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Pay for Federal Government Workers
With the backdrop of the shutdown and federal workers going unpaid, theNew York Times published a backgrounder last week on federal compensation. It was a fair and balanced piece and highlighted themesdiscussed in this study on government workers.TheNYT charts government and private sector wage growth. Average federal wages soared during the 1990s and 2000s but have grown more slowly this decade. However, overall federal compensation including benefits has grown briskly in recent years, as I chart below.Here are highlights from theNYT story:Verla Bloomfield has the kind of workplace that seems plucked from a different era....
Source: Cato-at-liberty - January 23, 2019 Category: American Health Authors: Chris Edwards Source Type: blogs

Meet the Academic Medicine Editorial Board: What experience has had the biggest impact on your career?
We asked the members of the Academic Medicine editorial board about the experience that has had the biggest impact on their career. This is what they said. Colin P. West, MD, PhD, Mayo Clinic I don’t know that I can pick out one single experience. Instead, I think the general principle that has served me well is to ensure that every project I work on offers intentional value: I am passionate about it directly, or it is a conduit to other projects I care about deeply, or I will gain a new skill set by participating. John P. Sánchez, MD, MPH, Rutgers New Jersey Medical School The one experience that had the biggest impac...
Source: Academic Medicine Blog - January 22, 2019 Category: Universities & Medical Training Authors: Journal Staff Tags: Editorial Board Q & A Featured CPD curriculum international medical education MedEdPORTAL mentoring narrative medicine professional development research teaching Source Type: blogs

A Bizarre Claim of Right to Try
By ARTHUR CAPLAN, KELLY MCBRIDE FOLKERS, and ANDREW MCFADYEN  A patient with glioblastoma recently received an experimental cancer vaccine at the University of California, Irvine. Notably, this is being hailed as the first case of someone utilizing the Right to Try Act of 2017. ERC-USA, a U.S. subsidiary of the Brussels-based pharmaceutical company Epitopoietic Research Corporation, says it provided its product, Gliovac, to the patient at no cost. The vaccine is currently undergoing Phase II clinical trials. A handful of people in Europe have received access to it through “compassionate use.” This patient did not qual...
Source: The Health Care Blog - January 18, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Patients Politics Trump's Health ANDREW MCFADYEN Arthur Caplan Donald Trump FDA KELLY McBRIDE FOLKERS pharmaceuticals Right to Try Act Source Type: blogs

Third International Conference on End of Life Law, Ethics, Policy, and Practice
Here is the program for the Third International Conference on End of Life Law, Ethics, Policy, and Practice. Pretty awesome.   Thursday 7 March, 2019 08.30-09.00Registration & Welcome Coffee 09.00-09.10Welcome by the Chair of the Scientific Committee – Kenneth Chambaere (BE) 09.10-09.30Introduction by an external speaker (TBC) Plenary 1: Latest developments in assisted dying around the world 09.30-10.00Developments in European countries – Agnes van der Heide (NL) 10.00-10.30Recent developments and the future of MAiD in Canada – Jocelyn Downie (CAN) 10.30-11.00A review of developmen...
Source: blog.bioethics.net - January 18, 2019 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Can Pluralism Work Online?
The Wall Street Journal  reports that Facebook has consulted with conservative individuals and groups about its content moderation. Recently I suggested that social media managers would be inclined to give stakeholders a voice (though not a veto) on content moderation policies. Some on the left were well ahead in this game, prop osing that the tech companies essentially turn over content moderation of “hate speech” to them. Giving voice to the right represents a kind of rebalancing of the play of political forces. I  argued earlier that looking to stakeholders had a flaw. These groups would be highly organized re...
Source: Cato-at-liberty - January 10, 2019 Category: American Health Authors: John Samples Source Type: blogs

Heart disease and breast cancer: Can women cut risk for both?
Very often I encounter women who are far more worried about breast cancer than they are about heart disease. But women have a greater risk of dying from heart disease than from all cancers combined. This is true for women of all races and ethnicities. Yet only about 50% of women realize that they are at greater risk from heart disease than from anything else. Currently in the US, three million women are living with breast cancer, which causes one in 31 deaths. Almost 50 million women have cardiovascular disease, which encompasses heart disease and strokes and causes one in three deaths. Here’s what’s really interestin...
Source: Harvard Health Blog - January 8, 2019 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Breast Cancer Exercise and Fitness Health Healthy Eating Heart Health Women's Health Source Type: blogs

Free Markets to Combat Climate Change
One of the concerns about climate change is that it may generate more natural disasters such as hurricanes and forest fires. People living along the Atlantic and Gulf Coasts or in forested areas of California may face higher risks if pessimistic climate predictions come true.That is disagreement about large-scale policy actions we might take to try and reduce future climate risks. Washington State voters, for example,soundly rejected a carbon tax on the ballot in 2018. People are skeptical of big government solutions to climate change.There are, however, many pro-market reforms we can take to reduce the risks to life and p...
Source: Cato-at-liberty - January 2, 2019 Category: American Health Authors: Chris Edwards Source Type: blogs

