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  • Silence Is the Enemy

    Inspired by reporting by Nick Kristof, a blog coalition is taking on gang rape as an instrument of war. From Aetiology:

    "I always think someone is following me and wants to rape me.  It is better to die."  --Darfuri refugee

    Sometimes there comes a public health issue that's so big, so overwhelming, so heinous, that you just don't know where to begin discussing it.  Nevertheless, the conversation should, and must, happen just the same.  Silence may be easier, but speaking out is the only way to demystify the taboos and bring attention to what's going on for those who can't bring attention to it themselves.  And maybe, just maybe, bring about some change.

    Kristof himself writes:

    When I’ve written about sexual violence in Darfur, Congo and, most recently, Liberia, I always get frustrated emails from readers: But what can I do?"

    It’s a question I never have a very good answer to, other than to support the various groups active in the field, such as the International Rescue Committee, Doctors Without Borders, Panzi and Heal Africa hospitals, and so on.

    Now there’s a push on the Web to galvanize attention to the issue and allocate resources to it. It’s called "Silence Is the Enemy," because the discomfort of talking about sexual violence has been one of the obstacles that has allowed the violence to continue. Attention won’t automatically solve the problems, but it raises the costs to those engaging in mass rape or supporting those who do...

    Sheril Kirshenbaum at the Intersection Discovery blog links to Facebook, Doctors Without Borders and the blogs who are donating their June revenue to them, and other useful links and blog partners who have written on this, including herself.

  • NYT:

    In the waning days of April, as federal officials were declaring a public health emergency and the world seemed gripped by swine flu panic, two rival supercomputer teams made projections about the epidemic that were surprisingly similar — and surprisingly reassuring. By the end of May, they said, there would be only 2,000 to 2,500 cases in the United States.

    May’s over. They were a bit off.

    On May 15, the Centers for Disease Control and Prevention estimated that there were "upwards of 100,000" cases in the country, even though only 7,415 had been confirmed at that point.

    Oops. Well, if you live in the US, it's flu season in May, in all 50 states and DC.

  • Speaking of the panic that wasn't, risk communicator Jody Lanard:

    But Dr. Besser did a spectacular job of framing the initial alarming announcement, and what is most noticeable is that it did not produce any panic.

    Some early and brief "over-reactions" occurred, and were poorly tolerated by officials.

    These reactions, and the initial brief massive public attention were called "hysteria" and "panic" by the media.

    But there was no actual panic -- just the public going through adjustment reactions, which have been disrespected by most officials and the media, as usual.

  • David Brown in the WaPo:

    Influenza experts are acknowledging that they were almost completely surprised by the way the current swine flu outbreak unfolded, so much so it is forcing the world to rethink what a pandemic is and what pandemic preparedness means.

    Virtually every assumption made since planning for a pandemic began in earnest after the deadly "bird flu" outbreak of 2004 in Southeast Asia has been contradicted by the six-week history of swine-origin influenza A (H1N1).

    if you've seen one pandemic, you've seen one pandemic. They're all different and this one's not over. Pandemic planning needs to be for for whatever comes, because something always comes.

  • Politico:

    Republicans have no shortage of ideas about how to tackle the issue of health reform. What they don’t have is agreement — between the Senate and the House or between conservatives and moderates.

    Now some in the party are nervous that the array of options might add up to nothing, leaving Republicans without a cohesive strategy as President Barack Obama edges closer to delivering health care reform.

    This observation is more important than Senators like Judd Gregg realizing they have to say something - anything - on the topic.

  • First Read:

    Howard Dean said a public health insurance option is more important than bipartisanship, and that Democrats should pass health-care legislation that includes the option with 51 votes if necessary.

    Dean added that Democrats should have "no intention" of working with Republicans if it's not the strongest possible legislation that could be passed with a simple majority.

    "If Republicans want to shill for insurance companies, then we should do it with 51 votes," Dean said during a news conference at the first day of the liberal America's Future Now! conference here.

