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Goodbye Crop Diversity
ByadminHere’s a picture from National Geographic showing a stunning decline in the genetic diversity of crops: This is dangerous – diversity is key to avoiding crop failures from disease and pestilence.
How to Tell Grandpa He Is Too Old for Another Colonoscopy
ByadminShutterstock Cancer screening can save lives: Mammographies reduce the chance women will die of breast cancer; and colonoscopies reduce the chance people will die of colon cancer. But should my 93-year-old father receive a screening colonoscopy? The test is uncomfortable, carries risks, and costs money. Even more importantly, my dad probably won’t live long enough…
My New JAMA Article, On Value Promotion in Healthcare
ByadminHere is the opening of an article I recently published in JAMA, available now online, in which I raise concerns about misguided congressional efforts to promote the use of high-value healthcare services, without doing anything to reduce the use of low value ones. Health care systems around the world are under pressure to restrain health…
Is the American Healthcare System Addicted to Expensive Drugs?
ByadminTo almost every claim that the American healthcare system is overpriced, defenders of the United States can point to the comparison problem—it is not fair to compare American surgeons, or hospitals, to our peers in Europe when American surgeons and hospitals are not the same as in those other countries. Our surgeons are better trained,…
Graphs Made Easy, by Monty Python
ByadminI recently blogged about a study showing that the same information, when presented in a graph, is more credible to people. One of my friends pointed out that Monty Python figured this out a few decades ago. “In this graph, this column represents 23% of the population. This column represents 28% of the population, and…
Influencing Young Minds
ByadminI really like teaching Duke undergraduates. They are an ambitious and intelligent group. But sometimes their ambition and intelligence get in the way of creative thinking, especially in regards to careers. They all want to remain high achievers, so they know they must either become doctors, lawyers, investment bankers or business consultants. Not infrequently I…

