A JAMA study shows how our diets have changed since 2000. The big winners?
Nuts
Whole grains
Whole fruits
The big losers?
Sugar sweetened beverages
Fruit juice
White potatoes
Maybe there’s hope for us after all?
Here is a figure reproduced in Fortune, showing that when researchers publish articles raising questions about the harms of salt, they cite other researchers who raised similar questions. By contrast, when they definitively argue in favor of the harms, they cite other definitive colleagues. Some of this makes scientific sense. If you show a particular…
From time to time in this blog, I take a moment to celebrate fine writing. Here is an example I came across in an article in Smithsonian magazine from May 2014. The author, Corey Powell , was trying to explain how astronomers use gravitational “tug” to indirectly reveal the existence of planets. In other words, they can’t…
For much of the history of U.S. medical care, hospitals and physicians have existed as separate financial entities. Physicians in the U.S. have typically been self-employed, as solo or group practitioners and not as hospital employees. An internist like me might have admitting privileges to several local hospitals. When we admit patients to one of…
Sometimes it is hard for hospitals to provide expensive care to poor patients. When a low-income patient needs $20,000 of chemotherapy, a hospital loses money if that patient cannot pay for the medicine, or pays through Medicaid, with its relatively stingy reimbursement. Fortunately, the federal government created a program for hospitals that care for a…
Shutterstock He came to the ER with chest pain, shortness of breath, and atrial fibrillation with a heart rate of almost 120 beats per minute. It wasn’t a heart attack, and it wasn’t some rare disease. He was emergently ill because his physician overreacted to blood tests, and prescribed a thyroid pill he didn’t need….
There are lots of reasons many community hospitals and nursing homes are at risk of bankruptcy. One reason: Sometimes the very entities owning hospitals and nursing homes are purposely bankrupting them, pillaging them of their value to maximize the owners’ profits. It is a type of self-dealing known as “related-party earnings,” and here is how…