"People lose sight that it's a dying patient there."

David Brooks' op-ed in the NY Times:

Some liberals, believing that government should step in as employers withdraw, support a European-style, single-payer health care system. That would be fine if we were Europeans. But Americans, who are more individualistic and pluralistic, will not likely embrace a system that forces them to defer to the central government when it comes to making fundamental health care choices . . .

. ...

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More VA misreporting

Pseudo single-payer VA continues to misconstrue waiting times:

A report released Monday said auditors found VA was understating waiting times by excluding some patients from the count and by claiming that some appointments were late because that was when veterans wanted to be seen, although there was no evidence in the patient files to verify such a claim.

Sen. Daniel Akaka, D-Hawaii, the Senate Veterans' Affairs Committee chairman, called ...

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Great article on how physicians are conditioned to bend over and take it during their training. Too often, that continues into the real world, where physicians' lack of business sense and their "learned helplessness" puts them at a real disadvantage:

Young physicians become so well trained in deferring gratification that many give up on ever getting any meaningful rewards for their sacrifices. With their resilience worn away, many just ...

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Remote ICU care

See it in action.

Bait and switch

One of the five things Dominic Carone can't stand about going to the doctor's office:

With that said, the first thing I cannot stand when I go to the doctor is when they try to do a bait and switch and have me seen by a physician's assistant or nurse practitioner instead of the doctor. Now, I don't have anything against anyone in these fine professions, but when I make ...

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Too many like to dump on free-market solutions for our health care system. David Hogberg points out some of the positives:

Although there are plenty of negative aspects of our health care system to report on and analyze, it is important to every so often emphasize the positive. As of late, there are some very hopeful developments, ones that move our health care system away from one that ...

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Google Health stalled?

Adam Bosworth, the leader of the project, resigns.

The big story from the NFL's first weekend, and the news took a turn for the better yesterday. Did prompt therapeutic hypothermia play a role?

The concept is simple: Neurons have a voracious appetite for oxygen, and when deprived of it, very quickly begin to undergo cell death. So, the theory goes, by dropping the body temperature very rapidly as quickly as possible after an anoxic insult to ...

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Examining the ears

Following up his detailed look at the eye exam, Dr. Rob next looks at the ears.

Nissen pumps up Actos

Steven Nissen, who has received research support from Takeda, authors a positive Actos study in JAMA.

Long lists of "allergies" can sometimes interfere with treatment:

The problem with "allergies that aren't allergies" is that sometimes the "allergies" can prevent you from giving a medication that the patient really needs. What do you do with a patient who has allergies to multiple antibiotics and who comes in with septic shock? If you give the patient something they are "allergic to" and there is a bad outcome, ...

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More controversy on the BRCA genetic test:

"I'm really concerned about the message because it will excite fear and anxiety," says Shelly Cummings, senior genetic counselor in the Cancer Risk Clinic at the University of Chicago. "Although it will start conversation with a genetic counselor, I'm afraid of the psychological effect this TV campaign will have."

Dr. Stephanie Hines of Mayo's Multidisciplinary Breast Clinic and Breast Cancer Program ...

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Genetic tests for cancer

Companies that profit from the overzealous use of unnecessary screening tests:

Critics say that advertising such a complex screening test to the general population might create unnecessary anxiety among women and lead to overuse of the test, which costs $3,120.

"It really preys on the fears of our society, and one of those fears is getting breast cancer," said Ellen T. Matloff, director of cancer genetic counseling at ...

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Why is everybody so angry?

One one corner, The Angry Pharmacist vs The Angriest Pharmacist.

Now, is Angry Doctor getting ready to face off with The Angry Doctor?

Brand name antibiotics

With few exceptions, generic antibiotics are appropriate for most cases. Some doctors are not getting that message.

Convergence insufficiency

A difficult diagnosis that can be mistaken for autism.

iPods and pacemakers

Dr. Wes looks closer at the association.

Finance Physician looks at the pros and cons of the military paying for medical education.

An interesting comment by a colleague on the cardiologist accused of hitting a patient during a cathetherization:

Having been called to the cath lab on several occasions to intubate his patients I can say that this report does not surprise me and is completely consistent with past behavior (though he never struck anyone in my presence). I'm quite sure he refrained from striking me only because of my size and ...

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