    Dean, though, also praised what he called President Obama's "realist" approach to trying to pass health care reform.

  • On autism spectrum disorder:

    Despite common off-label use, the antidepressant citalopram (Celexa) has no effect on repetitive behavior in young patients with autism spectrum disorders, researchers said.

    There was no significant difference in positive response rates between children taking citalopram or those taking placebo (32.9% versus 34.2%), Bryan H. King, M.D., of the University of Washington, and colleagues reported in the June issue of Archives of Psychiatry.

    "There is a robust literature that supports the use of selective serotonin reuptake inhibitors for obsessive-compulsive disorder, so we assumed that we'd see a very positive response," Dr. King said.

    Instead, he said, the results further illustrate that there is "a fairly significant placebo response rate in kids with autism who are treated with medication."

    Not just in ASD, that placebo effect is responsible for a whole lot of passionate argument about what works, hence the need for placebo controlled double blind studies in evaluating treatment for anything. And while I realize it's difficult to write anything about ASD, Lyme or vaccines (among others) without being called an idiot, a corporatist and a whole lot worse, it's good to get studies done and put some fact behind the opinion.

  • Speaking of opinions, consideration begins today in the Senate on the Family Smoking Prevention and Tobacco Control Act.

    According to the its sponsors, the measure would aim to give the FDA the legal authority it needs to:

    • Prevent tobacco advertising that targets children

    • Prevent the sale of tobacco products to minors
    • Help smokers overcome their addiction
    • Identify and reduce the toxic constituents of tobacco products and tobacco smoke for those who continue to be exposed to them
    • Regulate claims about reduced risk tobacco products
    • Prevent the tobacco industry from misleading the public about the dangers of smoking.

    For more on public health and smoking, see Smoking, Public Health and Tobacco Taxes and remember it is Federal policy to purposefully raise tobacco taxes.

  • Speaking of cigarettes, sometimes marketing outstrips science:

    The reaction of medical authorities and antismoking groups [to electronic cigarettes] has ranged from calls for testing to skepticism to outright hostility. Opponents say the safety claims are more rumor than anything else, since the components of e-cigarettes have never been tested for safety.

Originally posted to Daily Kos on Tue Jun 02, 2009 at 07:20 AM PDT.

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Comment Preferences

  •  um... (1+ / 0-)
    Recommended by:

    ...while I realize it's difficult to write anything about ASD, Lyme or vaccines (among others) without being called an idiot, a corporatist and a whole lot worse, it's good to get studies done and put some fact behind the opinion.


    ...That's the way I always heard records — as a circular stained glass window. - Johnny Marr

    by itsbenj on Tue Jun 02, 2009 at 07:26:22 AM PDT

    •  Let me explain the comment (9+ / 0-)

      There are folks with very strong opinions on ASD, Lyme and vaccines who are given to express their positions using ad hominem attacks.  There is often a disconnect between opinions and exisiting scientific data.  For example, the alleged link between vaccines and autism has been repudiated by the scientific community, but there are those who continue to insist on the link.  
      By the same token, there will be those who insist that anti-depressants are helping their children, and they will dismiss the study as irrelevant to their experience.

      Ancora Impara--Michelangelo

      by aravir on Tue Jun 02, 2009 at 07:35:17 AM PDT

      [ Parent ]

      •  yeah (0+ / 0-)

        I guess I couldn't tell from the context of the paragraph which side of that divide the author was claiming to be on...I understand the history of the vaccination argument and all that. the comment was too vague for me...but thanks

        ...That's the way I always heard records — as a circular stained glass window. - Johnny Marr

        by itsbenj on Tue Jun 02, 2009 at 08:10:15 AM PDT

        [ Parent ]

        •  the author isn't claiming to be (1+ / 0-)
          Recommended by:
          on any side of the divide, though the author is often placed there by others. ;-P

          "Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly and applying the wrong remedies." - Groucho Marx

          by Greg Dworkin on Tue Jun 02, 2009 at 08:12:07 AM PDT

          [ Parent ]

          •  that's (0+ / 0-)

            partially what I was afraid of, I guess

            ...That's the way I always heard records — as a circular stained glass window. - Johnny Marr

            by itsbenj on Tue Jun 02, 2009 at 10:33:11 PM PDT

            [ Parent ]

            •  I go where the science takes us (0+ / 0-)

              and that's gotten me the wrath of the anti-vax people, chronic lyme folks and a handful of ASD activists.

