In the United States, the patent protection process — as it relates to the drug industry — has been distorted by the political system, intense lobbying and large campaign contributions. The result has been pricing contrary to the greater good of the nation. Patents originated in ancient Greece. This legal protection assumed greater importance in 15th-Century Venice as a means to protect the nation-state’s glassblowing industry. The first patent granted in ...

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My daughter and I were talking the other day and saying we would like to ask a doctor what his thoughts are about all these ‘natural’ remedies that are available. Recently a friend made the remark, ‘I do everything I can to avoid a doctor.’ I lean more toward the medical system and the knowledge they have acquired over the years rather than relying on these home remedies. What are ...

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“Our son doesn’t get the flu shot, no one in our family does,” she said, with some emphasis on the "no one," inviting me to take a swing. Anticipating futility, I reminded myself that our pediatrics clinic was already forty-five minutes late. This was a scrap better deferred. “Alright,” I said flatly as I moved on with the encounter. This was of course not explicitly, but indeed, implicitly, approving the mother’s ...

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Rachel had a fair question, and I really haven’t answered it yet:

My daughter and I were talking the other day and saying we would like to ask a doctor what his thoughts are about all these "natural" remedies that are available. Recently a friend made the remark, "I do everything I can to avoid a doctor." I lean more toward the medical system and the knowledge they have acquired over ...

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We are currently in the midst of the worst drug crisis in American history. A crisis that killed more than 33,000 people in 2015. Currently, an estimated 2.6 million people are addicted to opioids. As an internal medicine doctor, I deal with pain, addiction and opioid overdoses on a routine basis. The current epidemic that is sweeping across our nation, is deeply concerning. The U.S. Surgeon General recently spoke about the epidemic ...

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As an infectious diseases specialist married to a pediatrician, I am going to propose, in most unhumble fashion, that I have the ideal perspective to assess the worthiness of vaccines. So when Robert F. Kennedy Jr., a notorious anti-vaccine crusader, announced that he was under consideration to head a government commission on vaccine safety and scientific integrity, and is planning to step away from his environmental job to take that post, I ...

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I spent many sleepless nights in the months after my son’s autism diagnosis fretting whether I could have done something to prevent it. I recounted, in obsessive detail, the course of my pregnancy, the birth, and the two years of child-rearing that led to the moment when our pediatrician confirmed my fears -- and life as I’d known it tilted off its axis. In my spare waking hours, I pored ...

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The health care system has been devastated by the opioid epidemic. Addictive opiate medications have not been shown to benefit patients with chronic pain, yet they are the most prescribed pills in the United States. As a pain management physician, I have seen opiates, when in the wrong hands, destroy lives. As doctors and health care organizations scramble to treat more than 2 million Americans suffering from opioid addiction, drug companies ...

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He came in for his routine yearly visit with me, stable for the most part in that he was living with his chronic psychotic illness and moving through the world in a fairly normal, logical way most days. He was in his mid-twenties, neat and clean. He was attending to his personal hygiene and wearing rumpled but passable casual clothes. His hair was combed, but it had not been cut ...

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On June 30, 2015, California’s Gov. Jerry Brown signed into law Senate Bill 277 (SB277), which tightened requirements so that parents could no longer opt out of vaccinating their children if they were attending state licensed schools, daycares, and nurseries. Dr. Richard Pan (D-Sacramento), a pediatrician, sponsored the legislation, which quickly became a nationwide litmus test on the debate over personal liberty versus public health in the aftermath of the large, ...

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