JAMA is much more stodgy than NEJM, at least in my opinion. During the presidential election and then during the debate over health care reform, NEJM published timely commentaries on the issues and made them available online to non-subscribers. It continues to cover topics such as the legal challenges to the health care bill. Not only does JAMA give less space to these issues. Articles in JAMA are not available online without a subscription ($165 for 48 issues).
First, studies piled up showing that taking antioxidants—even such common and seemingly innocuous ones as beta carotene and vitamins C and E—as supplements was not beneficial to health and might even be dangerous, though the reason for the danger wasn’t clear. (One always pays attention when a study concludes with a phrase like “seems to increase overall mortality.”) Now the research is challenging an even more fundamental tenet of the antioxidant craze. Many of the free radicals that are neutralized by antioxidants perform valuable functions in the body. The most important: fighting toxins (white blood cells churn out free radicals by the battalion to fight bacterial infection) and fighting cancer.
Doctors sign their names to papers that describe clinical trials of a drug. The papers turn out to be ghostwritten and paid for by the drug manufacturer. The pharmaceutical industry buries any study it doesn’t like, creating the impression that the majority of studies are favorable to what the industry wants us to believe. Journals are biased towards the publication of studies with positive results. All of these practices greatly skew doctors’ opinions of which drugs are effective and safe. Patients die needlessly as a result, and only then does the truth come out in whistle blower lawsuits.
We live in a very anxiety-producing culture. It’s not the inevitability of death that makes us so anxious. That’s a historical constant. It’s not simply the specifics of turmoil and suffering in the world. Nor is it the underlying insecurity we feel as side-effects of the transition to a global economy. All of those contribute to anxiety, yes. But what exacerbates our condition, in my opinion, is constant exposure to information that ultimately stands to benefit financially from maintaining a state of anxiety. That’s not a good situation.
Additional stories related to health. Categories include: More articles on Health Care Reform, History of Medicine, Medical Journalism, Medical Technology, Medical News, Pharmaceuticals, Pop Culture, Social Media and the Internet, and The So-Called Obesity “Epidemic.” HEALTH CARE REFORM A ‘Common Sense’ American Health Reform Plan (The New York Times – Uwe Reinhardt) After studying this…
In today’s Dose: Health care reform (Robert Reich on the public option) Health news (Migraines, Nipple piercing and breast feeding) Obesity politics (TB and the thrifty gene) Medical journalism (Drug company ties to journalists) Health care reform Be sure to see today’s two posts on Wendell Potter, the former health insurance executive who testified today…
How the press scared readers with headlines like “Hunt for DVT Cause Reveals Link to Grapefruit.” Wouldn’t you read a story that claims grapefruit causes deadly blood clots? The case was much more complicated than the grapefruit diet. It included birth control pills, a long car trip, and a pre-existing condition. “As several of the better stories pointed out, it’s unwise to do anything in extreme. When part of a balanced diet, grapefruit should not be dangerous. Given increasing evidence of the potency of the grapefruit flavonoid naringin, medical science may want to consider whether women on birth control pills should avoid eating grapefruit every day.”
Grapefruit is a particularly bitter taste – something supertasters are unlikely to indulge in. This post and the next concern the story of a woman who had been on a grapefruit diet – and taken a long car ride – just before experiencing deep vein thrombosis (DVT). … “How did the media handle this story? It was all about the grapefruit, something anyone might innocently eat — and then promptly die. Or at least lose a leg to gangrene. I suppose, to give the media the benefit of the doubt, they probably saw this as a ‘teachable moment.’ Unfortunately, outright fear of ‘killer grapefruit’ was the wrong lesson.”
Among those opposing Obama’s choice of Sanjay Gupta as the next Surgeon General is Adrian Campbell, a Michigan woman who appeared in Michael Moore’s film Sicko. Gupta told his television audience: In Canada, you can be waiting for a long time. A survey of six industrialized nations found that only Canada was worse than the…
One group that opposes the nomination of Sanjay Gupta as the next surgeon general is the Center for Consumer Freedom (CCF), an organization that promotes the interests of the restaurant and food industries. Anyone who suggests eating less can expect criticism from an industry that wants us to eat more. Gupta took on the topic…
Back in November, following a two-hour meeting in Chicago, president-elect Obama offered Sanjay Gupta the position of Surgeon General. (This from a presumably reliable source: Gupta’s mother, Damayanti.) Gupta has been prudently tight-lipped about the appointment ever since the Washington Post broke the story in early January. Gupta, the chief medical correspondent for CNN, discussed…
Here’s a good companion thought to HRT and the incredible shrinking brain. It’s from Dr. Alicia White, an employee of Bazian, the evidence-based medicine firm in Great Britain. Bazian does research for the health news on Behind the headlines, the National Health Service site I recommend as a source of health news. If you’ve just…
There was a widely reported story today about hormone replacement therapy (HRT) and a decrease in the size of women’s brains. The headlines were predictably but needlessly sensational. In fact, the study did not measure a decrease in the brain size of any individual woman. Source: Richard Amsel, The Movie Posters First, the headlines. There…
Stories about the health benefits of chocolate are a good way to get the attention of viewers and readers. Wouldn’t it be great if the headlines were true?
If we really understood the motivation behind news stories on health and medicine, we might reasonably decide to stop reading.