              "Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly and applying the wrong remedies." - Groucho Marx

              by Greg Dworkin on Wed Jun 03, 2009 at 03:04:11 AM PDT

              [ Parent ]

              •  well then, i retract, i guess (0+ / 0-)

                still confused, but as long as you're on the general side of 'vaccinations are good', then we cool

                ...That's the way I always heard records — as a circular stained glass window. - Johnny Marr

                by itsbenj on Wed Jun 03, 2009 at 10:00:50 PM PDT

                [ Parent ]

                •  heh (0+ / 0-)

                  I am strongly on the side of protecting children from preventable diseases. I understand the reluctance to add a new vaccination every 3 months.

                  "Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly and applying the wrong remedies." - Groucho Marx

                  by Greg Dworkin on Thu Jun 04, 2009 at 05:16:21 AM PDT

                  [ Parent ]

      •  The problem (3+ / 0-)
        Recommended by:
        wader, stitchmd, aravir

        Is that there will never be a double-blind placebo study about vaccines. It would be unethical to conduct such an experiment. It's one of the things anti-vaccinationists like to pick at when they claim the science isn't in.

        At this point, I'm convinced that even if there were such a study, they'd find a reason to fault it, too.

      •  Equating Lyme - specifically, the effects of Lyme (1+ / 0-)
        Recommended by:

        which have been in the body for years, sometimes called "chronic Lyme", which is debated in terms of actual severity and treatment needs - with the fallacy of autism being directly linked with MMR or other vaccines, is not helpful, IMHO.

        I don't appreciate the downplaying of something affecting my own body in debilitating and lifestyle-affecting ways, despite my two years of searching across the medical specialties to define it as anything but Lyme, with the scientifically undeniable evidence that vaccines do not cause autism.

        "So, please stay where you are. Don't move and don't panic. Don't take off your shoes! Jobs is on the way."

        by wader on Tue Jun 02, 2009 at 09:39:25 AM PDT

        [ Parent ]

    •  You haven't seen the vaccines=autism trolls yet. (3+ / 0-)
      Recommended by:
      terrypinder, stitchmd, zhimbo

      The sheer levels of ignorance people are willing to go to just to try and excuse a family tragedy...

      Rather than move along the stages of grief to acceptance and coping mechanisms (like support groups and special ed), some families prefer to throw their blind faith in widely discredited "studies" that "prove" autism is somehow linked to an obsolete mercury preservative in vaccines.

      I'm writing in Lizard People on my next ballot.

      by George Hier on Tue Jun 02, 2009 at 07:39:11 AM PDT

      [ Parent ]

      •  Just give them a little time (1+ / 0-)
        Recommended by:

        They seem to flourish on biology blogs. However, one interesting phenomenon of denialists is that they tend to deny not only vaccines or the Holocaust or HIV or Evolution but that they tend to deny several of these topics at once, which seems to comment more on the doubters than the topic at hand.

      •  Yeah (3+ / 0-)
        Recommended by:
        DemFromCT, zhimbo, Silent Spring

        Anti-vaxxers love to hang out on Huffpo. The level of tinfoil hat wearing there is amazing. Everyone who doesn't think vaccines are teh debil is obviously a shill of Big Pharma or in the pocket of the CDC (which is apparently in some sort of conspiracy with pharmaceutical companies to poison children and sweep the evidence under the rug)

        I really never got why the obsession with vaccines, but then I don't have to look much further than my family tree to figure out why my son has autism.

