Take the celebrity quiz. When you're finished that, you can take a look at facelifts for dogs.

Panda should know. He compares the health care with the military:

Consider the American military in comparison to the typical European military. The American military is an expensive, technologically sophisticated organization that is twenty or thirty years ahead of anything the Europeans can field . . .

. . . A primary care military with conscripted soldiers who don't expect to do much is fairly inexpensive and looks ...

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So says Edwin Leap. Just please don't tell me that health care will be free:

Even health-care in the purest idealized socialist system, in the most European, Marxist based, Castro-modeled, academic leftist dream-scape, won't be free. Get this: health care can't be free.

It can be free to the people who receive it, provided they are low enough on the economic scale. But to ...

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Breast augmentation

The #1 cosmetic procedure. A plastic surgeon explains why:

It's likely that the increasing number of women having breast augmentation is partially due to the strong economy (in everywhere but here in Michigan) and the fact that silicone gel implants were approved by the FDA in November. These implants are so superior to the saline implants in appearance and feel that I am now finding more women opting ...

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A sicker population, and a fee for service reimbursement system are driving factors. Want to solve the problem? Go back to capitati . . . oops, already tried that.

Scott MacStravic clearly identifies the reasons.

I'll trade my Avian Flu for your Hantavirus card. (via Women's Health News and Medgadget)

Physicians in France make about $55,000 per year. Can that be realistically applied here?

France reimburses its doctors at a far lower rate than U.S. physicians would accept. However, French doctors don't have to pay back their crushing student loans because medical school is paid for by the state, and malpractice insurance premiums are a tiny fraction of the $55,000 a year and up that many U.S. doctors pay. ...

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Yes, it sounds good. But, be careful what you wish for:

Furthermore, establishing a Health Insurance floor, as any UHC system must inevitably do, will encourage suppliers of Tier 1A care to edge toward Tier 3 care (since Tier 2 will be slowly disappearing.) Since Tier 1 and 1A effectively support the bulk of innovation in Medicine, this movement will further constrict the moneys available for difficult ...

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Beginning of a slippery slope? (via Medpundit)

iPhone

Finance Physician looks at some reasons not to get one.

Direct admission

Sometimes, it's not so simple.

JAMA and drug ads

JAMA editor Catherine DeAngelis calls physicians on speakers bureaus prostitutes.

Most physicians want a moratorium. I'll go one step further and say they should be banned.

Thankfully, their strategy to shift liability failed:

In a setback for drugmakers, the West Virginia Supreme Court of Appeals ruled that pharma can't escape liability for harmful prescriptions by blaming problems on the docs. At issue is the notion of'learned intermediary,' which says a doc presumably has enough info to make a prudent prescribing decision, absolving a drugmaker of any subsequent problem with a patient.

retired doc on the effects of limiting residents' work hours:

Do we not learn in part by making errors in an environment where we are buffered and protected by our mentors and more senior colleagues? How will this cohort of residents fare when they are truly out on their own and there will be no team to hand off to when they have been up most of the night ...

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Doctors as deities

Paul Levy explores this further, and compares physicians to celebrities and sports figures:

All of this suggests a tremendous ambivalence about the profession and those in it. It's really not that surprising. It is inherent in any position of power and influence and prominence and perceived wealth. We admire our political, commercial, and sports heroes but also are quick to call them bums and crooks when they don't meet ...

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ER docs sometimes lament hospitalists asking for a complete workup. Well, The Angry Doctor fires back:

So it's just as easy for me to make disparaging remarks about the ER's complete lack of motivation to diagnose (DISPO DISPO DISPO... the mantra goes, right?) as it is for these ER heads to lament how lazy primary care docs have become. Why all the intellectual; dishonesty? We all know the ...

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The Joslin Clinic, Walgreens, and Eli Lilly are all sponsoring a rookie NASCAR driver.

Over 10 percent of families say their loved ones entered hospice care too late:

There was a strong association between people who said their loved ones were referred to hospice too late and also reported dissatisfaction with the quality of care.

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