Using Blockchain for More Efficient Healthcare Economy: Interview with Digipharm Founder, Ahmed Abdalla
If you’ve been following the news, you know that the U.S. healthcare system has many, many inefficiencies. Some have gone so far as to claim that U.S. healthcare is flat-out broken. While that may be over-dramatization for political purposes, many ...
Source: Medgadget - January 2, 2019 Category: Medical Devices Authors: Mohammad Saleh Tags: Exclusive Informatics Medicine Public Health Society Source Type: blogs

Dander Up, Down, and All Around
Today ' s topics: VA health care politics; a clear-eyed and sane report from a bastion of managerialism, with related observations on innovators trying to create real bottom-up value.It ' s the last day of the year, so let ' s get this done. Owing to various largely unforeseen challenges, happily now largely behind us, this " Dander " series was interrupted for some time. Apologies to anyone who noticed. In any case, to refresh: as Chief Blogger and FIRM president Dr. Poses has indicated often enough in these pages, health care developments raising our dander are still everywhere, all the time, and on the increas...
Source: Health Care Renewal - December 31, 2018 Category: Health Management Source Type: blogs

Johnson and Johnson ' s Latest Ethical Misadventures: Settled Kickback Allegations, Reportedly Concealed Knowledge of Adverse Effects of a " Sacred Cow " Product
Giant pharmaceutical/ biotechnology/ device company Johnson& Johnson has its famous" credo " which starts withWe believe our first responsibility is to the doctors, nurses and patients, to mothers and fathers and all others who use our products and services.  In meeting their needs everything we do must be of high quality..Nonetheless, the company has a long history of ethical misadventures (lookhere, and see appendix below).  Now late in 2018,  we note two more Johnson& Johnson misadventures. In chronological order,$360 Million Settlement of Allegations of Kickbacks to Medicare/ Medicaid Patients to...
Source: Health Care Renewal - December 15, 2018 Category: Health Management Tags: adulterated drugs adverse effects deception impunity Johnson and Johnson kickbacks legal settlements Source Type: blogs

Designer Babies: A Dystopian Sidetrack of Gene Editing
A Chinese scientist shocked the scientific community a couple of days ago with the announcement of having modified the very blueprint of life. If his claims are true, he tried to bestow two baby girls the ability to resist possible future infections with HIV. The outrage shows that humanity is not prepared to utilize the power of gene editing on embryos yet. We have no idea about the biological consequences, and we haven’t tackled the necessary legal and ethical issues. Genes to become toys of the “Gods”? Humanity has come a long way since Aldous Huxley pinned down how methods of genetic engineering, biological cond...
Source: The Medical Futurist - December 15, 2018 Category: Information Technology Authors: nora Tags: Bioethics Future of Medicine Genomics designer babies designer baby Gene gene editing genes Genome genome sequencing Health Healthcare healthcare system Innovation technology Source Type: blogs

The Power of Mobile Health
2018 was a very busy year, requiring extensive international travel —I racked up more than 400,000 miles this fall.  But now that my schedule is a bit more manageable, I plan to start posting again to “Life as a Healthcare CIO”. In addition to my travels to China, Japan, Australia and a long list of other countries, I managed to find the time to work with my esteemed co-author Paul Cerrato on our third book, The Transformative Power of Mobile Medicine. We wanted to share the Preface with readers and have included it below, along with a link to Elsevier ’s web site for those interested in reading the entire boo...
Source: Life as a Healthcare CIO - December 14, 2018 Category: Information Technology Source Type: blogs

Are the Per-Country Limits Necessary to Promote “Diversity”?
The most popularpiece of legislation in the House of Representatives —with 329 cosponsors—would phase out and eliminatethe per-country limits for employment-based green cards, while doubling the limits for family-based immigrants. These per-country limits discriminate against nationals of countries with high demand for green cards. For employment-based immigrants, immigrants from India receiving green cards in 2018waited a decade, Chinese immigrants waited 3 years, while everyone else waited less than a year.It is fundamentally unfair to make equally qualified employees of U.S. businesses wait ten times as long based o...
Source: Cato-at-liberty - December 5, 2018 Category: American Health Authors: David Bier Source Type: blogs

The Current State of Therapeutic Development Involving Induced Pluripotent Stem Cells
A little more than a decade has passed since the development of a simple cell reprogramming approach that reliably created pluripotent stem cells from ordinary somatic cells, known as induced pluripotent stem cells. These stem cells are very similar, near identical in fact, to the embryonic stem cells that were previously the only reliable source of cells capable of forming any cell type in the body. Arguably the most important aspect of induced pluripotency is not the promise of the ability to generate patient-matched cells for regenerative therapies and tissue engineering of replacement organs, but rather that it is a lo...
Source: Fight Aging! - December 4, 2018 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs

Callous Ideologues: Illinois Legislators Pass Law to Punish Patients with Preexisting Conditions
The Illinois legislature has enacted a law, over the veto of Gov. Bruce Rauner (R), that will strip consumer protections from patients with preexisting conditions, throw them out of their health plans, deny them health care, and expose them to bankruptcy.  Naturally, it did so in the name of…helping patients with preexisting conditions. The new law imposes limits on so-called “short-term” health plans. Federal law exempts short-term plans from ObamaCare’scostly andpunitive health insurance regulations. As a result, short-term plans allow enrollees to purchase only the coverage they value, frequently cost half as ...
Source: Cato-at-liberty - November 30, 2018 Category: American Health Authors: Michael F. Cannon Source Type: blogs