Paul Hsieh with an op-ed, giving the TennCare disaster as an example of government intervention failing:

The Tennessee government initially offered a generous benefits package. Predictably, costs skyrocketed because patients had no incentives to spend prudently. In response, the government attempted to control costs by slashing payments to doctors and hospitals.

Hospitals closed and doctors left the state in droves. Many doctors who remained stopped seeing TennCare patients since ...

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Medgadget takes a look at some of the medical words used to narrow the field.

Should we be surprised at what she finds? (via Health Care Renewal)

Some say following the DASH diet for hypertension is almost the equivalent of being on a blood pressure medication. Problem is, no one is following it:

"Few adults with known hypertension follow the DASH diet," said Dr. Mellen. "We appear to be going in the wrong direction. The dietary quality of hypertensive adults has deteriorated since the DASH diet became incorporated in the national guidelines."

MedPage Today with more on the Speaker XDR-TB case.

"Who cares?", says Nortin Hadler. I'm sure a few endocrinologists would take issue with that:

I have practiced medicine for 40 years. I have never prescribed a pill to lower blood sugar. I still see no reason to do so. If I am disadvantaging my patients, it's to a trivial degree at most. However, I know I am sparing them known and unknown hazards.

And I won't ...

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Is the CDC above the fray?

Exceeded $1.1 billion last year in California:

Mehlman said Los Angeles County, especially, should not be partnering with the consulate to provide health services. "The county is broke, they are cutting back on services, they are closing emergency rooms, yet they are dreaming up new ways to provide benefits to illegal aliens," he said. "It's lunacy."

Health services to illegal immigrants in Los Angeles County cost the Medi-Cal program nearly ...

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That is what a lawsuit against a health plan is alleging:

The suit claims that discrimination in how new patients were assigned to doctors coincided with the group's running a deficit of about $3.5 million in 2005.

"On several occasions the employer's ob/gyn management stated that male doctors do not attract patients and that HVMA needed to hire young female doctors to attract new patients and increase patient ...

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I think it's safe to add "Don't blog about your trial while it's going on," to this list.

Turned out to be an elaborate hoax.

TV executives, for one:

I do know of some people, however, whose lives would be gravely endangered if DTC advertising were restricted or limited: TV executives. It is no secret that the networks have come to depend very heavily on pharmaceutical ad dollars, particularly the evening news broadcasts. I remember seeing a list not long ago of the top ten advertisers on the three big networks' nightly newscasts. Twenty-nine ...

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Graham and Panda

Two bloggers at opposite ends of the political spectrum. To my surprise, Graham actually agreed with most of Panda's points on health care.

Regina Herzlinger:

"The US health-care system is in the midst of a ferocious war. Four armies are battling to gain control: the health insurers, hospitals, government and doctors," she writes at the start of her new book, "Who Killed Health Care?". Then she moves in for the kill: "Yet you and I, the people who use the health system and who pay for all of it, are not even ...

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Sid Schwab with parts eight and nine.

Are we seeing the slow elimination of a generation of physician-bloggers?

Complaints to the hospital have shut down Trench Doc.

The medical blogosphere is going through some growing pains as physicians are trying to determine what is appropriate to blog. As you can see from the Flea ordeal, pseudonyms are no protection.

Until the medical establishment decides to join the 21st century and earnestly accepts ...

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Endocrinologists and diabetes specialists view Nissen's study with skepticism. He lashes back:

"The diabetes specialists have a very big problem with cognitive dissonance," he says, in that they have to justify why they have been prescribing Avandia. "A cardiologist tells them this drug is dangerous, and no doubt that there is some pushback. But I believe the results we have reported will stand the test of time."
(via ...

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Derek Lowe analyzes GSK's response and says they have a pretty strong case:

My take on this is that the company has a pretty strong case so far, certainly strong enough to wait for the ongoing trials to settle the issue. What never fails to disappoint me, though, is the way that stories like this are jammed into ready-made templates. Depending on the editorial writer, the appearance of the NEJM ...

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ABC News with what he is likely to go through:

Thursday, doctors at National Jewish planned to try two more antibiotics against the extensively drug-resistant disease -- one oral, the other an intravenous injection.

Dr. Henry Boom, director of the tuberculosis research unit at Case Western Reserve University School of Medicine, said such a "cocktail" is a common strategy for a resistant case like Speaker's.


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CNN's Sanjay Gupta says it should be a wake-up call:

More than anything, I think this one case reflects deeper failings in our public health system. What if there were ten cases, instead of just the one? What if it were smallpox or a bioterrorism attack? Are we ready?

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