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Testimony Before the Senate Special Committee on Aging
Mr. Chairman, distinguished Members of the Committee
My name is Michael Tanner. For the past 16 years I have been incharge of health care research for the Cato Institute inWashington, DC. Before that I served as legislative director forthe Georgia Public Policy Foundation and as legislative directorfor health & welfare with the American Legislative ExchangeCouncil. In all, I have spent more than 20 years studying theAmerican health care system and am the author of five books onhealth care reform, most recently Healthy Competition: What's Holding Back American Health Care andHow to Free It.
As part of my research, I have investigated health care systemsin other countries, with particular attention to cost within thosesystems and the quality of care provided. The results of thatresearch is detailed in my Cato Institute study "The Grass Isn't AlwaysGreener: A Look at National Health care Systems Around theWorld," which I have attached to this testimony. The studylooks at a number of specific countries, but it is possible to drawsome broader general conclusions.
First, looking at the United States, there is no doubt that theUnited States spends far more on health care than any othercountry, whether measured as a percentage of GDP or by expenditureper capita. The United States now spends close to 16 percent of GDPon health care, nearly 6.1 percent more than the average for otherindustrialized countries.1 Overall health care costs are rising fasterthan GDP growth and now total more than $1.8 trillion, more thanAmericans spend on housing, food, national defense, orautomobiles.2
Health care spending is not necessarily bad. To a large degree,America spends money on health care because it is a wealthy nationand chooses to do so. Economists consider health care a "normalgood," meaning that spending is positively correlated with income.As incomes rise, people want more of that good. Because we are awealthy nation, we can and do demand more health care.3
But because of the way health care costs are distributed, theyhave become an increasing burden on consumers and businesses alike.On average, health insurance now costs $4,479 for an individual and$12,106 for a family. Health insurance premiums rose by a littlemore than 6 percent in 2007, faster on average thanwages.4
Moreover, government health care programs, particularly Medicareand Medicaid, are piling up enormous burdens of debt for futuregenerations. Medicare's unfunded liabilities now top $50trillion.5Unchecked, Medicaid spending will increase fourfold as a percentageof federal outlays over the next century.6
But, while the US does not do a very good job of controllingcosts, we actually do fair well on many measures of quality. I amaware, of course, that not every survey recognizes this. Forinstance, there is the famous World Health Organization study thatranks the U.S. health care system as 37th in the world in terms ofhealth quality.
However, this study bases its conclusions on such highly subjectivemeasures as "fairness" and criteria that are not strictly relatedto a country's health care system, such as "tobacco control." Forexample, the WHO report penalizes the United States for not havinga sufficiently progressive tax system, not providing all citizenswith health insurance, and a general paucity of social welfareprograms. Indeed, much of the U.S.' poor performance is due toreceiving a ranking of 54th in the category of "fairness." The U.S.is actually penalized for adopting Health Savings Accounts andbecause patients pay too large an amount out‐of‐pocket, accordingto the WHO. 7 Suchjudgments clearly reflect a particular political point of view,rather than a neutral measure of health care quality. On the otherhand, the WHO report ranks the U.S. number one in the world inresponsiveness to patients' needs in choice of provider, dignity,autonomy, timely care, and confidentiality.8
There are even difficulties in using more neutral categories ofcomparison. Nearly all such cross‐country rankings use lifeexpectancy as a measure. In reality though, life expectancy is apoor measure of a health care system. Life expectancies areaffected by exogenous factors such as violent crime, poverty,obesity, tobacco and drug use, and other issues unrelated to healthcare. As the OECD explains, "It is difficult to estimate therelative contribution of the numerous non‐medical and medicalfactors that might affect variations in life expectancy acrosscountries and over time."9 Consider the nearly three‐year disparity inlife expectancy between Utah (78.7 years) and Nevada (75.9 years),despite the fact that the two states have essentially the samehealth care systems.10 In fact, a study by Robert Ohsfeldt, JohnSchneider for the American Enterprise Institute found that thoseexogenous factors are so distorting that if you correct forhomicides and accidents, the U.S. rises to the top of the list forlife expectancy.11
Similarly, infant mortality, a common measure in cross‐countrycomparisons, is highly problematic. In the United States, very lowbirth‐weight infants have a much greater chance of being brought toterm with the latest medical technologies. Some of those lowbirth‐weight babies die soon after birth, which boosts our infantmortality rate, but in many other Western countries, thosehigh‐risk, low birth‐weight infants are not included when infantmortality is calculated.12 In addition, many countries use abortionto eliminate problem pregnancies. For example, Michael Moore citeslow infant mortality rates in Cuba, yet that country has one of theworld's highest abortion rates, meaning that many babies withhealth problems that could lead to early deaths are never broughtto term.13
On the other hand, when you compare the outcome for specificdiseases, the United States clearly outperforms the rest of theworld. Whether the disease is cancer, pneumonia, heart disease, orAIDS, the chances of a patient surviving are far higher in the U.S.than in other countries. For example, according to a studypublished in the British medical journal The Lancet, theU.S. is at the top of the charts when it comes to surviving cancer.Among men, roughly 62.9 percent of those diagnosed with cancer willsurvive for at least five years. The news is even better for women,the five year survival rate is 66.3 percent, two thirds. The nextbest countries are Iceland for men (61.8 percent) and Sweden (60.3percent for women). Most countries with national health care farefar worse. For example, in Italy, 59.7 percent of men and 49.8 ofwomen survive five years. In Spain, just 59 percent of men and 49.5percent of women do. And in Great Britain a dismal 44.8 percent ofmen and only a slightly better 52.7 percent of women live for fiveyears after diagnosis.14
It is notable that when former Italian Prime Minister SilvioBerlusconi needed heart surgery last year, he didn't go to France,Canada, Cuba, or even an Italian hospital‐he went to the ClevelandClinic in Ohio.15Likewise, Canadian MP Belinda Stronach had surgery for her breastcancer at a California hospital.16 Berlusconi and Stronach were following inthe footsteps of tens of thousands of patients from around theworld who come to the United States for treatment every year. OneU.S. hospital alone, the Mayo Clinic, treats roughly 7,200foreigners every year.17 Johns Hopkins University Medical Centertreats more than 6,000; the Cleveland Clinic more than 5,000. Oneout of every three Canadian physicians has sent a patient to theU.S. for treatment each year,18 and those patients along with the Canadiangovernment spend more than $1 billion annually on health care inthis country.19
Moreover, the United States drives much of the innovation andresearch on health care worldwide. Eighteen of the last 25 winnersof the Nobel Prize in Medicine are either U.S. citizens or workhere.20 U.S.companies have developed half of all new major medicines introducedworldwide over the past 20 years.21 In fact, Americans played a key role in 80percent of the most important medical advances of the past 30years.22 And,dvanced medical technology is far more available in the UnitedStates than in nearly any other country.23
The same is true for prescription drugs. For example, 44 percentof Americans who could benefit from taking statins, a lipidlowering medication that reduces cholesterol and protects againstheart disease, take the drug. That number seems low until comparedwith the 26 percent of Germans, 23 percent of Britons, and 17percent of Italians who could both benefit from the drug andreceive it.24Similarly, 60 percent of Americans taking antipsychotic medicationfor the treatment of schizophrenia or other mental illnesses aretaking the most recent generation of drugs, which have fewerside‐effects. But just 20 percent of Spanish patients and 10percent of Germans receive the most recent drugs.25
