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Conversation Is Not A Business Strategy

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I don’t agree with the first thesis of the Cluetrain Manifesto which asserts: Markets are conversations. There’s a measure of truth to it, but it’s an assertion that can lead marketers down a narrow path that obstructs a larger view of the possibilities of media. If markets were indeed conversations, then we all could get rich just by conversing. No, leading an audience is what gets things done – conversation is simply a bonus feature of a two-way Web.

I need to make my point in the flesh. So here I am, presenting an elucidation of my thesis: Audiences are strategic imperatives [link to video if you can’t see the embed is here]: Read more »

*This blog post was originally published at Phil Baumann*

Why Is Obama Flogging A Dead Healthcare Reform Horse?

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Seeing President Obama traveling the land this week, delivering yet more speeches on the critical importance of passing THIS healthcare reform legislation NOW, makes DrRich shake his head in wonderment.

For one thing, the President’s rhetoric on healthcare reform is already stale. As he himself has said, the arguing has gone on long enough; minds are made up. And the President seems to have nothing new to say.

We proles, in fact, know that the status quo is unacceptable, and that the health insurance companies are evil and are assiduously pricing people out of the market just as fast as they can; and we have concluded that something needs to be done. The fact that the majority of us have not made the connection between “something needs to be done” and “this is the only solution that we may consider” is not, as the President has claimed, due to the fact that he hasn’t explained it to us often enough. We just don’t like the solution he and his party have settled upon. Read more »

*This blog post was originally published at The Covert Rationing Blog*

Is The Healthcare Industry Calling The Shots?

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Why has health care reform run into so much trouble?

Well, it could be because people think reform plans will affect them in ways they aren’t going to like.  Or because people don’t believe politicians in Washington who say that spending huge amounts of money will actually save money.  Or because confusing mixed messages and ever-shifting sales pitches create a lot of anxiety about what’s really going on.  It could be all of those things.

Or, it could be something more….sinister…. Read more »

*This blog post was originally published at See First Blog*

Population Growth Is Dependent Upon Nutrition

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Population increases when the birthrate exceeds the death rate, and decreases when the reverse occurs. So what does the world look like when there are too many people?

One way to approach this question is to consider what the limiting factors in population are. When, exactly, does the death rate exceed the birthrate? A key consideration is mortality. If people live shorter lives, the death rate goes up, and population goes down (or at least grows more slowly). What causes mortality to increase? Obviously things like wars, pandemics, and famines have an impact, but economist Robert Fogel argues that these are actually a relatively small part of the global mortality picture. Read more »

*This blog post was originally published at The Daily Monthly*

Should Steroids Be Used To Treat Sore Throats?

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RCentor has an interesting article on Sore Throats and Pharyngitis over at MedRants.  He writes:

There is a new trend in pharyngitis that has taken hold amongst emergency physicians – the use of steroids to provide symptom relief.

I too have noticed this, and I completely agree with Dr Centor that while this is a highly effective treatment, it needs to be used with some caution.  For our practice, this has been pushed by the ENTs.   It has been our experience that when we see someone with a really bad sore throat or even with a peritonsillar abscess, 100% of the time the instruction from the ENTs has been to administer steroids.  While the data is underwhelming (pain relief on average six hours quicker with steroids), the truth is that for a really bad case of tonsillitis, steroids work. Read more »

*This blog post was originally published at Movin' Meat*

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It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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