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No More Patents On Human Genes

It was just time to end the era of gene patents. About 20 percent of human genes have patents, which is unacceptable. Here’s an excerpt from the New York Times story:

A federal judge on Monday struck down patents on two genes linked to breast and ovarian cancer. The decision, if upheld, could throw into doubt the patents covering thousands of human genes and reshape the law of intellectual property.

One of the individual plaintiffs in the suit, Genae Girard, who has breast cancer and has been tested for ovarian cancer, applauded the decision as “a big turning point for all women in the country that may have breast cancer that runs in their family.”

Chris Hansen, an A.C.L.U. staff lawyer, said: “The human genome, like the structure of blood, air or water, was discovered, not created. There is an endless amount of information on genes that begs for further discovery, and gene patents put up unacceptable barriers to the free exchange of ideas.”

I’m curious how Myriad will respond to it.

*This blog post was originally published at ScienceRoll*

Newborn Denied Care For “Pre-Existing Condition”

Thanks to reader “m.scott” for alerting me to the latest Corporate Hall of Shame award. Blue Cross and Blue Shield (BCBS) of Texas is the winner for it’s egregious denial of care for a 10-day-old baby who was born with a congenital heart defect. Coverage for surgery to treat transposition of the great arteries was denied for — are you ready for this — a “pre-existing condition.” The baby’s parents had previously purchased coverage for their two other children, but were denied coverage for their newborn baby.

Denial of care for children will not be allowed when the new healthcare reform laws go into effect. Until then, it’s business as usual for the likes of BCBS of Texas.

*This blog post was originally published at EverythingHealth*

ER Overuse: Is It A Myth?

Overuse of the emergency department is commonly discussed during the healthcare conversation, especially with the lack of primary care access shunting patients with seemingly routine symptoms to the ER. But is this a myth? That’s what two emergency physicians contend in a piece from Slate.

The emergency department is functioning just fine, they say: “Just 12 percent of ER visits are not urgent. People also tend to think ER visits cost far more than primary care, but even this is disputable. In fact, the marginal cost of treating less acute patients in the ER is lower than paying off-hours primary care doctors, as ERs are already open 24/7 to handle life-threatening emergencies.” Read more »

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

The New-Patient Fallout: How It Might Affect Primary Care

Sunset on Hanalei Bay by Alaska Dude via FlickrWith the prospect of 32 million new patients clamoring for care comes sorting out who will see them all. New medical schools are opening and students say they relish the idea of entering a market that will demand their services. American College of Physicians member Manoj Jain, M.D., offers a more tempered view of how the fallout might affect primary care. (AP, American Medical News, Fort Worth Star-Telegram, Memphis Commercial Appeal)

Even Hawaii has a shortage, especially in primary care, but also cardiology and orthopedic surgery. It’s hard to believe recruiters couldn’t sell Hawaii as a destination. (Honolulu Advertiser)

*This blog post was originally published at ACP Internist*

Medicine Is A Human Thing

If there is a central theme to this blog, it is this: Medicine is a human thing.

On the Facebook page of my podcast, I recently asked for readers to tell me some of the “war stories” they have from the doctor’s office. What are some of the bad things doctors do wrong? I quickly followed this with the flip side, asking readers to comment on the best interactions that they’ve had with their doctors.

The response was overwhelming, and equally quick to both rant and rave. They told stories about doctors who didn’t listen, explain, or even talk with them. They told about arrogance and disconnectedness from the people from whom they were seeking help. They also told about doctors who took extra effort to listen and to reach out in communication. They talked about doctors who genuinely seemed to value them as humans. Read more »

*This blog post was originally published at Musings of a Distractible Mind*

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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