This is not to diminish the very serious problems facing the UShealth care system or the need for health care reform. problemswith the U.S. system. Too many Americans lack health insuranceand/or are unable to afford the best care. More must be done tolower health care costs and increase access to care. Both patientsand providers need better and more useful information. The systemis riddled with waste, and quality of care is uneven. Governmenthealth care programs like Medicare and Medicaid threaten futuregenerations with an enormous burden of debt and taxes.
In reforming our health care system, it may indeed be possibleto learn from the experiences of other countries, to see how theyare able control costs so much better than us, and to examine whatimpact those cost controls have on the quality of care.
Of course, there is no single model for national health caresystems in other countries. Indeed, the differences from country tocountry are so great that it is almost misleading to refer simplyto "national health care" or "universal coverage" as if there werea collective model for how other countries deal with health careand health insurance. Each country's system is the product of itsunique conditions, history, politics, and national character. Thosesystems range from the managed competition approach of theNetherlands and Switzerland to the more rigid single‐payer systemsof Great Britain, Canada and Norway, with many variations inbetween.
Some countries have a true single‐payer system, prohibitingprivate insurance and even restricting the ability of patients tospend their own money on health care. Others are multi‐payersystems, with private competing insurers and varying degrees ofgovernment subsidy and regulation. Some countries base theirsystems around employment, while others have completely divorcedwork and insurance. Some require consumers to share a significantpart of health care costs through either high deductibles or highco‐payments. Others subsidize virtual first‐dollar coverage. Someallow unfettered choice of physicians. Others allow a choice ofprimary care physicians but require referrals for specialists.Still others restrict even the choice of primary care doctors.
It is also important to realize that no country's system isdirectly importable to the U.S. Americans are unlikely to acceptthe rationing or restrictions on care and technology that manycountries use to control costs. Nor are U.S. physicians likely toaccept a cut in income to the levels seen in countries like Franceor Germany. The politics, economics, and national cultures of othercountries often vary significantly from that of the U.S. Theircitizens are far more likely to have faith in government actionsand to be suspicious of free markets. And polling suggests thatcitizens of many countries put social solidarity and equality aheadof quality and choice when it comes to health policy.26 American attitudes arequite different. As pollster Bill McInturff notes, "Never, in myyears of work, have I found someone who said, 'I will reduce thequality of the health care I get, so that all Americans can getsomething.' "27
Even so, it is possible to draw some important lessons from theexperience of other countries:
- Universal health insurance does not mean universal access tohealth care. In practice, many countries promise universalcoverage, but ration care or have extremely long waiting lists fortreatment. Nor does a national health care system necessarily meanuniversal coverage. Some countries with ostensibly universalsystems actually fall far short of universal coverage, and mostleave at least a small remnant (1–2 percent of the population)uncovered. While this is certainly wider coverage than the UnitedStates provides, it shows the difficulty of achieving either trulyuniversal coverage or universal access to care.
- Rising health care spending is not a uniquely Americanphenomenon. While other countries spend considerably less than theU.S. on health care both as a percentage of GDP and per capita, itis often because they begin with a lower base of expenditures. Buttheir costs are still rising, leading to budget deficits, taxincreases, and/or benefit cuts. In 2004, the last year for whichdata is available, the average annual increase for per capitahealth spending in the countries discussed in this study was 5.55percent, only slightly lower than the United States' 6.21percent.28 As theWall Street Journal notes, "Europeans…face steepermedical bills in the future in their cash‐strappedgovernments."29In short, there is no free lunch.
- Those countries that have single‐payer systems or systemsheavily weighted toward government control are the most likely toface waiting lists, rationing, restrictions on the choice ofphysician, and other barriers to care. Those countries withnational health care systems that work better, such as France, theNetherlands, and Switzerland, are successful to the degree thatthey incorporate market mechanisms such as competition,cost-consciousness, market prices, and consumer choice, and eschewcentralized government control.
- While no country with universal coverage is contemplatingabandoning a universal system, the broad and growing trend incountries with national health care systems is to move away fromcentralized government control and to introduce moremarket oriented features. As Richard Saltman and Josep Figueras ofthe World Health Organization put it, "The presumption of publicprimacy is being reassessed."30 Alan Jacobs of Harvard points out thatwhile there are significant differences in goals, content, andstrategies, there is a general convergence toward market practicesin health care among European nations.31 Thus, even as the U.S. debates adopting agovernment‐run system, countries with those systems are debatinghow to make their systems look more like the U.S.
Looking at other countries and their experiences, then, canprovide guidance to Americans as we debate how to reform our healthcare system. National health care is not a monolithic idea, nor isit always as disastrous as its U.S. critics would sometimesportray. Some national health care systems dosome things well.
Yet, neither are those systems without serious problems. In mostcases, national health care systems have successfully expandedinsurance coverage to the vast majority, if not quite all, of thepopulation. But they have not solved the universal and seeminglyirresistible problem of rising health care costs. In many cases,attempts to control costs through governmental fiat have led toproblems with access to care, either delays in receiving care oroutright rationing.
In wrestling with this dilemma, many countries are looseninggovernment controls and injecting market mechanisms, particularlycost‐sharing by patients, market pricing of goods and services, andincreased competition among insurers and providers. As Pat Cox,former president of the European Parliament, put it in a report tothe European Commission, "we should start to explore the power ofthe market as a way of achieving much better value formoney."32
Moreover, the growth of the government share of health carespending, which had increased steadily from the end of World War IIuntil the mid‐1980s, has stopped, and in many countries the privateshare has begun to increase, in some cases substantially. There iseven evidence of a growing shift from public to private provisionof health care.33If the trend in the U.S. over the last several years has beentoward more of a European‐style system, the trend in Europe istoward a system that looks more like the U.S.
Therefore, if there is a lesson which U.S. policymakers can takefrom national health care systems around the world, it is not tofollow the road to government‐run national health care, but toincrease consumer incentives and control. The U.S. can increasecoverage and access to care, improve quality, and control costswithout importing the problems of national health care. In doingso, we should learn from the successes‐and the failures-ofsystems in other countries.
Thank you and I would be happy to answer any questions.
2 C. Borger, etal., "Health Spending Projections Through 2015: Changes on theHorizon," Health Affairs Web Exclusive W61: February 22,2006.
3 Uwe Reinhardtof Princeton University, for example, estimates that nearly half ofthe difference in spending between the U.S. and other industrialnations is due to America's higher GDP. Uwe Reinhardt, PeterHussey, and Gerald Anderson, "U.S. Health Care Spending in anInternational Context," Health Affairs 23 (May/June 2004):11–12.
4 "EmployerHealth Benefits Annual Survey," Kaiser Family Foundation, September11, 2007.
52007 AnnualReport of the Board of Trustees of the Federal Hospital Insuranceand Federal supplemental Medical Insurance Trust Funds(Washington: Government Printing Office, 2007).
6 JagadeeshGokhale, "Medicaid's Soaring Costs: Time to Step on The Breaks,"Cato Institute Policy Analysis no. 597, July 19, 2007.
7 Edward Kelleyand Jeremy Hurst, "Health Care Quality Indicators Project: InitialIndicators Report," OECD Health Working Papers no. 22, March2006.
