Richard Reece interviews . . . himself, and talks about health care reform:

Q: Any other myths?

A: Yes. That somehow federally-run top-down care will be more even-handed, equitable, and fair to all. As a matter of act, centralized government is a lousy way to distribute resources. Take Medicare. Its payment schedules are so low and convoluted in paying primary care doctors, that primary care is on the ...

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Scott Gottlieb explains the folly of this:

When it comes to trying to manage drug risks and encourage safe prescribing, the FDA has plenty of reason to worry about how drugs get used. Many practitioners have a hard time explaining remote risks to their patients, and many patients a harder time understanding them. But the FDA can't rationalize the diversity of peoples' medical decision-making or the fact that some ...

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Ah, the wonderful smells of the emergency room.

Autism rift

There is dissension in Autism Speaks, a major charity and voice for the disease.

I'm surprised it's still there.

A diabetic, oxygen dependent patient with ALS calls 911 for seizures. Officers kick down his front door and tasers him in bed.

Texas tort reform

How it affected four people: a physician, a plaintiff's lawyer, a grieving family, and a grateful patient. Here is the physician's perspective:

Dr. Altstatt "“ who's 38, a native of Tennessee, a graduate of Pennsylvania State University and a father of two "“ considered job offers from Pennsylvania to Mississippi after finishing his residency.

The fact that Brownwood, population 19,000, is small was a plus, he said. ...

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Not according to those who live there:

A Commonwealth Fund survey said Hawaii has the best access to health care in the country, primarily because of a high number of residents with health insurance. But the study didn't consider availability of doctors, Hawaii Medical Association members say.

"If we don't have doctors available to see them, what good does insurance do you?" said HMA President Linda Rasmussen, a Kailua ...

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Dr. Wes takes a look at a slyly-designed marketing site from a medical device company:

Like industry-paid ghost writers in medical journals, this new tactic is disturbing. Has Atricure has used a website developer and gullible patient to ghost write the marketing of their medical devices? Worse still, could this patient who has had a stroke (or transient ischemic attack) and might be at high risk of recurrent stroke, ...

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NY Times in depth about the quandary of treating chronic pain:

McIver was a particularly aggressive pain doctor. Pain can be measured only by how patients say they feel: on a scale from 0 to 10, a report of 0 signifies the absence of pain; 10 is unbearable pain. Many pain doctors will try to reduce a patient's pain to the level of 5. McIver tried for a 2. ...

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After 32 years, this doctor seems to gives up:

I am totally disillusioned with medical practice and all the hassles associated with trying to care for patients. Let's go down the list:

* The government and health insurers blame doctors for overcharging patients.
* The legal profession blames doctors for practicing poor-quality medicine"”while these same lawyers are getting rich off the system.
* ...

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. . . when you start getting Avandia spam.

Stanley Feld takes Nissen to task:

Dr. Steven Nissen's recent paper promotes the distrust of the medical profession and its regulators. The medical profession did not have a chance to evaluate this evidence before it was prejudged in the media. Dr. Nissen has been on network and public television and radio multiple times. Sensationalism in clinical research only serves to decrease the confidence of the public for the value ...

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This guy is pretty inspirational and reminds us of the things we take for granted.

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The Eyes Have It

Graham on expressing emotions through a surgical mask.

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JNJ BTW

Johnson & Johnson is fighting back with their own blog. Pharmalot and HealthcareVox with coverage.

Reimbursing time

Bingo:

Technologically advanced and costly treatments save lives, but their allocation needs to be made sensibly and not to the detriment of old-fashioned talking and listening between doctor and patient.

Patients want and deserve this time-intensive care, and although it can often be ultimately cost-saving, it will not be the norm until the financial incentives reverse themselves.
(via Shrink Rap)

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Anecdotal health care horror stories seem to sell the public. symtym with a couple more from the UK.

Sleep MD

The Angry Doctor takes this supplement apart.

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