impact of Preventive Care Cost on Health Care Costs

Chronic diseases are the major leading cause of death among people, either preventable or manageable with regular visits to health care. These include:

· Heart diseases

· Cancer

· Stroke and

· Chronic lower respiratory diseases

Poor nutrition and obesity are the leading cause of heart disease and stroke. Genetics and smoking lead to lung cancer, which is the most common type of cancer. Obesity also risks several other forms of cancer.

Treating these chronic diseases is expensive, even before they reach emergency room status. Approximately 90% of the 3.5 trillion USD includes health care expenditures for people suffering psychological problems and chronic diseases. Patients who never went for preventative care or did not have any prescription coverage failed to afford the treatments, screenings, regular check-ups, and medications that would manage the underlying conditions of the disease. Instead, they head up to the emergency rooms with cases of strokes, heart attacks, and other complications.

However, with regular access to affordable, preventive care, the patients were more likely to discover and manage their chronic conditions. Doing so lowers the chances of visiting the emergency rooms and investing more into expensive treatments for those diseases, which passed regular management. With the decrease in the expenditure for treatments, the overall healthcare cost also decreases for everyone, as the hospitals no longer try to cover the treatment cost of the uninsured patients.

When and What Preventive Health Care is the Most Suitable?

A patient’s primary health care provider will help him or her coordinate the most suitable shots and tests. While analyzing the beneficial shots, the health care provider will consider certain aspects such as family history, age, sex, current health status, and several other factors.

Conclusion

Preventive health care often covers 100% of health plans and offers the patients several benefits both in cost and health. However, if the patient experiences doubts or are in dilemmas about the things covered and tests conducted, he or she must communicate with the physician at the earliest.

Everyone knows, “health is wealth.” If a patient is healthy, he or she will perform the best. However, it is also important to adopt a healthy lifestyle, reducing the risk factors and saving the patients from spending money on medicines.

Summary
SPDN is not the largest or oldest way to short the S&P 500, but it’s a solid choice.
This ETF uses a variety of financial instruments to target a return opposite that of the S&P 500 Index.
SPDN’s 0.49% Expense Ratio is nearly half that of the larger, longer-tenured -1x Inverse S&P 500 ETF.
Details aside, the potential continuation of the equity bear market makes single-inverse ETFs an investment segment investor should be familiar with.
We rate SPDN a Strong Buy because we believe the risks of a continued bear market greatly outweigh the possibility of a quick return to a bull market.
Put a gear stick into R position, (Reverse).
Birdlkportfolio

By Rob Isbitts

Summary
The S&P 500 is in a bear market, and we don’t see a quick-fix. Many investors assume the only way to navigate a potentially long-term bear market is to hide in cash, day-trade or “just hang in there” while the bear takes their retirement nest egg.

The Direxion Daily S&P 500® Bear 1X ETF (NYSEARCA:SPDN) is one of a class of single-inverse ETFs that allow investors to profit from down moves in the stock market.

SPDN is an unleveraged, liquid, low-cost way to either try to hedge an equity portfolio, profit from a decline in the S&P 500, or both. We rate it a Strong Buy, given our concern about the intermediate-term outlook for the global equity market.

Strategy
SPDN keeps it simple. If the S&P 500 goes up by X%, it should go down by X%. The opposite is also expected.

Proprietary ETF Grades
Offense/Defense: Defense

Segment: Inverse Equity

Sub-Segment: Inverse S&P 500

Correlation (vs. S&P 500): Very High (inverse)

Expected Volatility (vs. S&P 500): Similar (but opposite)

Holding Analysis
SPDN does not rely on shorting individual stocks in the S&P 500. Instead, the managers typically use a combination of futures, swaps and other derivative instruments to create a portfolio that consistently aims to deliver the opposite of what the S&P 500 does.

Strengths
SPDN is a fairly “no-frills” way to do what many investors probably wished they could do during the first 9 months of 2022 and in past bear markets: find something that goes up when the “market” goes down. After all, bonds are not the answer they used to be, commodities like gold have, shall we say, lost their luster. And moving to cash creates the issue of making two correct timing decisions, when to get in and when to get out. SPDN and its single-inverse ETF brethren offer a liquid tool to use in a variety of ways, depending on what a particular investor wants to achieve.

Weaknesses
The weakness of any inverse ETF is that it does the opposite of what the market does, when the market goes up. So, even in bear markets when the broader market trend is down, sharp bear market rallies (or any rallies for that matter) in the S&P 500 will cause SPDN to drop as much as the market goes up.

Opportunities
While inverse ETFs have a reputation in some circles as nothing more than day-trading vehicles, our own experience with them is, pardon the pun, exactly the opposite! We encourage investors to try to better-understand single inverse ETFs like SPDN. While traders tend to gravitate to leveraged inverse ETFs (which actually are day-trading tools), we believe that in an extended bear market, SPDN and its ilk could be a game-saver for many portfolios.