8 Edward Kelleyand Jeremy Hurst, "Health Care Quality Indicators Project: InitialIndicators Report," OECD Health working Papers no. 22, March2006.
9 "Health at aGlance: OECD Indicators, 2005," Paris, OECD Publishing, 2005.
10 U.S. CensusBureau, 2000 Census.
11 Robert L.Ohsfeldt, John E. Schneider, The Business of Health:The Role of Competition, Markets, and Regulation(Washington AEI Press, 2006).
12InAustria and Germany, fetal weight must be at least 500 grams (1pound) to count as a live birth; in other parts of Europe, such asSwitzerland, the fetus must be at least 30 centimeters (12 inches)long. In Belgium and France, births at less than 26 weeks ofpregnancy are registered as lifeless. And some countries don'treliably register babies who die within the first 24 hours ofbirth. For a full discussion of the issue, seeMiranda Mugford,"A Comparison of Reported Differences in Definitions of VitalEvents and Statistics," World Health Statistics Quarterly36 (1983), cited in Nicholas Eberstadt, The Tyranny of Numbers:Measurements & Misrule (Washington: American EnterpriseInstitute press, 1995), p. 50. Some, but not all, countries arebeginning to standardize figures and future data may be morereliable.
13 AnthonyDePalma, "SiCKO, Castro, and the 120 Year Club," New YorkTimes, May 27, 2007.
14 ArduinoVerdecchia et al., "Recent Cancer Survival in Europe: a 2000–02period analysis of EUROCARE‑4 data,"The Lancet Oncology, Available online August 21, 2007,http://www.thelancet.com/journals/lanonc/article/PIIS1470204507702450/a… Martin, "UK Cancer Survival Rate Lowest in Europe, DailyTelegraph, August 24, 2007. Of course it can be argued thatthese figures are skewed by aggressive US testing and diagnosticprocedures. In the U.S., we catch many cancers that would goundetected in other countries. These cancers are small or slowgrowing and would not kill the person suffering from it. That it isdiagnosed in the US, but not other countries, makes our survivalrate look higher. Jonathan Cohn, "What Jacques Chirac Could TeachUs about Health Care," New Republic, April 10, 2007. Thatis a theory worth considering and it is likely that increasedscreening has an impact on the figures for slow growing cancerssuch as prostate cancer (the source of much controversy since RudyGiuliani raised the issue in his campaign). "Rudy Wrong on CancerSurvival Chances," Washington Post, October 31,2007; David Gratzer, "Rudy Is Right in Data Duel about Cancer,"Investors Business Daily, November 6, 2007.
As, Robert Ohsfeldt and John Schneider concede in their book,The Business of Health "[Many] cancer survival rateestimates…do not adjust for cancer stage at diagnosis. Thiscould result in survivor time bias — those with cancers detected atan earlier stage would exhibit longer post diagnosis survivaltimes, even for cancers that are essentially untreatable." RobertOhsfeldt and John Schneider, The Business of Health(Washington: American Enterprise Institute, 2007), pp. 23–24.However, survivor time bias is not as big an issue for cancers thathave faster metastasizing times or strike younger patients.
As Ohsfeldt and Schneider go on to note,
Survivor time bias, however, should not be asignificant concern for cancers that respond well to treatment ifdetected early. For such cancers, early detection makes asubstantive contribution to survival time — the longer survivaltime associated with early detection thus is not a spurious effectof early detection. An example is thyroid cancer. In the UnitedStates, virtually all females with thyroid cancer survive for atleast five years. The lower survival rates for thyroid cancer inEuropean countries suggest some underperformance in either earlydetection or post diagnosis management in these countries. Incontrast, the differences in survivor rates are less pronounced forcancers that are more difficult to treat, such as lungcancers.
Thus, it is significant that the U.S. advantage holds for othercancers, too, including breast cancer, colon cancer, and thyroidcancer among others. Moreover, there are many benefits to earlydetection and treatment beyond survival rates. Even for prostatecancer, early treatment can have a significant effect on thequality of life. And it could be that the U.S. simply has morecases of prostate cancer than other countries (diet could play asignificant role, for example. Kyung Song, "Study Links Diet toProstate Cancer," Seattle Times, October 11,2007).
Finally, it should at least be mentioned that one of the mostcommon arguments for socialized medicine is that it would increasescreening and preventive care. Indeed, John Edwards actually wantsto make testing mandatory for all Americans. "Edwards BacksMandatory Preventive Care," Associated Press, September 2,2007.
15 "WorldBriefing: Berlusconi has Heart Surgery in US," New YorkTimes, December 19, 2006.
16 "StronachWent to US for Cancer Treatments: Report," CTV, September 14, 2007;available at
17 SteveFindlay, "U.S. Hospitals Attracting Patients from abroad," USAToday, July 22, 1997.
18 The twoprincipal reasons for sending a patient abroad were the lack ofavailability of services in Canada (40 percent) and the length ofthe wait for certain treatments (19 percent),"Robert J. Blendon etal., "Physician's Perspectives on Caring for Patients in the UnitedStates, Canada, and West Germany." New England Journalof Medicine, 328, (April 8, 1993).
19 JohnGoodman, "Moore's SiCKO Could Put Lives at Risk," The MichaelMoore Chronicles, National Center for Policy Analysis,2007.
20 "NobelPrize in Physiology or Medicine Winners 2007–1901," The Nobel PrizeInternet Archive,http://almaz.com/nobel/medicine/medicine.html.
21Pharmaceutical Manufacturers Association, "Facts about the U.S.Pharmaceutical Industry," 2002.
22EconomicReport of the President (Washington: Government PrintingOffice, 2004), p. 192.
23 GerardAnderson et al., "It's the Prices Stupid: Why the United States IsSo Different from Other Countries," Health Affairs 22, no.3 (May/June 2003): 99.
24 OliverSchoffski, "Diffusion of Medicines in Europe," paper prepared forthe European Federation of Pharmaceutical Industries andAssociations," 2002, cited in Daniel Kessler, "The Effects ofPharmaceutical Price Controls on the Cost and Quality of MedicalCare: A Review of the Empirical Literature," June 2004.
25 OliverSchoffski, "Diffusion of Medicines in Europe," paper prepared forthe European Federation of Pharmaceutical Industries andAssociations," 2002, cited in Daniel Kessler, "The Effects ofPharmaceutical Price Controls on the Cost and Quality of MedicalCare: A Review of the Empirical Literature," June 2004.
26 DanielCallahan and Angela Wasunna, Medicine and the Market: Equity v.Choice (Baltimore: Johns Hopkins University Press, 2006);Helen Disney, et al., Impatient for Change: European Attitudesto Healthcare Reform (London: Stockholm Network, 2004),
27 RobinToner, "Unveiling Health Care 2.0, Again," New York Times,September 16, 2007.
28 OECD HealthData 2007: Statistics and Indicators for 30 countries, OECD, Oct.2007
29 Quoted inDaniel Callahan and Angela Wasunna, Medicine and the Market:Equity v. Choice (Baltimore: Johns Hopkins University Press,2006), p. 109.
30 RichardSaltman and Josep Figueras, "Analyzing the Evidence on EuropeanHealth Care Reforms," Health Affairs, March‐April1998.
31 Cited inDaniel Callahan and Angela Wasunna, Medicine and the Market:Equity v. Choice (Baltimore: Johns Hopkins University Press,2006), p. 91.
32 " 'CoxReport' on Financing Sustainable Healthcare in Europe Presented toEuropean Commission today," Press Release, February 13, 2006.
33 HansMaarse, "The Privatization of Health Care in Europe: An EightCountry Analysis," Journal of Health Politics, Policy, andLaw 31 (2006): 981‑1014.
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JRPMS Vol 3, No 4, December 2019, p.123-128
doi: 10.22540/JRPMS-03-123
Review Article
Positive correlation of different bariatric surgery techniques with low back pain
Athanasios Galanis
Orthopaedics Department, General Hospital of Attika "KAT", Athens, Greece
Low back pain, Bariatric surgery, Obesity, Weight loss
Low back pain is considered a universal and frequent health problem that is closely and causally associated with obesity, a modern era epidemic. The increased mechanical load placed on the spine, the systemic chronic inflammation or the metabolic syndrome are some of the causes of low back pain detected in obese patients that are directly linked to obesity. The aim of this article is to present a mini review of the existing literature regarding the relation between low back pain and different bariatric surgeries which have been shown to be valid methods of weight loss. Several studies in last decade have advocated that weight loss resulting from bariatric surgeries is associated with a lessening in impairment and intenseness of low back pain. The need for further systematic reviews and prospective trials is evident in order to support the claims that bariatric surgeries may prove beneficial to low back pain.

