Merck will cut 7,000 jobs. Note to the Texas Vioxx jury: Consider the message sent.

The exodus of nurses and doctors from the Philippines has left the country's own health system in a state of near collapse. For no charge, I will offer my solution - pay higher salaries:

But above all, the study found, salaries were a major factor, averaging $3,000 to $4,000 a month, compared with $180 to $220 a month in the Philippines.

More on the rising C-section rates. "Locally, doctors say C-sections are definitely more prevalent than they were several decades ago, and they agree that malpractice lawsuits and concerns about vaginal births after Caesarean sections are major reasons why. But they downplayed mothers' desire to schedule births as much of a factor."

"Why should I care about how much my doctor has to spend for insurance? Doctors make WAY more than I do, so can't they afford it?" "In Chester County, PA, there isn't a single fulltime neurosurgeon on staff at any of the county's five hospitals, which serve 450,000 residents. There used to be six fulltime neurosurgeons in the county - before rising premiums drove them to other positions and other ...

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Good for business: "Ms. Bennett has had the nerve to apply for a job seven miles from home, to avoid what can be a four- hour commute to work in Washington should there be rain or rubbernecking. She wants to be close if her kids get sick, or even to have lunch with them sometimes. She gamely shared her story with me about how she wants a new job--and ...

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Kidney swap: "They were strangers who shared a dire dilemma: two women whose husbands each needed a kidney but who could not give one of their own to their spouse.

After being brought together by a hospital and arranging a swap in which each woman donated a kidney to the other's husband, they planned to share Thanksgiving dinner on Thursday to celebrate the arrangement that saved two lives and ...

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"Fat people continue to be perceived as greedy and indolent pariahs, who refuse to exercise any self-control over their eating habits." Commentary on the NHS' decision to restrict surgery to obese patients.

Intervening "pre-code": "Howell hopes the team will prevent delays like one he described to the Beth Israel Deaconess board of directors last month: Doctors admitted an elderly man to the hospital for gastric bleeding. When his systolic blood pressure dipped into the 80s, his nurse and an intern gave him intravenous fluids to push it back up to normal range. His pressure climbed back into normal range. Over the ...

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The toothache: A common ER scenario - a tragic outcome. "For more than a week, his family says Larry bounced between his dentist and the emergency room.

'There was a conflict between whether it was a dental issue or a medical issue,' said Larry.

Larry says his brother eventually checked into Shands where an abscessed tooth was removed. The family thought it was over but by week's ...

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Some doctors worry that the growing availability of PPIs will mask some signs of esophageal cancer.

"Sheep have more rights" than TennCare enrollees. "Bridges' case shows why the TennCare cuts are so unfair and so outside the values of Tennessee. She has lived a contributing life. She raised her kids and now they are contributing. She represents Tennesseans who are paying taxes, and our government says "no" to them in their time of need. And like thousands of Tennesseans, she has had to be battered by ...

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New Orleans health care is still in dire straits. "At the emergency room at Oschner Clinic Foundation in neighboring Jefferson Parish, visits are up 35 percent over this time a year ago, the number of uninsured patients has tripled and some wait as long as 10 hours for care, emergency chief Joseph Guarisco said.

But for most of the 25,000 clean-up workers -- many of them uninsured -- ...

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A lot of times they have no choice: "Three Los Angeles hospitals regularly put discharged patients with nowhere to go into taxicabs bound for skid row, hospital officials acknowledged this week.

Officials at Hollywood Presbyterian Medical Center, Kaiser Permanente West Los Angeles and Martin Luther King Jr./Drew Medical Center said the practice is necessary because skid row is the only place in Southern California with a concentration of social ...

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A reader asks me to comment on the hockey player who suffered a seizure. Dr. Centor has already written an excellent analysis of this.

A teenager with a peanut allergy has died after kissing her boyfriend who had eaten a peanut butter sandwich hours earlier.

From alcoholic to Physician of the Year.

The sleep drug market is about to get a whole lot bigger. "The $2.5 billion U.S. insomnia market is expected to get a whole lot bigger starting in the second half of next year . . .

. . . A massive ad campaign - one analysts compare in magnitude to those for Viagra and Lipitor - is expected to follow six months after the initial rollout of Indiplon."

A lump in the breast: Biopsy everything.

Private MRI clinics in Canada are luring away techs from the public system. Money talks.

The malpractice case of a decapitated baby during delivery has been settled. (via a reader tip)