Early in his book The Power Makers, Maury Klein does a fantastic job of explaining the importance that modern energy systems, like steam and electricity, played in human history: All the achievements of humanity down to about the eighteenth century were constrained by the inability to find more efficient ways to do things beyond the…
“I can fix this.” The neurosurgeon was nothing if not confident. “The cyst is pushing on your spinal cord. If it continues to expand, it will damage your nerves and you may lose the ability to walk. But I can remove the cyst, and cure you.” The patient was a business school professor, a man…
Think of the last few times you watched a popular movie that involved any kind of sex scene? Not as in pornographic sex, but as in two characters ended up in bed together and had, ahem, conjugal relations. In how many of those scenes did either participant make mention of a condom before the act?…
In 1895, Teddy Roosevelt was asked if he was hoping some day to be President. He flew off in a rage. Part of his rant is revealing, and might have helped Mitt Romney if he’d come across this quote earlier in his life: “I must be wanting to be President. Every young man does. But…
Although blocked for now, New York Mayor Michael Bloomberg’s Soda Ban has many wondering what tactics could actually help consumers kick certain bad habits? Threats? Pricing? Bans? Graphic images? What actually works and what role should the government play? I recently had the pleasure of participating in a discussion addressing all these questions. Listen to…
When Johnson was pushing congress to establish the nation’s first real health care funding, many legislators, especially conservative southern Democrats, balked at the cost. Johnson was well aware that Medicare would be costly. But he thought health insurance was too important, in reducing poverty among elderly people, to let costs get in the way. He…
In a New England Journal of Medicine article from November 18, 2010, Zhang and colleagues map out rates of what are arguably inappropriate prescriptions. For instance this picture shows rates of high risk drugs in Medicare recipients, drugs like Valium (and its cousins) which are known to cause falls and other complications: This picture shows that WHERE…
Recently I received an email from someone I have never met, who asked me the following: “Could you refer me to any current study results on Arimidex (Anastrozole)? My oncologist is not helpful. My oncotype dx said I have 9% chance of recurrence and with Arimidex for 5 years that is reduced to 4.5 %….
Ever been talking to someone when they all of a sudden said: “To be perfectly honest . . .” I don’t know about you, but I don’t find that phrase reassuring. In fact, it kind of makes me wonder how honest you were being with me before you said that!
Recently, I posted in Forbes about our need to rethink primary care, to avoid a physician shortage. The debate continues, as seen in this interesting post from Dan Diamond. (Click here to view comments)