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As women, we are living in a society that makes it exceedingly difficult to not just be ourselves—but to love being ourselves. In fact, according to an eight-year study done by Wiebke Bleidorn, Ph.D., from the University of California, reported in the Journal of Personality and Social Psychology, it found that across the board, no matter the culture or country, men had higher self-esteem than women. That stings, right?
But it's really no wonder. While one can argue that women are genetically hardwired differently than men, and we possess different sets of traits, we can't ignore the obvious: Messages everywhere directed at women, plastered across magazines with advice on how to "think like a man" haunt us. Books telling us we need not be nice if we desire a corner office, and others telling us that men love bitches. Those messages are mixed with other stories telling us to be soft, and vulnerable. We are expected to embody countless contradictions. On the one hand, badass women are supposed to climb the corporate ladder, crush their competition and be ruthless in their careers. And yet we're also told to be feminine goddesses at home. It's overwhelming—to say the least.
A quick Google search on "how to gain confidence" will flood us with the notion that we're essentially screwed when it comes to learning how to feel good about ourselves and build our self-esteem. We are constantly inundated with messages that we're not enough, and that we are broken messes that need fixing. And it's destroying us. We are criticized and made to think that we need to be more masculine in order to command respect and develop our self-worth. We're made to believe we need to have a hard, emotionless shell when it comes to feelings and relationships, and an aggressive attitude in the workplace.
So what's a woman to do on her quest to self-confidence? Does she really need to think like a man to be happy and successful? I have a groundbreaking idea: What about just being ourselves?
Ironically, being authentic doesn't come easy to many of us. One would think simply being themselves would be a natural trait. Most of the women I've worked with as a master life coach have been incredibly talented and successful, but they still struggle with unapologetically being themselves. And I've experienced it, too. A few years ago, I decided I wanted to dye my hair pink—at 36 years old. This decision did not come easily. I thought I might not be taken seriously anymore as a professional, or people would think I'd lost my mind. Would a man struggle with those thoughts? Probably not. But rather than convincing myself I had to think like anyone else other than myself, I confronted my worst fears: What if people did think I was crazy? Or unprofessional? What was the worst that would happen? Absolutely nothing.
Eventually, I pushed past the anxiety and embraced my wild candy-colored desires and, as you can see on the cover of my latest book (right), my hair is indeed pink. And it was one of the biggest and boldest ways to express my own individuality, and ultimately build my own confidence.
The exercise I used on myself is one I've used with many of my clients, and I urge you to use it, too, if you want to become comfortable using your own superpower: your intuition. Ask yourself this simple question: What am I giving up if I don't be the woman I want to be? What do I have to lose by not following my gut? Most of the time, that answer alone is enough to get us in that salon chair, or drafting up those divorce papers or marching into our boss' office to tell him we are done.
So, no, we don't need to think like a man to live our best lives. We just need to think like ourselves. A radical revelation, right?
Cara Alwill Leyba is the author of Girl Code: Unlocking the Secrets to Success, Sanity, and Happiness for the Female Entrepreneur and Like She Owns the Place: Give Yourself the Gift of Confidence and Ignite Your Inner Magic, which releases July 10. Her latest book helps readers rewire their minds to become their best selves at work and beyond.


