An excerpt from Why Some Things Should Not Be for Sale: The Moral Limits of Markets. by Debra Satz

Sometimes what critics of pregnancy contracts have in mind is not the effect of such contracts on the relationship between reproductive labor and a woman’s sense of self, but their effect on her views (and ours) of the mother-fetus and mother-child bond.

On this view, ...

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Vitamin D seems to be all the rage in medicine these days. A family physician colleague commented to me recently that the laboratory test for vitamin D deficiency is becoming the most frequently ordered test in his practice. This clinical bandwagon is likely a response to data from multiple recent studies that found low vitamin D levels in the majority of children and adults of all ages. While vitamin D has ...

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There is no class of medications in the history of the world that has been better studied that statins. This class of drugs is more properly termed HMG CoA reductase (3-hydroxy-3-methyl-glutaryl co-enzyme A reductase) inhibitors, but with a name like that a terser nickname is almost mandatory (the name statin comes from the suffix of the members of this class: lovastatin, pravastatin, etc.). Simply ...

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by Lone Hummelshoj Earlier this year, we finished a month dedicated to women and mothers. In the U.S., we celebrated "National Women's Health Week" and before it Mother's Day. One study suggested Americans would spend a total of $14.6 billion in May alone to honor our mothers. And we should honor our mothers! However, for millions of women with endometriosis, motherhood is elusive. In fact, an estimated ...

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Assumptions are ubiquitous. Neither patients nor physicians are exempt. Sometimes they are justified, other times entirely misguided. Webster’s defines "assume" as "to take as granted or true." The cliché’s have probably always existed: Doctors are greedy and paid too much, and are uncaring. Some patients believe doctors do care and that their doctor actually likes them. That’s an assumption too. Some assumptions are newer. Patients assume doctors will substitute their prescription ...

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An excerpt from Unhinged: The trouble with psychiatry- a doctor’s revelations about a profession in crisis. Copyright © 2010 Daniel Carlat. Excerpted with permission by Free Press, a Division of Simon & Schuster, Inc. In 1993, the FDA approved Neurontin for the treatment of epilepsy. This should have been a cause for celebration at Warner-Lambert, the drug company that introduced it, but the celebration was muted. The FDA had ...

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What follows are ten thoughts on checks and balances in health reform. I am writing from Oak Ridge, Tennessee, where I am attending a high school class reunion. My son Spencer, a nationally known poet and a candidate for the Episcopal priesthood, is with me. He is checking on my past, and I am trying to provide balance so he can understand his father's legacy. There ...

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by James Baker, MD “Medicalization” is the process of turning problems into diagnoses and people into patients. According to Dr. Gilbert Welch, “It encourages more of us to be anxious about our health and undermines our confidence in our own bodies. It leads people to have too much treatment — and some of them are harmed by it.” “Alcohol dependence” and “attention deficit hyperactivity disorder (ADHD)” are among the issues that ...

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Maybe you've been assuming that when it comes time to go live on your EMR, you'll simply scan each patient's old paper chart into the electronic system. Maybe you haven't given it much thought because you're focusing on the change in your work flow when you start to use the EMR to document patient encounters. Well, it's time to pay attention to the transfer, because the conversion of the paper chart can ...

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by James Gaulte, MD Apart from some apparently radically contradictory expressed views on patient "centeredness" and patients being in control, the newly appointed head of CMS, Dr. Donald Berwick, has made it clear what sort of medical system he would have for the United States. What he wants is well explained in this commentary from National Review Online as is the authors' reasoning of why ...

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