Threats
SPDN and most other single inverse ETFs are vulnerable to a sustained rise in the price of the index it aims to deliver the inverse of. But that threat of loss in a rising market means that when an investor considers SPDN, they should also have a game plan for how and when they will deploy this unique portfolio weapon.

Proprietary Technical Ratings
Short-Term Rating (next 3 months): Strong Buy

Long-Term Rating (next 12 months): Buy

Conclusions
ETF Quality Opinion
SPDN does what it aims to do, and has done so for over 6 years now. For a while, it was largely-ignored, given the existence of a similar ETF that has been around much longer. But the more tenured SPDN has become, the more attractive it looks as an alternative.

ETF Investment Opinion

SPDN is rated Strong Buy because the S&P 500 continues to look as vulnerable to further decline. And, while the market bottomed in mid-June, rallied, then waffled since that time, our proprietary macro market indicators all point to much greater risk of a major decline from this level than a fast return to bull market glory. Thus, SPDN is at best a way to exploit and attack the bear, and at worst a hedge on an otherwise equity-laden portfolio.

Do you live in the city and would love to have a vegetable garden, but are constrained by a small garden space? If you really want to grow your own fresh vegetables, then there is an answer for you. You may want to plant a vertical vegetable garden right there in your small area. A vertical vegetable gardening can easily produce as much vegetables as a normal garden.Remember, you don’t need to limit yourself to only growing outdoor vertical gardens. While caring for a vegetable garden in your apartment or other confined area could be a little tricky, it’s not impossible and very rewarding. Gardening indoors will allow you to grow vegetables that aren’t found in your region’s climate, offer you better variety to choose from when planting. It has also been demonstrated that live plants can improve the air quality in small spaces. While it maybe necessary to have proper ventilation to prevent any possible odors, others felt that they can breathe better and are generally calmer because of the refreshing oxygen emitted by your plants.Vertical vegetables gardens are not a new ideal however at times they are mistaken with a living wall. Since both living walls and vertical vegetable gardens could be used for producing vegetables and fruits, living walls are more focused on beauty than production of food. This form of gardening could be done either in your apartment or in your small backyard garden.In vertical gardening you train the vegetable plants to grow upwards. They have designed specific structures that contain the entire garden within a small area. With the proper frames and cross shelving setups, you will find it’s rather simple to train your plants to grow vertically.There are ready-made vertical gardening kits you can buy that will eliminate the guess-work in constructing your setup, however if you want to you can do-it-yourself route. If you decide on a DIY method, be sure that the design structure you”re using to build your vertical vegetable garden is capable of holding the materials, soil, water, and the plants you want to grow in your garden as well as the vegetables it will produce. While you can find detail information online as to the weights of the different parts to your new garden. We have found that such ready-made kits can often save a lot of time – not only with setup, but also they prevented lost “growing” time that you may encounter with wilted plants that did not get the proper amounts of water or soil.If you decided to build an indoor vertical vegetable garden, spend some time looking for the ideal location, as your plants will need enough sunlight to thrive. If you are in the city area where large buildings block most of the natural light coming from your patio or windowsills, you will need to buy lamps that produced specific light to help in growing plants and vegetables.If you want a true organic garden, you will want to research how you can apply composting ways to the soil used in your vertical gardens. A proper drainage system is important, as well as good air circulation (whether indoors or out). NASA scientists have researched a variety of vertical gardening methods, which suggest that the supplies and processes of how to grow vegetables and herbs vertically will continue to get better with advance technology. While large grid systems and advanced hydroponic watering techniques may not offer possible solutions for your cement porch, we can use the concepts and the ideas they create and can scale them down to fit our own needs.It would be good to stick to some simple steps to make sure your success as you begin to learn how to work with your space and your climate restrictions when you grow your first garden. For starters, consider growing peas, green beans, cucumber, squash, lima plants, and tomatoes, as they are great climbing plants in nature. As you become more comfortable you can grow other types of vegetables in your vertical garden.Also, be sure you have the supplies you’ll need before planting your garden. This is important for plants that need vertical support, because seeds begin germinating almost immediately and it is best not to disturb the dirt by adding supports at a later time. Also make sure that your vertical vegetable garden is not entwined with shrubs or other plants that may divert water away from your plants or block out their sunlight. Once again, after some time, these issues may not be of a primary concern, as a beginner looking to start their first vertical garden you should keep these issues in mind.Vegetable and herb gardening has always been known to offer “green” ways to lower environmental footprint, but those opportunities has been limited by space and region. Fortunately, with the new fun trend of vertical vegetable gardening, those who live in urban area can enjoy a similar level of increased self-sufficiency as they raise their own, healthy, fresh grown vegetables.