Dr. Crippen suggests that mothers who freebirth are opening themselves to lawsuits:

The controversial NHS doctor who writes an award-winning blog under the pseudonym "Dr Crippen" has proposed that at some future point women will be sued by their (damaged) offspring for having had a home birth (let alone an unattended one).

John Mack suggests that less may be more in Gardasil's case.

He's live-blogging his malpractice trial. Jury selection is the topic of the day:

Attorney Lunt eliminated six jurors with preemptory challenges. All were men and all were college-educated. We challenged two. Both were women. One sounded like she might accept the "Flea is a blithering idiot" argument. The other suffered from the disease that killed Flea's patient. That left nine women and five men (Flea realizes this sum makes ...

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Insightful analysis linking the Zubillaga scandal and AstraZeneca's purchase of MedImmune.

Blame managed care, says retired doc:

The time and money crunch basically brought about by managed care is a major driver in dwindling trust. Less time with the patient can only be bad. Missed or incorrect diagnoses for the individual patient impacted by it has to be one of the biggest trust busters possible. A hurried encounter with your doc leads only to the impression that he does not ...

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The Cheerful Oncologist talks about a tragic incidence in Canada.

Implementing the Massachusetts'-style individual mandates, or failing that, at least covering the children. Sounds good to me - individual mandates are definitely the way to go.

Wal-Mart clinics

From Wal-Mart's senior director health business development on clinics within the store:

. . . keeping customers out of emergency rooms makes sense for Wal-Mart, whose lower-income shoppers are being squeezed by high gasoline prices and a slowing housing market.

An unexpected emergency room trip could drain a shopper of dollars they would otherwise spend at Wal-Mart, he said.

The BMA says no.

Well, just take a look at what's happening to medicine. Also note how medical costs for pets have remained steady despite similar technological advances:

Pain and suffering awards would also boost malpractice suits against vets, making care more expensive and less accessible, just as big lawsuit awards have done to our own health care. American doctors, burdened by nearly $30 billion a year in malpractice insurance premiums, practice "defensive" ...

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Interesting case. A doctor is sued for overtesting (defensive testing, if you will). Complications from a questionably-indicated colonoscopy leads to aspiration pneumonia and death:

When 59-year-old Judith Dill went to Naples Community Hospital for bilateral total knee replacement surgery in 2003, the operation was successful and she was beginning to walk.

But while still recovering in the hospital, she felt nauseated and began vomiting days, prompting a ...

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Considerable cost savings:

To examine consequences of beneficiaries making their own rationing decisions, my colleague Andrew Rettenmaier and I estimated the effects of creating reformed Medicare based on a $5,000-deductible Health Savings Account (HSA), beginning with the baby boomer retirees. The size of the deductible and the HSA would grow through time (as health costs grow), and since deposits would be made with after-tax dollars, withdrawals for any purpose would ...

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An op-ed in the WSJ about how the Democrats are being outmaneuvered on health care:

How goes the cold war? We refer to the never-ending twilight struggle between advocates of socialized medicine in America and those who believe economically competent Americans should be required to budget and save for their own health care, as they do for the rest of their personal consumption . .

. . . Republicans, ...

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Peter Rost sheds more light on Big Pharma and "speaker utilization". (via Health Care Renewal)

This was the controversial treatment earlier this year where parents had their daughter undergo experimental surgery to keep her small. Apparently the hospital didn't dot every i:

Now, the hospital admits it broke state law by not making sure the court order was obtained and allowing the surgery to proceed.

According to a report released Tuesday by a non-profit advocacy group, Ashley's constitutional and common-law rights were ...

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Dr. Crippen with his latest update on the government-run NHS.

This time from IV colchicine. Was it the fault of the clinic or compounding pharmacy?

Pressure to crack down on DTC drug ads are causing advertisers to run scared.

Flea has been doing some great blogging about his upcoming malpractice trial. Attorney and med blog reader Eric Turkewitz comments on the risks of this:

In opening the door to the legal sanctuary however -- that is, the special place where all contacts with one's lawyers are protected -- he is running two giant risks:

First, if his cover is blown and plaintiff's counsel finds out he has ...

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Hospitals are really caught between a rock and a hard place when it comes to prices. Faced with decreasing revenue, they are also pressured to lower prices.

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