Author Archives: Jan

Misc Links 1/14/11

Chinese mother with musically gifted childrenWhy Chinese Mothers Are Superior (WSJ)
“What Chinese parents understand is that nothing is fun until you’re good at it. To get good at anything you have to work, and children on their own never want to work, which is why it is crucial to override their preferences.”

Is Extreme Parenting Effective (NYT)
Response to WSJ article on superiority of strict Chinese mother parenting style. Does strict control of a child’s life lead to greater success or can it be counterproductive?
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The physical exam and society’s regard for physicians: A history

Laennec examines patient with stethoscopeWhat’s not widely known, however, is that this is not the first time the physical exam has gone into decline. We know from surviving medical treatises that the exam was an integral part of a physician’s practice in ancient Greece and Rome. This continued to be true until the late Middle Ages (1300-1500). The hands-on exam then disappeared for hundreds of years, reemerging gradually in the late 18th century. Read more

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Misc Links 1/13/11

Genetically modified crooster can't get fluGM chickens created that could prevent the spread of bird flu (Guardian)
Genetically modified chickens can still catch the flu, but their “decoy” molecules confuse the replication cycle of viruses. Technique could also be applied to pigs

Blogs encouraging suicides in the gay community (KevinMD)
Suicide is contagious among the young. Is the blogosphere contributing to and encouraging a recent suicide epidemic among young gays?
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Misc Links 1/12/11

Healthy food debateAmerica’s healthy debate on food (Guardian)
To some, vegetables are the new meat. The political right has responded with a kneejerk resentment response. Is this culture warrior overreach?

Teens Seek Plastic Surgery to Combat Bullying (ABC)
Botox injections at age 5 for droopy chin. “The problem is clearly with the phenomenon of bullying, and not with the person’s nose.” Amen
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Misc Links 1/11/11

Children innoculated against MMRBMJ Reveals Money Trail Behind MMR-Autism Claim (Medpage Today)
Second installment of Brian Deer’s investigation. Patent filings, startup companies, relationship with law firm – all before Wakefield published study. Investors promised millions

You Might Already Know This … (NYT)
Recent brouhaha over publication of study showing the existence of ESP. Does this support the claim that many published studies in science and medicine based on the widely used statistical technique of significance testing are worthless?
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Atypical antipsychotics: Overprescribed, not safer, not more effective

Atypical antipsychoticsWhat needs to happen is for “consumers” of health care to take back their health and their lives. We are up against myriad financial interests that benefit from convincing us we’re not healthy enough and need more medical care and pharmaceutical drugs. I admit it’s an uphill struggle, but it’s worth the effort. Read more

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Misc Links 1/8/11

The insomniacOn Insomnia (This Recording)
Insomnia infects your whole life. For an insomniac, there is no such thing as a good night. All it takes to become an insomniac is one bad night. Beautiful b/w photos

Is Eradicating Polio a Good Idea? (Project Syndicate)
It’s not clear that all polio cases can be detected, and chasing down the last cases is very costly. Better to be vigilant than complacent. By biotethicist Arthur Caplan
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Health care, climate change, and the myth of the free market

Milton Friedman free marketEven supposedly serious economists lend support to these views, arguing that the dysfunctional health-care industry is best left to its own devices. … This is what comes of forgetting the critical role that states have played in nurturing, protecting, and financing their industries, as well as in taxing and taming them. The greatest danger that Western prosperity now faces isn’t posed by any Beijing consensus; it’s posed by the myth of the free market. Read more

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Misc Links 1/7/11

Food pyramid illegalIs the food pyramid illegal? That’s what this lawsuit claims (LA Times)
A doctors’ group sues federal government to replace the food pyramid with a vegetarian alternative. Group supports animal rights

Calling the Health Bill a “Job-Killer” is “Inflammatory Rhetoric” (Health Beat)
Report from the Center on Budget and Policy Priorities refutes Republican claim
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Wakefield study of vaccine/autism link is a fraud

Andrew Wakefield autism vaccines fraudIs it possible that he was wrong, but not dishonest: that he was so incompetent that he was unable to fairly describe the project, or to report even one of the 12 children’s cases accurately? No. A great deal of thought and effort must have gone into drafting the paper to achieve the results he wanted: the discrepancies all led in one direction; misreporting was gross. Read more

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Misc Links 1/6/11

Wendell PotterWhen Insurers Put Profits Between Doctor and Patient (NYT)
Pauline Chen on Wendell Potter’s new book. The “question of conscience in a health care system dependent on for-profit insurers has lurked behind nearly every debate over health care reform.”