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A new ad from the Chinese shopping site Tmall featuring a same-sex couple has been hailed as a small but significant win by China's LGBT community. The 20-second clip released this week, promoting the site's annual pre-Lunar New Year shopping event, features a gay man introducing his partner to his family. In the clip, the gay man brought his boyfriend to his home. On the dinner table, the boyfriend called his partner's father "dad," in a way married people in China address their in-laws. The clip had racked up thousands of views and a wave of support on Weibo, China's equivalent of Twitter, suggesting young Chinese audiences are increasingly accepting of the LGBT community. Chinese LGBT a
Jan 10, 2020


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Andrew Winslow
Andrew is a principal and member of the TrueBridge investment team, focusing on due diligence and industry analysis with a special emphasis on direct investments.
Prior to TrueBridge, Andrew was a vice president at Grotech Ventures where he sourced and executed investments in software and technology companies while also serving as an active board observer for multiple portfolio companies. Prior to that, Andrew was an associate at WestView Capital Partners after starting his career as an associate at Summit Partners.
Andrew earned a BBA, cum laude, in Finance and a BA in Political Science from the University of Notre Dame.


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New Office establishes No-Shore Delivery in Twin Cities to Drive Innovation with Clients Locally & Globally
Minneapolis, Minn. USA and Bangalore, India – June 13, 2019: Wipro Limited (NYSE: WIT, BSE: 507685, NSE: #WIPRO), a leading global information technology, consulting and business process services company, today announced that it will be opening a new center of excellence for clients in the Minneapolis-St. Paul region in USA. Wipro and client teams will collaborate on digital solutions, with a focus on financial technology, and will add 100 local jobs over the next two years to its already substantial presence in the Twin Cities.
As a No-Shore office, the Minneapolis center will serve as a hub for technology and resources locally and globally, ensuring development quality and delivery across Wipro and client teams around the clock. Wipro specifically plans to leverage local Minnesota talent in addition to providing opportunities for recent university graduates and experts keen on developing their technology-related skills.
"Minnesota is a magnet for world class talent and innovation – a strategic asset we're excited to harness in collaboration with our clients," said Angan Guha, Senior Vice President & Global Head, BFSI, Wipro Limited. "With this new center, we can offer our clients in financial services, consumer, health and other industries both world-class digital and technology solutions. By applying Wipro's No-Shore Delivery model, where geography is not a limitation but a gateway to developing the best new products and services, we maximize local talent and customer value."
Minneapolis is a crucial location for Wipro due to its conducive business environment, excellent infrastructure, and ready talent pool. Several of Wipro's clients are located in the region, including a number of Fortune 500 companies across banking, retail and other sectors.
The office opening will be celebrated with an inauguration ceremony on Thursday, June 13 and attended by Mayor of Minneapolis, Jacob Frey, City Council Member for Ward 3, Steve Fletcher, representatives from the offices of United States Senators Amy Klobuchar and Tina Smith, and a representative from the Minnesota Department of Employment and Economic Development. Other government officials and local business leaders will also be in attendance.
The event will also include a distribution of 2,500 books to underserved students in Minneapolis public schools as part of the company's partnership with the nonprofit organization, First Book. Similar donations have occurred at Wipro's past office openings as a gesture of the company's commitment to supporting communities and improving education wherever it operates. Read More


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Double engagement session! Julie and Ryan are best friends and are both getting married next year. They decided that since the two of them, along with their fiances went to Penn State, that we should have their sessions up there.
We had the perfect day for shooting! Julie and Jon
Ryan and Matt


