Patents and Big Pharma

The slowing of innovation and new drugs is killing Big Pharma. John Mack proposes a patent extension in exchange for a DTC moratorium.

The "trap patient"

Who are they exactly?

It's the greatest predictor of health.

In light of the Omaha mall shooting, Maria looks at the data possibly connecting the two.

Replacing private health insurers with a single-payer system will save less on administrative costs than you think:

Moreover, a single-payer system also would have administrative expenses. Not as many, to be sure. The government doesn't have to advertise or lobby itself. And it doesn't pay its executives nearly as well as the private sector. Nevertheless, the government's administrative expenses now equal 2.2 percent of our health care bill. If we ...

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Way to punish UnitedHealth SEC.

Making a surgery residency easier and more lifestyle-friendly is causing more residents to drop out:

First of all, making an educational experience less rigorous does not necessarily make it more attractive. I subscribe to the idea that things worth having are worth working hard to get . . . Secondly, when surgery residency is advertised as "fun, and now easier!" it does not necessarily attract the type of applicant ...

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Pigeon-hole your hospital staff into one of many Looney Tunes characters.

Super glue for wounds

A myth?

Physicians aren't sure how to treat this:

. . . a 33-year-old housewife and mother in South Carolina, became so desperate she voluntarily had herself committed "” twice "” to psychiatric institutions. "One psychiatrist said I must be sexually repressed and needed to experiment more," she says. "He suggested I try lesbianism."
Update:
Apparently, others have thought the same thing.

A UK hospital has stepped back from a policy requiring beds of Muslim patients to be pointed towards Mecca:

There were claims last night that the bed shifting policy almost cost one 80-year-old her life. Staff at Dewsbury Hospital were so busy gran Mavis Fox was able to slip out unnoticed and walk over three miles home. She was rushed back after falling and gashing her head. Overworked nurses ...

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The long resuscitation

Edwin Leap on a patient "running away from the light."

Too much information?

How exactly has the internet benefited patients?

The explosion of the internet "” and specifically the explosion of health information on the internet "” has done absolutely nothing for healthcare in America. Has it empowered patients as consumers? Not even close. Has it saved us money? Again, a very loud nope. Has it improved outcomes? Nope"¦it might even worsen outcomes. Has it caused undue anxiety in millions of people? Yep. ...

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"Too little doctor"

The first 90 minutes of an ER shift. (via Dr. RW)

Nuclear radiology tests

A reactor in Canada is out of commission, making diagnostic studies like nuclear stress tests impossible to perform.

The Medicare cuts

Merrill Goozner explains how the Medicare Advantage plans will play a role. It's looking bleak that Congress will rescind this year's cuts. (via The Physician Executive)

To what extent should patients be partially responsible for medical errors?

The assumption that an error-free medical utopia is attainable just by addressing the deficits of hospitals and doctors leaves the human frailties of our patients out of the equation.

Many patients are self-saboteurs and wind up costing the system a lot"”those who do not listen, who do not care to know the names or dosages of their ...

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Which is why health courts are needed:

Technical litigation has proven to be a major challenge for the jury system, and malpractice cases are no exception. Matters that are too difficult for expert physicians to decide, or at least reach a consensus on, are referred to a panel of 12 laymen for final decisions.

Research indicates that lesser-educated members of society are more likely to serve as jurors, making ...

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HIV misdiagnosis

A positive is normally confirmed with a Western Blot, making false positives exceedingly rare. However, that usual step wasn't done for some reason:

Serrano's ordeal began in 1994 after an anonymous test at a clinic in Fitchburg showed that she was HIV positive. Serrano and her attorney, David Angueira, say they are unsure whether the initial test was a false positive, or if it was a record mix-up.

A ...

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Online vaccine videos

Don't believe what you see on YouTube.

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