Cost of healthcare repeal put at $230 billion (LA Times)
May pose a challenge to Republican efforts to repeal. Boehner says he doesn’t believe the new estimate Read more

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DSM-5: A “wholesale imperial medicalization of normality”

The psychiatrist is inFrances accuses his psychiatry colleagues “not just of bad science but of bad faith, hubris, and blindness, of making diseases out of everyday suffering and, as a result, padding the bottom lines of drug companies.” Particularly objectionable to Frances was an emphasis on early intervention in childhood disorders by labeling – and medicating — children considered “at risk” for a disorder. As he wrote in an article for Psychiatric Times, the creation of “at risk” patients would cause a “wholesale imperial medicalization of normality” and “a bonanza for the pharmaceutical industry.” Read more

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Health care in America: You get what you deserve

Income inequality shoe shineMore than most societies, Americans believe that people rise or fall as a result of their own efforts, and therefore get what they deserve. Critically, when we say this is a nation of individualists, we don’t just mean Americans embrace individualism as a social ethic. Underpinning this ethic is tendency to interpret the world in highly individualistic terms. We distribute blame and praise to individuals because we believe that it is their individual actions, for better or worse, that matter. People get what they deserve. Read more

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Misc Links 1/3/11

Health care repeal John BoehnerGOP push for repeal of health reform: Is it politically wise? (Christian Science Monitor)
Push would repeat the sin of spending too much time on health care and makes revenge the first order of business

House Rule: Will John Boehner control the Tea Party Congress? (New Yorker)
To predict the fate of health care reform, it helps to understand Boehner. Excellent profile
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WikiLeaks and modern medicine

Julian Assange[The 1971 Supreme Court decision on the Pentagon Papers] established the principle that it was illegal to leak secrets, but not to publish leaks. … The legal bargain from 1971 simply does not and cannot produce the outcome it used to. This is one of the things freaking people in the US government out — not that the law has changed, but that the world has, and the industrial era law, applied to internet-era publishing, might allow for media outlets which exhibit no self-restraint around national sensitivities, because they are run by people without any loyalty to — or, more importantly, need of — national affiliation to do their jobs. Read more

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Misc Links 1/2/11

Psychiatrist's couchInside the Battle to Define Mental Illness (Wired)
Lead editor of DSM-IV accused current DSM-5 editors of “bad faith, hubris, and blindness, of making diseases out of everyday suffering and, as a result, padding the bottom lines of drug companies.”

Medicare incentive aims to make patients’ end-of-life decisions clear (Pittsburgh Tribune)
It’s good to see this discussion happening, even if Arthur Caplan’s insights get “balanced” by a conservative viewpoint. “The fear is that our health care system is becoming increasingly money-driven and utilitarian.” That’s a fact. Read more

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Where the poor live: The more polluted part of town

Smoke blowing from smokestackIn most of the northern hemisphere, winds blow from west to east. So in the days of heavy industrial pollution from the smoke stack industries, the air was cleaner on the west side of town. Living in the east-end was less desirable and less expensive. Another factor may have been the direction in which the local river flowed. Rivers carried sewage, and if the river flowed west to east, as it does in London, that’s another reason the east-end was less desirable. Read more

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Misc Links 1/1/11

Sleep deprived doctorDoctors Urged to Admit Fatigue Before Performing Surgery (Businessweek)
Proposed new rules would require patient to sign consent when informed surgeon is sleep deprived

Some GOP stalwarts defend first lady’s anti-obesity campaign from Palin’s shots (Wash Post)
Mike Huckabee, Haley Barbour, Rick Santorum praise Michelle. Barack Obama: the issue “transcends politics” Read more

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Old age and the limitations of a healthy lifestyle

Old age and Alzheimer'sHealth is an ideology: a set of ideas that establishes goals, creates expectations, and determines our actions. An ideology provides a way to understand the world and ourselves. It’s only natural that we want to exert control over our health, our susceptibility to illness, the length of our lives. Our anxiety about health – amplified by constant discussion in all available media – makes us vulnerable to the latest promise of the rewards of a healthy lifestyle. The obsessive pursuit of health, however, is itself unhealthy. Read more

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Income inequality and American politics

Winner-Take-All PoliticsUS income inequality is not — or not simply – due to the economic consequences of globalization, like the shift from manufacturing jobs to service sector jobs, with the ensuing loss of pay and benefits. It’s also due to what’s happened in American politics. Business interests — represented by Republicans — have been much better at organizing themselves than have labor unions and interest groups that represent the middle class. And the cost of campaigning – which increased enormously once TV became the dominant campaign medium – has made Democrats willing to support legislation that favors the interests of those with money to spare. Read more

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Misc Links 12/30/10

Canadian health warnings on cigarette packsCanada to put bigger health warnings on cigarettes (Reuters)
Will cover three quarters of front and back of cigarette pack. “Unduly” delayed by tobacco lobbying

Judge Rejects City Law on Antismoking Posters (NYT)
Gruesome images won’t be required in convenience stores in NY. Judge: “Even merchants of morbidity are entitled to the full protection of the law, for our sake as well as theirs.” Read more

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Misc Links 12/27/10

End-of-life planningObama Returns to End-of-Life Plan That Caused Stir (NYT)
Cautious progress on plans to reimburse physicians for end-of-life discussions, trying not to inflame death panel myth (which is bound to happen anyway)

Overhaul of food safety laws might not be to GOP’s taste (Wash Post)
Good summary of bill’s benefits. Republicans may deny funding, claiming: “We still have a food supply that’s 99.99 percent safe.”
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The problem is you

The problem is youAny theory that claims to tell us who and what we are contains a potential for abuse. Advice from “legitimate” sources, addressing itself to areas of human weakness and vulnerability, can deprive an individual of the confidence that he could know for himself who he should be. Religion used to have this potential on a wide scale when the population was less educated, less self-conscious, less “sophisticated.” Organized religion still has the advantage of being able to hide behind a veil of crossed intentions and a choirboy squeaky-clean. But any closed system of thought can gain ascendancy using perfected psychological, that is, commercial, techniques. Read more

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