        Instead of wasting time doing the same research over and over, I'd rather focus on making sure all kids can get early autism screening. Focus on making sure autism is covered by insurance. Focus on making sure schools have the funding and infrastructure for adequate supports. Focus on finding ways for adults to find support and integrate into society instead of living in group homes. These are things that help us.

        I'm very worried that Jenny McCarthy and the anti-vax conspiracy brigade will ruin our chances for all of this by painting parents as a bunch of loony conspiracy-nuts.

    •  conspiracy theories (0+ / 0-)

      are not limited to those about 9/11.

      Just sayin'.

      Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - W S Coffin

      by stitchmd on Tue Jun 02, 2009 at 07:54:02 AM PDT

      [ Parent ]

    •  Howard Dean and Ted Kennedy are the only ones (0+ / 0-)

      that I trust.

      I'm still worried that their efforts will be torpedoed by Max Baucus, Obama/Emanuel -- who will not fight the Insurance Companies or the misleading GOP talking-points.

      "All tyranny needs to gain a foothold, is for
      people of good conscience to remain silent."
           --Thomas Jefferson

      by FreeSociety on Tue Jun 02, 2009 at 08:33:42 AM PDT

      [ Parent ]

      •  Speaking of trust... (0+ / 0-)
        I see ex-Philip Morris consigliere Gillibrand is NOT among the 59 cosponsors
        of S. 625, the Family Smoking Prevention and Tobacco Control Act.
        I had hoped that the ethical flexibility that enabled her to represent Murder Inc.
        would induce her to represent her new clients, the voters of NY State.

        There is no such thing as a free market.

        by Albanius on Tue Jun 02, 2009 at 11:21:11 AM PDT

        [ Parent ]

  •  I'd like to take this opportunity... (4+ / 0-) praise the Obama Administration's overall handling of the initial Swine Flu outbreak. With the exception of VP Biden's off-the-cuff comments (go figure), the information that came out of Washington and Atlanta on the disease seemed to be measured, cautious, and - perhaps most importantly - of a piece.

    Well done.

    "Then a man dripping with Vitalis said I looked like Joe Namath." - Vic Chesnutt

    by turnover on Tue Jun 02, 2009 at 07:27:11 AM PDT

  •  Good on Dean for telling like it is! (0+ / 0-)

    I'm on Twitter so if you'd like to follow my tweets, please do!

    by slinkerwink on Tue Jun 02, 2009 at 07:27:52 AM PDT

  •  Single Payer demonstration in Los Angeles (2+ / 0-)
    Recommended by:
    freedapeople, Book of Hearts

    Pris in LA and I are organizing a Single Payer event for June 26 at the Warner Center Park in Los Angeles near the HQ for several giant HMOs.  We'll count on you as a resource.

    The initial Facebook event page is here.

    nyceve is also helping us but we need all the help and support we can get.  The permits are already in place.

    It will be a monthly event on the last Friday at 5PM.

    Single Payer Happy Hour.; an oasis of truth. Truth that leads to action -1.75 -7.23

    by Shockwave on Tue Jun 02, 2009 at 07:31:55 AM PDT

  •  What is up with Wisconsin? (1+ / 0-)
    Recommended by:

    At first glance it appears they lead the nation in per capita infection rate, by a gross amount.

  •  need for placebo .... (0+ / 0-)
    "need for placebo controlled double blind studies in evaluating treatment for anything"

    uhm, including marijauna?

    "The only person sure of himself is the man who wishes to leave things as they are, and he dreams of an impossibility" -George M. Wrong.

    by statsone on Tue Jun 02, 2009 at 07:33:41 AM PDT

  •  Thanks, Dem (4+ / 0-)
    Recommended by:
    DemFromCT, stitchmd, turnover, zhimbo

    I was thinking of posting a diary on the Celexa study.  Your having put it in the broader context of an omnibus diary is more useful.

