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Rationing and Indication
I ' ll let y ' all in on a secret: I ' m writing a book. It ' s basically everything you need to know, as a citizen, taxpayer, consumer of medical services, friend or family member of consumers of medical services, and just plain person, about health and health care in the U.S. For some reason I haven ' t much connected the work on the book to this blog -- there is tons of materials I could have lifted from my book chapters and posted here for your delectation and delight. I ' m not sure why I haven ' t been doing that, and maybe I will.Anyway, the previous post creates an occasion to discuss a matter that seems pretty obv...
Source: Stayin' Alive - January 31, 2022 Category: American Health Source Type: blogs
Innovation, mRNA, and Public Policy
Chris EdwardsThe main weapons against COVID-19 are the vaccines developed by Moderna and BioNTech after a decade of their research into mRNA technologies. That research was supported by more than $3 billion of private angel investment and venture capital.Democrats and Republicans both support medical research funding, and Republicans tout the Trump administration ’s Operation Warp Speed. But governments were not the key to mRNA development. Instead, we can thank the leaders and scientists at Moderna and BioNTech and the suppliers of private capital to them, as I discusshere andhere.TheWall Street Journal ’s A...
Source: Cato-at-liberty - December 6, 2021 Category: American Health Authors: Chris Edwards Source Type: blogs
Should the Bankrupt Feds Subsidize Cash ‐Flush States?
Chris EdwardsThe infrastructure and entitlement bills pending on Capitol Hill are bad formany reasons. Most of the proposed spending is for activities that the states could pay for themselves if they choose to, including spending on highways, transit, child care, and pre ‐school. It is more efficient and democratic for the states to fund their own programs than for Washington to intervene, asdiscussed here.Right now is a particularly poor time to increase federal spending on state activities because the federal government is running massive deficits, while state and local governments are running surpluses as tax rev...
Source: Cato-at-liberty - November 1, 2021 Category: American Health Authors: Chris Edwards Source Type: blogs
Libertarians Have Been Right about Marijuana Legalization Thus Far
Lachlan MerskyIn anarticle National Review published this month, the author chronicles the alleged negative effects of marijuana legalization, yet his claims are dubious. Marijuana is only legal in18 states, and it is still a federally illegalSchedule I substance, so it is far too early to make any conclusions on legalization. That said, the preliminary data we do have can tell us a lot about what marijuana legalization might look like on a broader scale, and given what we know, this article missed the mark.The author ’s primary argument for prohibition is that “weed is unhealthy,” citing evidence...
Source: Cato-at-liberty - August 26, 2021 Category: American Health Authors: Lachlan Mersky Source Type: blogs
Fight Aging! Newsletter, August 16th 2021
In conclusion, cancer survivors, especially older individuals, demonstrate greater odds of and accelerated functional decline, suggesting that cancer and/or its treatment may alter aging trajectories.
Linking Particulate Air Pollution and Dementia in a Small Region of the US
https://www.fightaging.org/archives/2021/08/linking-particulate-air-pollution-and-dementia-in-a-small-region-of-the-us/
It is fairly settled that evident particulate air pollution, such as daily exposure to smoke from wood-fueled cooking fires, has a strongly detrimental effect on long-term health. The mechanisms involved are inflamm...
Source: Fight Aging! - August 15, 2021 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
We Live in an Age of Biotechnology, In Which We Could Choose to End the Suffering of Aging
Bringing degenerative aging under medical control, ending the tens of millions of deaths each year, ending the suffering of hundreds of millions more. This is a plausible goal for our era of biotechnology. Yet even as the first rejuvenation therapies have become a reality, in the form of first generation senolytic drugs that clear a sizable fraction of senescent cells from the body, there is little public enthusiasm for - and understanding of - the path ahead to a better world. A world in which people have the choice not to decay in body and mind as they gather wisdom and experience in later life. Change is in the air, but...
Source: Fight Aging! - August 10, 2021 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
Infrastructure Bill: Needless Expansion in Subsidies
Chris EdwardsCongress is considering a $550 billion increase in federal infrastructure subsidies. The subsidies and related new regulations will be damaging for many reasons, asRandal O ’Toole and I have noted.If Congress wanted to raise highway and transit spending, it could have done so with a one‐page bill, but the bill being considered is 2,702 pages. What is in all those pages? Likely, many new mandates and red tape that will reduce the freedom and autonomy of states, businesses, and individuals. Infrastructure bill supporter Senator Rob Portman (R-OH)claims that the bill will speed project permitting, but ...
Source: Cato-at-liberty - August 5, 2021 Category: American Health Authors: Chris Edwards Source Type: blogs
Is this blog political?
Of course. Read the paragraph at the top. Public health is fundamentally political -- well, I ' m not sure that ' s exactly the right word, but it ' s very much about public policy, which is a primary determinant of public health. Much of what public health researchers do is to assess the impact of policies on health. Furthermore, all categories of public policy affect public health, not just health care policy or environmental regulations. Transportation, land use management, taxation, education, law enforcement -- you name it. We say " health in all policies, " and it is our job, as scientists, to elucidate those relatio...
Source: Stayin' Alive - July 27, 2021 Category: American Health Source Type: blogs
The Fable of the Cats
George SelginThe comparison has by now been made so often that it may qualify as a platitude. I mean that between stablecoin issuers and “wildcat” banks, the fly‐by‐night scams that supposedly flooded the antebellum United States with notes nominally worth some stated amount of gold or silver, but actually worth little more than the rag paper they were made of.Such disreputable stuff, we keep hearing, is what “private” currency always tends to be like. The paper sort survived until federal authorities nationalized the nation’s paper money during the Civil War. And (we are told), digital currency will...