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I think this topic should be expressed around to all colleges because I think we can all agree that college is very stressful. Between all of your classes, homework, and exams you have so much to do and you're busy all the time. I think if there is a solution to help relieve that some of that stress people should be doing it. I agree that it will get rid of some of that stress because when go to the gym all of the stuff you need to think about goes away. The gym is a place where you can just get away from it all and benefit your health while your relieving stress. I think the littlest thing can help and if you just manage your time right you will have plenty of time to go to the gym and work out.
Physical Activity Helps Stress
by bszab1 on November 5, 2013 - 2:53pm
When students make a transfer in their lives from adolescence to adulthood, it tends to be a very stressful part of their lives. They start to learn about themselves, are given more freedom than they know what to do with, and are also given a lot more responsibilities with that freedom. These can all be stressful events. Studies show that when students come to college they become less active than they used to be. The most active students tend to me males and athletes. Being physically active is something that lowers your stress levels, and because not a lot of students are physically active, a lot of college students are more stressed out. Physical activity can also help a student's metal heath status; such as their mood, self-esteem, and anxiety levels, and stress levels (Vankim 2013). Multiple studies were performed on this theory by Nguyen-Michel and his colleagues at multiple settings such as private universities, state universities, and community colleges (Vankim 2013).
The most important information in this article is that physical activity is something that will benefit a college student in more than one way. There were 750 randomly selected students that were sent out an email to participate in the study (Vankim 2013). In the email there questionnaire questions that were asked to students. The majority of respondents were females between the age of 18 and 20 years old. In The results of Nguyen-Michel's studies showed that students that were vigorously physically active in high school were more likely to be active in college. The amount of socializing between students was high for both male and female students. Also people who reported to have high physical activity, were less likely to report poor mental health. Studies showed that Asian students, female students, and students with class II obesity and significantly higher odds of poor mental health and higher stress levels than male students, white students, and normal-weight students (Vankim 2013). All of these studies have shown that there is so many positive effects that come out of being physically active at least four times a day. It's amazing that more college students aren't taking the time to exercise at least 20 minutes a day to receive all of these benefits.
VanKim, N. A., & Nelson, T. F. (2013). Vigorous Physical Activity, Mental Health, Perceived Stress, and Socializing Among College Students. American Journal Of Health Promotion, 28(1), 7-15. doi:10.4278/ajhp.111101-QUAN-395
So relatable!
I completely agree! Being physically active is very important. I personally am a big advocate for working out and having a healthy life style. Working out isn't just something you do, it has to be made an everyday habit that you look forward to. I can relate very well to this post. Since being in college I've found that I feel my best when I work out every day. When I go a few days without going to the gym I certainly don't feel like I am at my 100%. It not only helps me physically but also mentally. As you have said in your post, physical activity is a great stress reliever, and for me that has definitely proven to be true. There is nothing better than sweating out all the impurities in your life.
I Can Totally Relate To This!
I can totally relate to your post. I'm constantly overwhelmed with stress and physical activity always makes me feel better. If a have a ton of homework or a major paper to write for a class there isn't anything I rather to relive stress than to workout. While I'm at the gym I forget about school and focus all my energy to having a good workout. I feel more focused to do my assignments after working out. Although I am physically tried I feel mentally stimulated. I find it very interesting that the males are the majority that partakes in physical activity. When I go to the gym I see a good amount of males and females. I also find it interesting that it only takes 20 minutes to start seeing the positive effects of physical activity. We should all try to take 20 minutes out of our day to try to relive stress because it will defiantly be worth it in the long run.
Very interesting!
This is a very interesting topic that is many times shunned or not spoken about, especially in the United States. Obesity, being one of the major health risks in America should be publicized way more then it is currently. I think it's interesting that students who were active in high school are more likely to be active in college. I agree that the transition into college, especially for freshman is extremely hard and therefore the stress factor can allow students to steer away from physical activity. I know that personally, as a freshman, I always save two hours of the day for my personal well-being. Whether I run or go to the gym, I always make time for some sort of physical activity. As a result, I always feel better about my image and my stress levels. I noticed that where I live, when my friends return home from college, it is apparent that they drink excessive amounts of alcohol, or do not properly diet, or simply don't participate in any physical activity. Ultimately, I think this is a social problem that definitely needs to be expressed on a global scale.
Very interesting!
This is a very interesting topic that is many times shunned or not spoken about, especially in the United States. Obesity, being one of the major health risks in America should be publicized way more then it is currently. I think it's interesting that students who were active in high school are more likely to be active in college. I agree that the transition into college, especially for freshman is extremely hard and therefore the stress factor can allow students to steer away from physical activity. I know that personally, as a freshman, I always save two hours of the day for my personal well-being. Whether I run or go to the gym, I always make time for some sort of physical activity. As a result, I always feel better about my image and my stress levels. I noticed that where I live, when my friends return home from college, it is apparent that they drink excessive amounts of alcohol, or do not properly diet, or simply don't participate in any physical activity. Ultimately, I think this is a social problem that definitely needs to be expressed on a global scale.
i agree
I believe and agree with the fact that exercise helps you relieve stress. By my own experiences when worried about assignments that are coming up to due quickly, just taking a little time out of the day to exercise and work out causes me to feel much more relaxed after and feel better about myself. I don't know if it's just me but after a workout I feel like I can accomplish anything because I feel so good about myself and refreshed. Exercising flushes out all of your emotions and high anxiety and gives you with a rewarding feeling you should feel proud about. I think that it is important for all college students, especially freshman who are learning to adjust to life on their own and much harder work, to take some time out of their day even if its just 10-20 minutes to work out and relieve stress. it will help them relax and also keep them fit! I believe it is a win-win situation. Also, along with relieving stress it is important to keep up with exercise to make sure you don't gain those extra not needed pounds! Being stressed can cause you to eat a lot more, and can also cause depression and anxiety.
I agree with this article because it highlights valid points that many people do not think about. Typically the view for teens undergoing stress is that they are doing too much or need to cut back, but this research dictates being active is more beneficial. As a student athlete, it is much easier to focus on school work and manage your time when your excess energy and endorphins are left on the field. Given this physical activity it makes you feel better about yourself and reduces stress as said in this post. If only more specifics were given for what specifically can be improved by the physical activity, this argument would be much more compelling. Knowing why an individual should go out of their way to exercise and be active is essential when trying to appeal to those who do not already do this. I found this blog to be extremely interesting, I would recommend that if more specifics were given than those who read this would be much more willing to give an active life style a chance.
Could not agree more!
This message should be spread in all colleges, to push youth to do more work out! I can also understand people that don't have the time to be active anymore when they go in upper levels of studies. In my case, I used to be really active, I used to do about 10 hours of sport per week, and now I practically don't do any of it anymore. I just don't have the time! But I'd like to do more of it, even just for my health!
And I think it's true that it helps stress, so it's a good and healthy way for students to evacuate their stress, but they need to have the time to do it.
Great subject!
Absolutely agree
I feel everyone should make it a point to set aside some time to get a work out in! Though we some days are too busy you can always quickly do 25 crunches before bed. Since coming to college exercise has been one of the most important parts of my day because it helps me get rid of all my anxiety and stress! Besides, who wants that freshman fifteen!?
Very relatable
What caught my attention to your article was the title and after reading this, I agree about how physical activity can help keep our stress levels down. When I was in high school, I didn't work out at all and I would always find myself stressed out with the heavy work load. Since my time here at Brockport, I have been going to the gym more often. Just as what is mention in your article, taking at least a few minutes out of the day can make a different. Since I have been doing more physical activities such as going to the gym, dance class, and participating in a dance club, I am able to not only keep my weight down but also, lower my stress levels. It's important to keep the stress level down in college because the classes are harder and the assignments are more time consuming. This issue should be addressed more not only in colleges but as well as on a global scale because the little physical activities can make a different in an individual life.
Strongly agree
I strongly agree with your article. Being a college student, stress has heavily increased coming from high school. There is much more and much harder work. The weeks where I go to the gym consistently I am much more academically active, doing my work much more. It reduces stress and gives more energy to do work. This issue should be spread to not just college students, but to everyone to show how much exercise cannot only help physically but mentally to.
I couldn't agree more with
I couldn't agree more with what you said here! I believe exercise does help relieve stress. Being a college student rings a lot of stress into a kids life and they need some outlet for this stressful life. If you are working out it also gives you more energy than if you did not work out. You don't have to go for a long time but an hour or so will help you relieve that stress. I think that colleges really should make it a point that being physically active will help everyone with stress.
I can relate.
I can relate to this article. In high school after a long stressful day of school I always either had a sports practice or worked out, which always seemed to help relieve my stress. After reading this article it all makes sense to me how I always felt so much better after doing some type of physical activity. Now that I am in college I still try to find time to exercise. The time that I find to be best for me is in between doing homework because it is a break for me that gets my mind off of my work and also relieves my stress. I can also understand how it depends on the person that participates in physical activity once they reach college. For me it doesn't feel normal if I don't exercise at least a little bit during the week because I am so used to it from playing sports. Your point about people that are obese or females not exercising makes sense because they were probably lazy in high school, so they tend to not change when they go to college.
Exercise is so important!
Exercise is so important! Since I have come to college i have been afraid of gaining the "freshman fifteen" and becoming an inactive college student. In high school I played three sports season every year, for four years. It made such a difference in my mental sanity dealing with school and friends, and it taught me many life lessons dealing with team work and sacrifice for a common goal. I realize not everyone could be on a sports team in college, but exercising just a little bit every day could make a student feel more motivated and better about themselves and their body. More college students need to be aware of the effects that exercise can have on their overall college experience and health.
Speaking from personal experience, daily exercise truly does decrease the amount of stress i feel through out the day. This is a very informative article that all college students should be aware of. It is common for college students to not be active and exercise daily because they are so busy with school work and such. It can be very hard handling all the stresses of school, friends, sports, parents, and many students relieve their stress through substance abuse. Exercise is a positive, healthy way of relieving stress.
Easy fix
I completely agree that exercise is a great way to relieve the stresses in college, even if you don't think you have time for it. I'm not one for going to the gym and running on a treadmill for miles, but there are so many ways that you can exercise. I channel all my stress into swimming, spending even an hour in the pool makes me feel so much better and always puts me in a better mood. But even if it's walking across your campus a couple times a day, or walking into town, something is always better than nothing. College is definitely a stressful time, and because there is so much to do and so much to be a part of, people don't pay attention as much to what they are eating either. Usually women focus more on what they put into their bodies in the first place, rather than have to worry about working it off. Worrying about gaining weight in college is definitely something that stresses people out, sometimes before they even arrive on campus. But setting aside time for a physical activity can help a person handle everything else in their life a little better.


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More information about Cereals
Cereals 2020 will take place on 10th – 11th June 2020.
Cereals is the UK's technical event for the arable industry. Organised by Comexposium, the organisers of SIMA, Cereals benefits from the knowledge and expertise of a global agricultural event organiser, with a knowledgeable and dedicated UK event team.
Over 18,000 farmers, agronomists, and industry experts visit Cereals each year to discover the latest arable innovations, hear from key opinion leaders, and find the best arable products and services to help grow their businesses.
The East of England Agricultural Society will be there with our trailer so make sure you pop by and say hello!