    Ancora Impara--Michelangelo

    by aravir on Tue Jun 02, 2009 at 07:36:46 AM PDT

  •  Public option is a waystation on the (1+ / 0-)
    Recommended by:

    road towards single payer. We all know it.

    I just hope protections are built into the legislation to prevent American health care to be delineated along the lines of one set of quality for for-profit care vs another for public option care.

  •  i agree about the need for studies. (2+ / 0-)
    Recommended by:
    wa ma, Book of Hearts

    But after reading "And the Band Played On", by Randy Shilts, I'm convinced that medical research is so politicized and commercialized that there is little chance for any objectivity. Scientists are not free and have not been free to conduct research for quite some time, if they ever have been.

    Just as we have to take the big bucks out of politics, we have to commit to a way to fund objective research on a wide variety of things.

    •  there's some truth in that (2+ / 0-)
      Recommended by:
      stitchmd, Book of Hearts

      but not by any means compelte truth in that.

      "Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly and applying the wrong remedies." - Groucho Marx

      by Greg Dworkin on Tue Jun 02, 2009 at 07:55:35 AM PDT

      [ Parent ]

    •  I read that too (1+ / 0-)
      Recommended by:

      and I cite it all the time. Great book and very instructive about how politics and health issues are intertwined.

      But to believe that all scientific research is therefore corrupt is to absolutely throw out the baby with the bathwater.

      And just because research doesn't agree with what someone wants it to show, that doesn't mean that it is inherently corrupt. In fact, usually, quite the opposite.

      Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - W S Coffin

      by stitchmd on Tue Jun 02, 2009 at 07:57:14 AM PDT

      [ Parent ]

  •  John Cole nails it once again (1+ / 0-)
    Recommended by:
    wa ma

    responding to Sullivan

    Andrew is wildly against single-payer. It’s socialist. Is he regularly donating to a charity that helps pay the millions of dollars of medical bills that multiple futile heart surgeries or multiple spinal surgeries these babies must endure before they die? Even the rosy scenario he posted yesterday states that only 50% might live in some diminished capacity after multiple surgeries. Or are these poor women supposed to not only give birth to a child that will probably never live a healthy day in its short life, in a risky childbirth that may kill the woman, but they also win hundreds of thousands of dollars in medical bills for futile procedures? Sorry about your luck, lady, but we have people’s consciences to think about here. Does Andrew think the only people going through this are upper East Side liberals with platinum health insurance and a six figure income and a disdain for human life? Is anyone in the pro-life community funding this for people? Or are they just too busy trading bomb-making tips with Operation Rescue?

    •  We may soon get the chance to see (1+ / 0-)
      Recommended by:

      as a radio report yesterday said that the new budget proposed by Schwartzenegger proposes to cut out all coverage for children in the state, making CA the only state without SCHIP.

      If that decision stands, it will be interesting to see if the conservatives' complaints over the years about Medicaid patients driving up the cost of healthcare is true as parents of those children expelled from SCHIP will either have to be seen as indigent patients (which means the providers get zero instead of reduced payments in many cases) or whether the parents deny their children healthcare (including routine immunizations and other preventive measures)

      Or it may be a mixture of reduced revenues for those providers who do not try to block access from these patients coupled with increased child mortality as other providers find ways to block access to their services for these children.  

  •  Public Health Insurance Option (0+ / 0-)

    is Section III of the Senate Finance Committee's health reform see

    5-11-09 Baucus, Grassley Policy Options for Expanding Health Care Coverage:   Proposals to Provide Affordable Coverage to All Americans

    it's a pdf file and i don't know how to link it here .....  pages 13 & 14 (pdf page 15 and 16)

