He's sure that his competitors may disapprove of Running a hospital, but won't say so to his face:

This blog is subject to disdain by my colleagues in some other hospitals. Really. You can see it on their faces when the topic is raised in their presence. They are deeply offended by it and think it unacceptable for the CEO of a Harvard hospital. Of course, they have never ...

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The weekend's approaching, and it's time to lighten the mood around here. Enjoy the parodies.

"Mr. Will This Be On The Exam Asker"

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"Mr. Really Bad With Children Guy"

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A recent study disputes the claims the VA has made regarding quality. Another hit for those who support "VA for all", or Government-run health care:

The agency has touted how quickly veterans get in for appointments, but its own inspector general found that scheduling records have been manipulated repeatedly.

The VA boasted that its customer service ratings are 10 points higher than those of private-sector hospitals, but the ...

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The outspoken NH physician nominates himself for Dean of Harvard Medical School.

Well, not really.

Cuban medical care

More on Michael Moore's misguided efforts to impose Cuban-style health care here:

They sterilised and reused urinary catheters until they fell apart. They reused absolutely everything, even washed and reused surgical sponges. Our team had to fix their sterilisation units as they were not working well and DID not adequately sterilise anything. Their OR suites were not negative pressure ventilated. Nurses were not pro-active. ...

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This surgeon suggested that they go to Texas for their procedures:

Dr. Peter S. Hedberg, an Oklahoma surgeon who practices in Durant, said he will not treat legislators who voted against the bill and suggested they go to Texas for surgical procedures.

Unless it is an emergency, Hedberg said he will "never again accept anyone as a patient who has voted against lawsuit reform. They can go to Texas ...

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Steven Levitt writes on the recent study suggesting a majority of parents decide to abort when faced with a diagnosis of Down Syndrome:

I suspect, though, that many parents of children with Down Syndrome would say that raising that child is incredibly rewarding. As a parent, I have found that the greatest pleasures are in watching your child achieve a goal. It doesn't matter what; it can be anything. ...

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A reason why drug importation isn't working:

Perhaps an even bigger point is that huge numbers of Americans don't even pay for their drugs, but rather farm out their bills to an insurer. That's even more the case now that seniors are getting their drugs through Medicare. Joseph Bruno, the former Republican minority leader in Maine's legislature and now full-time CEO of a chain of pharmacies in that state, ...

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There's nothing to lose, suggests this letter:

In such cases the term "side effect" becomes a hilarious, though cruel, joke. The "side effect" from denial of treatment is further painful decline until death. When victims have reached this hopeless stage of disease or injury, the application of another untried, but potentially powerful, therapy is a golden opportunity to assess possibilities of the therapy.

Darshak Sanghavi tries to calm to hype on angioplasties for stable coronary disease in light of recent data. (via Kidney Notes)

Eloquently and powerfully stated:

In addition to being impractical, this principle differs from the common sense morality that we in fact adhere to. We acknowledge an obligation to help the needy, but that obligation is unconditional only in certain circumstances: with family-members, people we have previously agreed to help, or certain kinds of immediate need that appear in our presence"”such as the child drowning in a puddle as we're ...

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The veto showed the power of the trial lawyers:

For a case study in the political power of trial lawyers, consider Oklahoma. The public wants tort reform, the state Legislature wants it, and even Democratic Governor Brad Henry claims to want it. Yet that didn't stop Mr. Henry from recently vetoing an impressive reform bill at the urging of his plaintiff lawyer funders.

Oklahoma sure needs something. The ...

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Viagra and the mob

A neurologist gives a mobster Viagra samples, and faces up to a year in prison. (via Peter Rost)

For those who don't know me, I am an avid table tennis player. So this story caught my eye.

Players often use speed glue to glue their rubber to their paddle, resulting in more elasticity, increasing the speed and the spin. The problem is that the effect wears off after a few hours, so companies have been trying to manufacture longer-lasting speed glue. Unfortunately, ...

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Creators of the poster-child for prescription drug abuse gets their just desserts:

Purdue Pharma L.P., its president, top lawyer and former chief medical officer will pay $634.5 million in fines for claiming the drug was less addictive and less subject to abuse than other pain medications, U.S. Attorney John Brownlee said in a news release.

Purdue learned from focus groups with physicians in 1995 that doctors were worried ...

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ER crisis

It's hard to make noise when the alarms are already ringing. ER physician and Robert Wood Johnson health-policy fellow Arthur Kellerman tries.

Barack Obama gives fatigue as a reason for his "10,000 deaths" slip-up. Volokh says campaigning for President is indeed tiring. But it should be, as Glenn Reynolds points out:

Of course, being president is tiring too, and one of the arguments for a grueling campaign season is that it weeds out people who don't function well when tired.
Makes me wonder what kind of surgeons we're going to ...

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A psychoanalyst laments the disincentives for the next generation to enter medicine:

A smart health care system would offer powerful financial inducements and rewards to those of our children who enter Medicine. Instead, we are conveying the message to our young and future Doctors that they can expect to leave school with loans in the six figures and with increasingly onerous limitations on their ability to do good ...

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It's called the VA:

A shortage of surgeons, nurses and auxiliary staff has created a backlog of 500 patients awaiting orthopedic surgery at the Veterans Affairs Medical Center in La Jolla, a surgeon who works at the hospital said Tuesday.

In some cases, those patients must wait as long as a year and a half for their surgeries, orthopedic surgeon Mark Murphy said, in response to questions from the ...

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