Monthly Archives: December 2010

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.

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Misc Links 12/31/10

Doctors behaving badlyReal Life Among the Old Old (NYT)
To believe 90 is the new 50 is a fantasy that fails to distinguish between hope and reasonable expectation

FoodPolitics catches up: USDA’s meat labeling (Food Politics)
Meat producers greatly prefer that you remain ignorant of the amount of fat and calories meat contains

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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.

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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.”

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Misc Links 12/29/10

Palin on death panels‘Death panels’ alive — and that’s good news for all of us (MSNBC)
“If Terri Schiavo taught us anything … “ By noted bioethicist Arthur Caplan (12/29)

Health care economics and the relationship between doctor and patient (KevinMD)
What’s wrong with the way medicine is practiced? By a pediatrician who decided to quit her practice (12/29)

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Misc Links 12/28/10

Overprescribe drugs to childrenSo Young and So Many Pills (WSJ)
More than 25% of U.S. children and teens take prescription drugs on a regular basis. Most have not been tested on children. (12/28)

Osama bin Laden is dead (Wash Times)
Medical history of bin Ladan. Conclusion: It’s unlikely he’s still alive (12/28)

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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.

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Misc Links 12/24/10

Alzheimer's brainExercise ‘protects brain from ageing’ (NHS)
Not new or unsurprising, but it’s additional evidence that there’s a connection between low levels of physical activity and cognitive decline

Can dairy cut diabetes risk? (NHS)
The association was found only with whole-fat dairy, not low-fat. “The study is not robust evidence that dairy products can lower diabetes risk.”

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Doctor arrested for getting whistle-blowing nurses fired

Whistle blowing nursesNo one should be allowed to intimidate nurses who report serious wrongdoings they observe. When a nurse goes public about improper medical treatment — a doctor who sewed “part of the rubber tip from suture kit scissors to a patient’s torn, broken thumb” and used olive oil on the abscess of a patient with MRSA — she shouldn’t be fired.

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Misc Links 12/23/10

Child resists eating vegetablesCan Congress Make You Buy Broccoli? And Why That’s a Hard Question (NEJM)
Four reasons why it’s hard to answer this question. A legal opinion (12/23)

Doctor Arrested in Whistle-Blowing Case (NYT)
Doctor accused of practicing substandard medicine worked with his friend, the sheriff, to get nurses fired. Nurses vindicated. Doctor now out on bail. (12/23)

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Wikileaks, nerd supremacy, anarchy, dictatorship, and democracy

The information machineThe flip side of responsibly held secrets … is trust. A perfectly open world, without secrets, would be a world without the need for trust, and therefore a world without trust. What a sad sterile place that would be: A perfect world for machines.

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Misc Links 12/22/10

Machine moves a computer punch-cardThe Hazards of Nerd Supremacy: The Case of WikiLeaks (Atlantic)
Substantial, thought-provoking essay by philosopher of the information age, Jaron Lanier

Secrecy May Be Unnecessary for Placebo Effect (WebMD)
Ted Kaptchuk trial involved 80 IBS patients. “There may be significant benefit to the very performance of medical ritual.”

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Why the US doesn’t have universal health care

Countries with universal health careMost high-income countries today have some form of national health insurance. Why is the US different? What stands in the way? … How to explain American opposition to universal health care. “Nearly every time this country has expanded its social safety net or tried to guarantee civil rights, passionate opposition has followed.”

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Misc Links 12/21/10

Arizona denies transplantsCourt Backs Patents for Diagnostic Tests (NYT)
A closely watched development in personalized medicine. Patents on tests raise costs and impede medical progress (12/21)

Drug Makers New Targets for U.S. Fraud Inquiries, Report Says (NYT)
Drug industry overtakes defense as main target of federal fraud investigations. Pharma makes so much money by bending or breaking the rules on off-label marketing that the fines are worth it. (12/21)

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Why the increase in mental health problems for college students?

Depressed college studentExperts say the trend is partly linked to effective psychotropic drugs (Wellbutrin for depression, Adderall for attention disorder, Abilify for bipolar disorder) that have allowed students to attend college who otherwise might not have functioned in a campus setting.

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