  •  On the subject of rape as a military strategy (3+ / 0-)
    Recommended by:
    stitchmd, mariachi mama, mherms

    it is called a "low tech WMD", if memory serves, based on an interview with a rebel commander in the Congo discussing why his soldiers raped as a matter of policy.
    First of all is the devastating physical and psychological damage to the victim, which ties up limited rescue and health resources. Not only does it have shortterm effects, its effects persist for decades. Think of it as a sort of shrapnel weapon designed specifically not to kill but to maim and incapacitate.    
    Next are the collateral damages to family and social networks as most traditional societies are ill prepared to deal with those victimized by rape or its consequences. Traditional methods of coping are either overwhelmed or simply not available.
    Finally there is what the commander referred to as the "Time Bomb" which is why rape is so particularly hideous. In areas of Africa where STD rates are in the 80 percentile and HVD infections are at more than a 60% rate, the commander admitted that his unit formed a special squad of men known to be infected with STDs including HIV.
    He pointed out that those women infected with STD, in particular, HIV, would suffer a slow death which would consume a large portion of healthcare. In addition, the women would be sources of infection themselves, leaving them as "timebombs". Finally, any children born to these women would probably be infected with the virus and not survive to adulthood (hence no new enemy soldiers if there is not a subsequent generation) and their healthcare would also consume limited resources.

    The most disturbing aspect of the interview was the evident pride with which the commander described his "special squad" and its ability to sow the seeds of misery and destruction.  

  •  Thanks for health care Tuesday (1+ / 0-)
    Recommended by:

    I feel like the struggle in America is between Wild West (where anything goes) and Western Civilization (rational and making progress).

    Media Reform Action Link

    by LNK on Tue Jun 02, 2009 at 07:55:15 AM PDT

    •  and it's rapidly (0+ / 0-)

      favoring the first. Cowboy culture even in health care, whatever you want - just pay for it for me.

      Sorry. My cynicism meter is way out of whack today. Forgot to take my Sarcasma.

      Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - W S Coffin

      by stitchmd on Tue Jun 02, 2009 at 08:01:16 AM PDT

      [ Parent ]

      •  Does that mean ER doctors will no longer set (1+ / 0-)
        Recommended by:

        broken legs but just shoot the patient? HMOs might like this option.

        •  could be (0+ / 0-)

          but from what I've seen, it's more like the ED docs will do the basic setting and splinting. It's then up to the orthopods to do the shooting, if the patient has a negative wallet biopsy.

          OTOH, a positive wallet biopsy will lead to all sorts of gold plated care. Those are the ranch owners as opposed to the ranch hands.

          Messed up, man.

          Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - W S Coffin

          by stitchmd on Tue Jun 02, 2009 at 08:05:11 AM PDT

          [ Parent ]

          •  They shoot patients don't they? (0+ / 0-)

            I was thinking more of the equines. Notice that in Westerns, whenever it is a rancher or a hand or the schoolmarm, everyone rushes for Doc Sawbones but if it is a horse, out comes the .44.  

            •  see your comment above (0+ / 0-)

              re: California.

              That just might be the answer to that problem. Sure would save costs, wouldn't it?

              Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - W S Coffin

              by stitchmd on Tue Jun 02, 2009 at 08:09:27 AM PDT

              [ Parent ]

              •  funeral is always cheaper than a hospital stay (2+ / 0-)
                Recommended by:
                stitchmd, Abra Crabcakeya

                when routine hospital care can easily run from 20K to 300K for the average cash payer. I think the average now is around $3500 per diem, without being adjusted for locale.

                •  I want free euthenasia......... (0+ / 0-)

                  I just haven't decided if I want it by appointment or by surprise........

                  That's what I've been saying about not having really adequate healthcare in America except for the wealthiest.

                  Media Reform Action Link

                  by LNK on Tue Jun 02, 2009 at 11:58:04 PM PDT

                  [ Parent ]

  •  Rape and disfunctional cultures: (0+ / 0-)

    I have several friends who have toured in different parts of Africa who have found rape of young women to be an accepted, if not condoned, institution. Rape as a part of military strategy is something that must be eliminated, but it is more the tip of the iceberg in parts of the world.

