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Will Nicotine-Free Cigarettes Be Mandated By The FDA?

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In the previous posting I discussed the possibility of FDA requiring that no tobacco products be allowed to emit Carbon Monoxide. While appealing in its simplicity, such a strategy may have problems in that it could be interpreted as a ban on a whole class (or classes) of tobacco products, which the legislation does not allow.

Another strategy might be to reduce the harm from tobacco by lowering the nicotine content/delivery of cigarettes down to the level at which they are no longer addictive. A form of this strategy was proposed in the 1990’s by leading tobacco researchers Professor Neal Benowitz, and Professor Jack Henningfield. The FDA legislation singles out nicotine as the only chemical that cannot be reduced to zero, but this allows FDA the right to reduce the nicotine delivery of tobacco products down to a level just above zero at which they would no longer be addictive. Read more »

This post, Will Nicotine-Free Cigarettes Be Mandated By The FDA?, was originally published on Healthine.com by Jonathan Foulds, Ph.D..

Why Does The US Spend So Much On Healthcare?

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Today the Commonwealth Fund came out with a chart that it says is a “grim reminder” of what happens when health care doesn’t get reformed.

If only we had listened to Richard Nixon or Jimmy Carter.  We would have saved tens of trillions of dollars in health care spending.

Click to enlarge Read more »

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

Good Health Doesn’t Come From Good Insurance

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The CDC has put out an interactive map of heart disease and stroke so you can compare your state or even county with the rest of the country.  It offers data on mortality, hospitalizations and  even penetration of  generalist and subspecialist availability.

What I found interesting was the lack of definitive association between access to generalists or subspecialists and mortality.  While rural areas with a low penetration of physicians generally had a higher mortality than urban centers,  many urban centers with a high penetration of generalists and subspecialist also had a high mortality as well. One could presume that rural America has many factors separate and independent of health care that affects their mortality rate.  The same could be said for urban America. Read more »

*This blog post was originally published at The Happy Hospitalist*

What Distinguishes The Emergency Medicine Physician From Other Specialists?

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Woof, I used to do some emergency medicine, too!

‘Woof, I used to do some emergency medicine, too!’

Years and years in emergency medicine have given me a very enlightening look at the various specialties that make up the ‘house of medicine.’ I am constantly amazed by the other professionals I meet. It astounds me that pediatricians can manage the tiniest of humans, barely larger than my palm. I am fascinated by the way an orthopedic surgeon can look at a fracture and reconstruct it in her mind; a kind of spatial organization totally foreign to my cerebral hemispheres.

General surgeons can navigate the complex plumbing of the human body and leave it running smooth as silk after injury or cancer. And neurologists are at home with the awe-inspiring, labyrinthine pathways of the human brain. Read more »

*This blog post was originally published at edwinleap.com*

Hot Dogs And Common Sense Parenting

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So the American Academy of Pediatrics just came out with a statement that–gasp!–hot dogs (and hard candy, peanuts/nuts, seeds, whole grapes, raw carrots, apples, popcorn, chunks of peanut butter,
marshmallows, chewing gum, and sausages)  pose a choking hazard to young children.

Maybe about a dozen children a year die from choking on hot dogs. So the AAP would like hot dog manufacturers to put warning labels on their products and consider changing the wiener’s shape so they pose less of a risk to young children.

I honestly do not know where to start. Read more »

*This blog post was originally published at A Medical Writer's Musings on Medicine and Health Care*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

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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