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Justin & Hailey Bieber Wear Oversized Sweaters For Beverly Hills Shopping Trip
Justin Bieber wears a yellow beanie while out shopping on Sunday (May 26) in Beverly Hills, Calif.
The 25-year-old singer was joined by his wife Hailey, as the couple hit up stores like Cartier and Rolex.
PHOTOS: Check out the latest pics of Justin Bieber
Later in the day, Hailey shared a Boomerang video on her Instagram story from inside the studio.
Earlier that day, Justin shared new photos of the couple and a cute little tidbit from their everyday lives.
One of the photo captions, he shared that he was in the studio with his "studio chicka".
35+ photos inside of Justin and Hailey Bieber shopping in Beverly Hills…
Posted to: Hailey Baldwin, Justin Bieber


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Apparently champagne is the drink of choice among international corporate spies. That's one of the take-away's from Duplicity, a new romantic thriller starring Clive Owen and Julia Roberts. They're former government spies carrying on a secret romance while playing out a high-stakes game of corporate espionage. The pair meets in Dubai, but the romance takes off with an extended tryst in what appears to be a luxury suite at the St. Regis Grand Hotel in Rome (it's really a space at Convent of Sacred Heart in NYC). The champagne–mostly the bold Moët Grand Vintage Brut and off-dry White Star –keeps flowing in London and Miami, with champagne corks becoming a signal for a rendezvous.
Duplicity was written and directed by Tom Gilroy, who wore the same two hats on the superb and dark movie Michael Clayton, also about corporate spying — but with less champagne. Duplicity is fast-paced and fun, with a rising tide of dramatic and romantic tension that at turns reminded me of the films Prizzi's Honor, The Thomas Crown Affair and The Sting. Even at the dénouement, there's Dom Pérignon. It's a lovely piece of product placement, which adds to the plot and underpins the ideal of the glamorous life.
But spies and fine champagne have gone together ever since Ian Fleming created the archetypal international spy James Bond. The literary Bond drank Taittinger, but it hasn't been featured on-screen since the Blanc de Blancs was sipped in 1963's From Russia With Love, according to the site Atomic Martinis, which chronicles every ounce of booze consumed in James Bond films. Over the years, the cinematic Bond has been torn between two loves: Bollinger and Dom Pérignon. According to luxury site Bond Lifestyle, Sean Connery turns up his nose when offered Dom '55 instead of the '53 in Dr. No. Roger Moore's Bond comments that the villain in The Spy Who Loved Me can't be all that bad if he serves Dom Pérignon '52. And Moore wishes he had been greeted with a Dom '62 instead of '64 when he gets busted sneaking onto the villain's private island in The Man with the Golden Gun.
In Goldeneye, Pierce Brosnan's Bond pushes a button on the dashboard of his Aston Martin to open a compartment with a bottle of Bollinger La Grande Année 1988 and two flutes. Daniel Craig, the newest Bond, sips Bollinger in both Casino Royale and Quantum of Solace which is available on DVD March 24.


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Sergio Romero must curb his temper.
Premier League clubs have been checking on the giant Argentine goalie who plays for AZ Alkmaar.
He's earned rave reviews with the Dutch league leaders, only to fumble a soft goal recently.
Afterwards Romero, 21, smashed his fist against the dressing-room wall - and broke his hand. He's out for the season. Silly boy.


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Welcome to West Stockbridge Farmers Market
We are busy trying to prepare for the 2020 season in an ever changing landscape and are receiving updates from MassFamersMarket & Mass Dept. of Agriculture on a regular basis. We are happy to hear that since farmers markets are considered an essential part of the local food production and essential to communities they are being allowed to operate. We are brainstorming on what that might look like for us, and for ways of implementing best practices for safety, social distancing, etc. It is our sincere hope that the WSFM will open for the 2020 season and we will keep you posted. Be well and stay healthy.
We wish to thank our neighborsAmy Bretano, the owner of The Foundry at 2 Harris St., who has generously allowed us to
use the Green, now known as The Foundry Green. The Foundry is a fresh, new performance
and visual arts space in the heart of West Stockbridge.
TurnPark ArtSpace and Hotchkiss Mobiles who so kindly offer parking to our visitors.
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Project Description
Johannes Wessmark is a Swedish photo realist painter whose paintings convey a feeling of calm and relaxation. Living in the peaceful countryside of Sweden, Wessmark finds inspiration in the beauty of nature. Water is a recurring theme in his compositions, referencing pleasant childhood memories of summers spent on an island. Often portraying peacefully floating figures, his paintings are as contemplative as they are beautifully executed.
Wessmark is an autodidact whose precise attention to detail has won him accolades through out Europe and the United States. Considered one of the foremost European photo-realist painters, he is included in many private and public collections, such as the Count Ibex Collection, the City of Stockholm, Sweden and the European Museum of Modern Art in Barcelona, Spain.


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After countless technical issues – a catastrophic water loss, faulty equipment, and broken vehicles, among other things – the tree planters put their first trees of the 2013 season in the ground.
The contract is a somewhat unusual one. Massive forest fires devastated large areas of northern Alberta in previous years, and the planters have been tasked to reforest the area. The blocks are covered by the charred remains of burnt trees, which weave together and make moving through the land a sharp and dirty nightmare. The planters are constantly getting poked in the eyes by the skeletal trees, and they are coated in ash and charcoal from constantly rubbing against the blackened branches. The moving is very slow, frustrating, and often painful. The temperatures soar to unseasonable highs and many planters, unused to the elements so early in the season, are incapacitated by heat stroke and exhaustion. To make matters worse, a stomach virus spreads through the camp and many of the planters miss days of work as they are crippled with diarrhea and nausea.
Despite the adverse situation, the planters in the camp are mostly experienced ones, and morale remains high. People are starting to make money, which is what tree planting is ultimately about.