Source: Cato-at-liberty - July 6, 2021 Category: American Health Authors: George Selgin Source Type: blogs
Let ' s Talk About Hospitals And Rural Healthcare (Particularly Mother-Baby Care): My Letter To The NC Government Commission/NC State Treasurer In Support Of Randolph County ' s Application For A Loan To Save Randolph Health
Author ' s Note: The lawyers have a saying, " Res Ipsa Loquitur " " . Translated from Latin, it means, " The thing speaks for itself " . This is the text of the letter I sent to theNC Local Government Commission (embellished with a few links and additional comments in red) . . .in support of the state of North Carolina granting a loan to Randolph County (via the NC Rural Healthcare Stabilization Act) . . . for purposes of assisting in the " rescue " of Asheboro ' s Randolph Health - in a bankruptcy Court-approved buy-out of Randolph ' s assets by American Healthcare Systems, LLC.On May 4th, afte...
Source: Dr.J's HouseCalls - May 7, 2021 Category: American Health Tags: Asheboro Atrium Health Bankruptcy Cone Health Duke Lifepoint LGC Medical Whistle-blower Mother-Baby Care NC Rural Heatlh NCDHHS Non-profit Randolph Health UNC Health Wake Forest Baptist Source Type: blogs
On Med Mal Reform, Democrats Are More Libertarian than Republicans
Michael F. CannonIn a recentpost, I announced the release of and provided excerpts from Cato’s latest health policy book,Medical Malpractice Litigation: How It Works, Why Tort Reform Hasn ’t Helped, by Bernard S. Black,David A. Hyman, Myungho S. Paik, William M. Sage, andCharles Silver (foreword by former Senate Majority Leader Tom Daschle).Medical Malpractice Litigationcompiles original research from states that capped damages in “med mal” cases to show that such reforms do not have the effects that physicians and other supporters claim. If anything, damage caps benefit physicians and insurance companies at th...
Source: Cato-at-liberty - May 3, 2021 Category: American Health Authors: Michael F. Cannon Source Type: blogs
Joshua Greenberg on Antebellum Paper Money
George SelginAlerted by a tweet by him, I recently listened toa December 2020 C-SPAN talk, on " Paper Money in Antebellum America, " by historianJoshua Greenberg, the author ofBank Notes and Shinplasters: The Rage for Paper Money in the Early Republic.I haven ' t yet read his book. But Greenberg ' s talk is worth a listen. I was especially intrigued by his suggestion that, because they had to deal with so many different banknotes, including many of doubtful value, early Americans acquired a degree of financial savviness they sorely lack nowadays. Greenberg ' s related thesis that, by virtue of their very lack of uniformity...
Source: Cato-at-liberty - March 31, 2021 Category: American Health Authors: George Selgin Source Type: blogs
Fight Aging! Newsletter, March 22nd 2021
This article expresses sentiments regarding medical technology and human longevity that we'd all like to see more of in the mainstream media. At some point, it will come to be seen by the average person as basically sensible to work towards minimizing the tide of suffering and death caused aging and age-related disease. It has been, in hindsight, a strange thing to live in a world in which most people were reflexively opposed to that goal.
Death and aging constitute a mystery. Some of us die more quickly. We often ask about it as children, deny it in youth, and reluctantly come to accept it as adults. Aging is uni...
Source: Fight Aging! - March 21, 2021 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
A North Carolina Pediatric Hospitalist Tells Her Pandemic Story to Senator Richard Burr: Thirteen Months (And Counting) In Medical Whistle-blower Hell - Courtesy Of Private Equity/For-Profit Healthcare And Cruelly-Indifferent/Morally-Bankrupt State & Federal Oversight
Author ' s Note: I cannot " sound-bite " the last year - and perhaps it ' s time to write the book. Scroll about half-way down to read the letter to Senator Burr. The bottom line is that for thethird time in 23 years, as a Pediatrician staffing a community hospital, I was fired " with-out cause " immediately after intervening in a neonatal ( " bad baby " ) case, rescuing the situation/ " saving " the baby, and reporting it INTERNALLY to Peer Review. NO discussion. NO recourse. NO review. A total cover-up. And EVERY SINGLE TIME I ' ve asked the state/Federal government to enfor...
Source: Dr.J's HouseCalls - February 28, 2021 Category: American Health Tags: ACA Apollo Global Management ApolloMD Ballad Heath Central Carolina Hospital CMS Duke Lifepoint ETSU Medicaid Medical Whistleblower NCDHHS Pandemic Quality Assruance Randolph Health Richard Burr Trump Source Type: blogs
The Paradigm Shift That Wasn ’ t: The ISCHEMIA Trial
By ANISH KOKA
A recent email that arrived in my in-box a few weeks ago from an academic hailed the latest “paradigm shift” in cardiology as it relates to the management of stable angina. (Stable angina refers to chronic,non-accelerating chest pain with a moderate level of exertion). The points made in the email were as follows (the order of the points made are preserved):
The financial burden of stress testing was significant ( 11 billion dollars per annum in the USA!)For stable CAD, medical treatment is critical. We now have better medical treatments than all prior trials including ischemia. th...
Source: The Health Care Blog - February 26, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Anish Koka cardiology ISCHEMIA trial Source Type: blogs
