Wednesday, March 31, 2010

Compulsory medical insurance -but not until after the next presidential election

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Front load some of the benefits, back load the costs and the compulsions, put them all together in a behemoth sized bill of mind boggling co...
Sunday, March 28, 2010

As business realize Obamacare will cost them,congress will demand what?

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Henry Waxman appears angry (see here ) that CEOs of corporations dare tell the public that they will loose money from Obamacare and will ...

at least one country does its part for the earth and celebrates earth hour every night

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Earth hour,"celebrated" each March 27 (see here for details) has come and gone for this year. Celebrants will not have wait anoth...
Wednesday, March 17, 2010

So who will do well and who will not as the Medical Care "reform" is enacted

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A recent poll of U.S. physicians was published in the NEJM,(see here ).About 46% of primary care physicians indicated they would leave prac...
Sunday, March 07, 2010

Just a few reasons why meta-analysis may sometimes not advance our knowledge or understanding

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Dr. David Rind in his blog "Evidence in Medicine" tackles an issue that has bothered me for some time.See here .That issue is, in...
Friday, February 26, 2010

So far carotid endarterectomy looks better than carotid stenting

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"So far" here means according to the results of the interim analysis of the International Carotid Stenting Study ( ICSS ) surg...
2 comments:
Tuesday, February 23, 2010

Why is the Avandia issue being raised again?

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Dr. Mintz offers a good re-review of the literature behind the controversy regarding rosiglitazone ( Avandia ). Avandia has been in the ...
8 comments:
Sunday, February 14, 2010

If medical care costs "too much" easy fix is price controls?

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The Massachusetts health care plan facing costs greatly in excess of previously advertised ( fantasied?) cost projections can be fixed, acc...
Thursday, February 11, 2010

Statins in drinking water? not quite yet, but CRP for lots of folks?

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The JUPITER trial was a great boost for Crestor and the use of the hs CRP and now the FDA gives approval for wider use of at least one st...
Tuesday, January 26, 2010

Enactment of Comparative Effectiveness Research -Libertarian Parternalism or Orszag type coercion

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An excellent commentary by Dr. Jerome Groopman can be found here . It which offers a very thoughtful analysis of a number of issues rela...

Interesting new term-"Insurance free medicine" That may be what we need.

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Go here to read a very interesting and thoughtful commentary by an academic internist whose thoughts I have quoted before.Dr Matthew Mintz...
2 comments:
Monday, January 18, 2010

Toronto ACP meeting to offer mini-courses in minor surgery-what is that about?

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I recently received a copy of the advance program for the April 2010 scientific meeting of the American College of Physicians ( ACP ). On pa...
11 comments:
Thursday, January 07, 2010

If Mayo Clinic loses money on Medicare , what will the "average" internist do?

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While the AMA and the ACP seemingly see better things ahead ( I assume they do because of their support for a bill whose particulars still ...
1 comment:
Tuesday, January 05, 2010

Why does the AMA support senate and House health insurance bills?

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Several blogs have taken up the issue of the AMA 's support of the health insurance bills currently sliding behind the scenes through Co...
Wednesday, December 30, 2009

More counterpoints to the Dartmouth Atlas data

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This article from the journal Circulation provides data and analysis that at least suggests that the sweeping conclusions of the Dartmouth ...
3 comments:
Tuesday, December 29, 2009

Will long term endurance exercise prevent your telomeres from shortening?

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I hope so and here is some evidence suggesting long term endurance exercise may mitigate the aging process which is part seems to be due t...
Monday, December 28, 2009

Is everyone talking about the same health care bill?

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Apparently John Goodman on one hand and the American Medical Association and the American College of Physicians on the other are interpret...
Thursday, December 24, 2009

It seems very likely than warfarin's days are numbered

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The oral, direct thrombin inhibitor, ximilagatran for a while seemed to be poised to be the replacement for warfarin . Early trials indica...
3 comments:
Friday, December 18, 2009

Will CRP(c-reactive protein) become a cocktail dinner conversation?

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The answer to the title question is "probably yes" if the FDA concurs with the recent recommendation of its advisory committee i...
2 comments:
Friday, December 11, 2009

What do we really know about Tamiflu and flu?

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The latest word ( but likely not the last) on the use of the neuraminidase inhibitors ( Tamiflu and Relenza ) comes from the Evidence Ba...