Tag Archives: money

The corruption of modern academic medicine

The corruption of modern academic medicine — How your doctor was bought – by Jason Fung, MD – July 2017

Many doctors are genuinely puzzled why much of the general public does not trust what they say.

Many doctors blame ignorance and the media for these phenomena, but this is simply a patronizing attitude. The truth is this. Many people simply do not believe doctors anymore.

But why? The answer is $$$$. Simply, the public does not trust doctors because they know that many doctors, especially those in academic medicine and the universities are on the take.   Continue reading

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CVS’s Transparent Opioid PR Stunt

CVS’s Transparent Opioid PR Stunt | American Council on Science and Health – by Josh Bloom – Sept 2017

CVS has taken it upon itself to enact rules that allow their pharmacists to ignore a physician’s prescription by changing the number of pills, the daily maximum dose, and even the form of the drug itself.

And the company’s new policy is based on a decidedly faulty premise, which I will describe below.

What the company just did is bad news for both physicians and their patients. Let’s try to set them straight.   Continue reading

Money Trumps Science at Medical School

A huge gift boosts alternative therapies at a med school, sparking outrage – ByUsha Lee McFarling – September 20, 2017

It’s becoming perfectly clear that money trumps (pun intended) science these days.

When billionaires Susan and Henry Samueli this week announced a $200 million donation to the University of California, Irvine to launch a new health program dedicated to integrative medicine, they drew a standing ovation and glowing coverage.

But for those who have been watching the steady creep of unproven therapies into mainstream medicine, the announcement didn’t go over quite as well.  Continue reading

‘Population-Based,’ Meet ‘Patient-Centered’

‘Population-Based,’ Meet ‘Patient-Centered’ | Managed Care Magazine Online |MANAGED CARE | May 2012 – by Timothy Kelley

It’s hard to believe we’ve made so little progress on reconciling these two ideas since 2012.

With the coming increase in the elderly population who often have multiple interacting health problems, population medicine might end up being of little use.

Health care doesn’t lack for big ideas, even if their definitional boundaries do sometimes get fuzzy.

Take “population-based medicine” and “patient-centered health care,” for example. Both are phrases we hear and read every day, and maybe even believe in. But do they coincide or collide?   Continue reading

What is Population-Focused Health Care?

What is Population-Focused Health Care? | Loyola Univ. Online – undated

Though preventing and treating health care issues on an individual level has been the norm, some health care institutions are beginning to adopt the concept of population-focused health care.

Population-focused health care can be defined in a number of ways, though overall, it refers to assessing the health care needs of a specific population and making health care decisions for the population as a whole rather than for individuals.

Populations being treated are made up of individuals who have one or more personal or environmental trait in common.   Continue reading

Shoddy care & turmoil found inside Recovery Centers

Shoddy care, turmoil found inside Recovery Centers of America facilities By David Armstrong — STAT @DavidArmstrongX and Evan Allen — Boston Globe – August 25, 2017

Driven by financial avarice and greed, unregulated “addiction recovery” businesses have attracted Wall Street financing because they are so simple to set up and so lucrative.

The actual duties of helping people “recover” from opioid addiction are left to low-paid workers whose main qualification is often that they are addicted to opioids themselves, but “recovering”.

In what other business that claims to treat a medical condition would such a lack of professionalism be tolerated?

Especially when it is part of the response to a “national emergency” of opioid deaths?  Continue reading

Economic price of pain: $56-$145 a day

Economists have put a price on pain, and it’s $56-$145 a day By Dan Kopf – August 09, 2017

Economists can put a dollar value on anything. Even pain.

In a recently released working paper (paywall), economists from the University of Iceland and the University of Michigan set out to quantify just how much it’s worth to people to live a life without pain.

They estimate that for people in the US age 50 and older, avoiding chronic pain is worth somewhere between $56 and $145 a day.   Continue reading

Half of “low intensity” CBT clients relapse within 12 months

False economy? Half of “low intensity” CBT clients relapse within 12 months – By Christian Jarrett

Heralded as a revolution in mental health care – a cost-effective way to deliver evidence-based psychological help to large numbers – low-intensity Cognitive Behavioural Therapy (CBT) is recommended by NICE, the independent health advisory body in England and Wales, for mild to moderate depression and anxiety.

Prior studies into its effectiveness have been promising. However, little research has looked at whether the benefits last.

A new study in Behaviour Research and Therapy has done that, following a cohort of people with depression and anxiety over time.   Continue reading

Why the advice to take all your antibiotics may be wrong

Why the advice to take all your antibiotics may be wrong – Stat News By Helen Branswell @HelenBranswell – February 9, 2017

If you’re taking antibiotics, don’t stop taking them until the pill vial is empty, even if you feel better. But the warning, a growing number of experts say, is misguided and may actually be exacerbating antibiotic resistance.

The reasoning is simple:

  • Exposure to antibiotics is what drives bacteria to develop resistance.
  • Taking drugs when you aren’t sick anymore simply gives the hordes of bacteria in and on your body more incentive to evolve to evade the drugs, so the next time you have an infection, they may not work. Continue reading

The Myth of Drug Expiration Dates

The Myth of Drug Expiration Dates – ProPublica

The box of prescription drugs had been forgotten in a back closet of a retail pharmacy for so long that some of the pills predated the 1969 moon landing. Most were 30 to 40 years past their expiration dates

the cache was an opportunity to answer an enduring question about the actual shelf life of drugs: Could these drugs from the bell-bottom era still be potent?

The age of the drugs might have been bizarre, but the question the researchers wanted to answer wasn’t.  Continue reading