    "True terror is to wake up one morning and discover that your high school class is running the country" - Vonnegut

    by the fan man on Tue Jun 02, 2009 at 07:56:55 AM PDT

    •  Rape of women by individuals as (0+ / 0-)

      acceptable is one cultural problem; promiscuity among men and the acceptance of frequenting prostitutes are other problems as all have contributed to skyrocketing HIV rates. However, rape as a military tactic remains a particularly chilling development, along with the recruitment of child soldiers.

      •  Absolutely. The stories I have heard about (0+ / 0-)

        the rape of children (I hesitated to use that phrase in my first comment) is fairly chilling in its own right. Rape as a strategic weapon is very old and like the use of other horrific weapons that have been banned, something that we must try to eliminate. My friends also have heart lifting stories about reconciliation in Rwanda. The power of forgiveness and the healing of the human heart and mind is always miraculous. Our power to reach out to one another in love and respect is thankfully more prevalent than our worst instincts.

        "True terror is to wake up one morning and discover that your high school class is running the country" - Vonnegut

        by the fan man on Tue Jun 02, 2009 at 08:20:15 AM PDT

        [ Parent ]

  •  Feeling Guilty (1+ / 0-)
    Recommended by:

    about beating my own drum, but I've just posted a brief diary soliciting brief arguments, particularly as documented in research, that support single payer health reform.

    On Thursday night (9 ET), I will post a much lengthier piece: "The Elephant in the Room: Thoughts on a Meeting with Senator Max Baucus" as part of the Thursday Night Is Health Care Change Night series.

    Dr. Aaron Roland is a family physician in Burlingame, CA.

    by doctoraaron on Tue Jun 02, 2009 at 08:00:47 AM PDT

  •  Wisconsin Flu (0+ / 0-)
    Wisconsin is doing its own testing, which may explain the apparently relatively high rate of infection. The reality is that actual infection rates are probably much higher across the country.
  •  we need a standard Electronic Patient Data record (0+ / 0-)

    so we can electronically send all results between doctors, labs, specialists and hospitals.

    If the US Made VA the baseline standard for Data interchange, we could
    save 20-30% on lab tests alone.

    George Bush is Living proof of the axiom "Never send a boy to do a man's job" E -2.25 S -4.10

    by nathguy on Tue Jun 02, 2009 at 09:59:45 AM PDT

  •  President Obama Is Failing (0+ / 0-)

    President Obama is failing us. He is failing on single payer healthcare, on economic fairness for the middle class, on programs for green jobs, on the EFCA, on seeking justice for those who have violated our laws through torture and is failing in his openess pledge. That he has a full plate is not an adequate excuse. I see no programs or steps to advance these goals. I am beginning to realize that there is no comittment on his part to them.
    Further the congress contines to be in the clutches of the corporate lobby. Unless we can raise our voices these goals will not be acheived by this administration or this congress. That is a painful since his election held such promise. He is blowing the opportunity of a lifetime to lead.

  •  the cost conundrum (0+ / 0-)
    I'm a newbie and I don't know it's okay to use the comments to schill my favorite health-related article of the week, so someone please tell me if I'm being bad.

    That said, I thought this article in The New Yorker was great.  The author notes that the debate in Washington right now is focused on who pays, but that we also need to address the issue of what we're paying for.  The author visits McAllen, Texas, the town with the highest health care costs in the U.S., in an exploration of why health care in McAllen costs so much more (three times as much!) as in the lowest-cost areas.  His answer, essentially, is that McAllen residents are being given unnecessary care and tests that drive up costs (and profits for doctors) but don't make them any healthier.  

  •  Don't be too quick to give up on the states! (0+ / 0-)

    Connecticut Governor M. Jodi Rell will soon receive on her desk a bill passed overwhelmingly by our state House and Senate called "SustiNet." It sets up a public plan that is more inclusive AND more sustainable than any of the public options being discussed in DC right now.  You can learn more about it at

    Also, check out Gov. Rell’s new health care reform video at:

    Here in the Nutmeg State, we've got momentum for landmark reform legislation!

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