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Well....I am no Dr Phil (wouldn't want to look like that mug anyway)
I was wondering if anyone has any tips for getting her to actually do things with me...
I don't think this is how it usually works. In a nearly two-year relationship, I don't recall a single time where my ex treated me to anything.
I'm 35 single no kids I'm std fre.
she is definitely a goddess!!
We need more of these two
I would like to have a good friend ,woman to dance drinks and maybe im not that John Travolta you looking for but i know how to take care of a woman or my woman or partner or that woman ask and i.
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Comments are subject to our community guidelines, which can be viewed here. Mariah Carey SHOCKS Onlookers In A Sparkly Dress With NO the low cut ensemble, but also because she seemingly had no underwear on!. MARIAH Carey gave fans a glimpse of life onboard her luxury yacht as she posed for pictures in lacy lingerie on the deck.
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Thank you for subscribing. Mariah Carey Oops Moment | Black Panty Exposed Subscribe us at - https://www. ingrandimentodelpene.info In case you didn't notice, wardrobe malfunction happen on the regular for Mariah.
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Post Highlights
DSRRAU PAT Admit Card will be available for the seekers So, just check the DSRRAU PAT Exam date before the exam starts which will appear on www.education.rajasthan.gov.in Admit card official page in the presence of Dr Sarvepali Radhakrishnan Rajasthan Ayurved University Board Officials to conduct the Ayurved University Polytechnic Admission Test for all the eligible seekers. Si, just notes down the given Updates of the DSRRAU PAT hall Ticket which is mostly available from this page.
DSRRAU PAT Admit Card 2019
The candidates who are looking for the DSRRAU PAT Admit Card here is the latest announcements of the Dr. Sarvepali Radhakrishnan Rajasthan Ayurved University. The aspirants can download the DSRRAU PAT hall Ticket on our page, with the links are giving in the bottom of the page. We provide the direct links to download the hall tickets directly. The officials have declared the Entrance test exam date, the board will conduct the exam on soon on his upcoming days. So, the candidates who are waiting for the DSRRAU PAT Hall Ticket can download now, the links are available now in the below description. The interested candidates can apply online within the last date of applying in online. Aspirants can check for more Govt Jobs on this website.
DSRRAU PAT Hall Ticket Download
The board DSRRAU is called as Dr. Sarvepali Radhakrishnan Rajasthan Ayurved University. The organization was conducting the entrance DSRRAU PAT Exam Date to the candidates to offer the admissions in BAMS/BHMS/BUMS & B.N.Y.S. Courses in the State of Rajasthan. Every year the organization offers a lot of admission for the candidates to get them placed in the University. Applicants who had completed their +2 can apply for the exam. The process to download the DSRRAU PAT Admit Card has to fill the full details and log in on the main website. The admit cards are available online only not through the offline mode. The entrance exam dates are out now, we advise the applicants who are going to facing the exam have to start the preparation for the DSRRAU PAT Entrance Exam. To get more details to check our website www.JobsChat.in our website with a detailed description.
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|Organization Name
|Dr. Sarvepali Radhakrishnan Rajasthan Ayurved University
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DSRRAU PAT Exam Pattern
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DSRRAU PAT Admit Card 2019 Download links
Download DSRRAU PAT Admit Card 2019 ( Available Soon)


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Current region: Europe > Andorra > La Massana > Arinsal
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Rental Price750 Euro per object per week
Price includes following expenses
Description of objectFully equipped kitchen with 3 gas burners and one electric hob, fridge, washing machine, dish washer, oven and micro-wave oven, table service for 6 persons, living-dining room with an open fire place, TV, DVD, CD player/radio/alarm clock, 2 double bedrooms with a double bed, 2 double bedrooms with single beds, 1 room with bunkbeds,one bathroom with a shower, one with a bath/shower, hair dryer, central heating with thermostat, private terrace, 2 private gardens, on the North and South side of the chalet, outside BBQ, private parking space for one large car or 2 small ones.
Surface: 112m2 + terrace + gardens + private parking space, total: 700 square metres, capacity: 10 persons
Services nearby (meaning not having to take the car, max. 400m): 4 restaurants, 5 pubs, bread shop, 6 cafés, bank, car rental, a cyber-café, a mineral water fountain, 2 ski rental shops, ski pass purchase, cable car, pharmacy, 2 small supermarkets and 1 disco. None of the above mentioned services are located in or close to the building and thus do not create a disturbance at night. Some of them may close during the low season.
For all details, visit our website http://www.hola-andorra.com/arinsal/english/avellanesgb.html
Location of objectVillage of Arinsal (1'500m), 8 km from Andorra-la-Vella, Andorra's capital.
Things to do all year round near your holiday chalet
Winter: Skiing, Caldea (Europes largest recreational spa), cultural visits, helicopter flights, tax-free shopping, aprés-ski... The resorts of Pal and Arinsal now form a single resort, linked by a cable car and a single ski pass. The Arinsal-ski pass is also valid for the Arcalis ski resort! You thus have a fantastic ski resort right in front of your door step: 63 km of pistes (4 greens, 16 blues, 16 reds and 5 blacks) spread over 700 ha and from 1'550m to 2'560m, 31 ski lifts, 2 ski schools with 140 ski teachers and 350 snow cannons which guarantee good conditions from the beginning of December to the end of April.
Summer: Trekking, Caldea (Europes largest recreational spa), cultural visits, horseback riding, mountain biking, trout fishing, 4x4, golf (theres a pitch & putt 10 min from your chalet and 3 18-hole courses at a 1-hour drive), indoor and outdoor pools, tax-free shopping (8 km) etc etc. There are many fantastic excursions you can do on well marked trails which start right from your door step such as the Coma Pedrosa (2'942m), Andorra's highest peak, the Pic de Médécourbe (2'914m) and many others. What's more, there are 3 free mountain huts at a 1h30min. hike from your chalet as well as 7 mountain lakes! The GR 11 passes in front of your house and the GRP passes just above!
For all the details concerning things to do during your holiday, visit our activities page http://www.hola-andorra.com/arinsal/english/activgb.html
Town: Andorra, Andorra, ArinsalAlthough many people have heard of Andorra with it's kilometres of tax-fee shopping and its five ski resorts, only very few have actually ventured further than the Pas de la Casa or Andorra la Vella where a different world awaits them, still untouched by mass tourism and far away from the main shopping streets: mountains ranging up to almost 3'000m, quiet and beautiful valleys, mountain lakes that contain trout, forests with crystal streams
Arinsal is located amongst this tranquillity, in one of Andorra's prettiest valleys. Arinsal, along with Ordino and Pal, is one of the few villages in Andorra that has kept it's charm without being invaded by huge hotels, mass tourism and the never ending coming and going of coaches. Although Arinsal does get animated during the winter months with a few pubs and discos, the rest of the year, you will just find a peaceful and quiet mountain village.
True, Arinsal is quite a ways from Pas de la Casa and Andorra la Vella. Those only looking to buy cheap alcohol and petrol will not find what they are looking for in Arinsal.
Find out more about Arinsal
Arrival and distancesArrival day: negotiable
Distance to next airport: BCN,TLS,PER,CAR,GRN 180 Km
Distance to next trainstation: Hostipalet près l'Andorre 60 Km
Distance to next motorway: Tarascon 80 Km
Distance to next shop: 0.3 Km
Sport facilities nearbyCanoeing, Climbing, Cycling, Fishing, Golf, Hiking, Horse riding, Mountainbiking, Skiing, Snowboarding, Swimming, Tennis,
Theme of holidays
Total sleeping facilities and distributionTotal number of sleeping facilities: 5
BathroomsNo. of bathrooms: 2
External facilities of object
Internal facilities of object
Machines and equipment
Kitchen facilities
CateringCatering: Self catered (inclusive)
Additional InformationWeekly rental only. During mid and high season: from Saturday to Saturday.
Damage deposit: 150,00 Euros
Cleaning deposit: 50,00 Euros


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from INFIPLAST
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Infiplast celebrates its 30th anniversary!
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Visiting the department of Ain, Arnaud Danjean, LR European Deputy, and François-Xavier Bellamy, LR candidate for the European elections, accompanied by Jean Deguerry, Chairman of the Department, Damien Abad, LR Deputy of the 5th constituency and Natacha LORILLARD , a departmental advisor, visited the Infiplast Biomedical site to discover the professions associated with the production […]Lire l'article
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