Four Lessons from the Covert Separation and Study of Triplets
Written by Julian Savulescu Today, the Journal of the American Medical Association published an article entitled “Three Identical Strangers and The Twinning Reaction— Clarifying History and Lessons for Today From Peter Neubauer’s Twins Study” written by Leon Hoffman and Lois Oppenheim.  It provides background to a documentary, Three Identical Strangers, which gained a lot of […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - July 2, 2019 Category: Medical Ethics Authors: Julian Savulescu Tags: Health Care Research Ethics Julian Savulescu's Posts regulation syndicated Source Type: blogs

 AMA’s Healthcare AI Proposals Reflect Hard Lessons Learned From EHRs
The American Medical Association continued its efforts to get its arms around the use of augmented intelligence this month, endorsing a new set of policy proposals under which the group advocates for a seat at the table as healthcare AI systems become more important to care delivery. The recommendations aren’t incredibly detailed, but they do offer […] (Source: EMR and HIPAA)
Source: EMR and HIPAA - June 19, 2019 Category: Information Technology Authors: Anne Zieger Tags: AI/Machine Learning Ambulatory Clinical Healthcare IT Regulations AMA American Medical Association EHR Incentives Healthcare AI Healthcare AI Liability Source Type: blogs

Medicare for All and Industry Consolidation
This article is adapted from a forthcoming book. (Source: The Health Care Blog)
Source: The Health Care Blog - June 13, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Medicare Ken Terry Medicare For All Source Type: blogs

Beyond Advance Directives
by Daniel J Brauner, MD Wait a minute! I made up the term DNE—Do Not ECMO—not because I thought we needed another RULE, but to motivate a cautionary tale about CPR that may help to avoid the order becoming necessary in the first place. Cautionary Tale Attention to the changing indications for resuscitation over its more than 200 year history reveals what in retrospect was a natural experiment performed by the American Medical Association (AMA). The AMA conceived of the Current Procedural Terminology or CPT in response to their fears about increasing government involvement with the medical enterprise.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 19, 2019 Category: Medical Ethics Authors: Blog Editor Tags: Clinical Ethics End of Life Care Featured Posts CPR DNE ECMO Source Type: blogs

An Encouraging Sign for Harm Reduction Advocates
A New Hampshire high school student who is remarkably knowledgeable about the various harm reduction strategies that are underused to address the overdose crisis engaged Senator Cory Booker (D-NJ) in a  discussion of the subject during a campaign stop in Littleton, NH. The video of the exchange is here.Senator Booker, who is seeking the Democratic nomination for President in 2020, is a former mayor of Newark, NJ, a city with  major drug overdose problems. He had a sophisticated conversation with the student and agreed with her on the need for safe syringe programs. At about 1:50 into the video Booker was asked if he wo...
Source: Cato-at-liberty - May 13, 2019 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

Intensive treatment of blood pressure helps prevent memory decline in older adults
This study, as well as the larger SPRINT study, also demonstrated that overall intensive treatment of blood pressure in older adults is safe. However, we do know that some individuals may develop dizziness, imbalance, and in rare instances strokes with intensive blood pressure lowering. For that reason, it is important to discuss your blood pressure management with your primary care physician and follow his or her recommendation. How do cardiovascular risk factors affect brain health? We have evidence from studies of the population, studies of brain scans, and studies of animals, that treatment of cardiovascular risk facto...
Source: Harvard Health Blog - May 6, 2019 Category: Consumer Health News Authors: Gad Marshall, MD Tags: Alzheimer's Disease Brain and cognitive health Heart Health Hypertension and Stroke Memory Prevention Source Type: blogs

My Trial With Sanofi's Admelog, The Biosimilar Version of Humalog
A while back Iblogged about the emergence of biosimilar insulin in the U.S., more than a decade after I studied the topic and discovered some troubling reasons none existed. Since then, in spite of top officials at the U.S. Department of Health and Human Services advocating for a more robust biosimilars market in the U.S., we have seen fewer rather than more, so that ' s not working out so well for the Trump Administration ' s promise to bring drug prices way down so far. In late 2018, Merck quietly pulled the plug on its own Lantus biosimilar which was to be branded as Lusduna Nexvue (see moreHERE for details). ...
Source: Scott's Web Log - April 9, 2019 Category: Endocrinology Tags: Eli Lilly and Company follow-on insulin analogs 2019 Admelog biosimilars generics Humalog insulin prices Medicare Sanofi Source Type: blogs

My Trial With Sanofi's Admelog, The Biosimilar Version of Humalog
A while back Iblogged about the emergence of biosimilar insulin in the U.S., more than a decade after I studied the topic and discovered some troubling reasons none existed. Since then, in spite of top officials at the U.S. Department of Health and Human Services advocating for a more robust biosimilars market in the U.S., we have seen fewer rather than more, so that ' s not working out so well for the Trump Administration ' s promise to bring drug prices way down so far. In late 2018, Merck quietly pulled the plug on its own Lantus biosimilar which was to be branded as Lusduna Nexvue (see moreHERE for details). ...
Source: Scott's Web Log - April 9, 2019 Category: Endocrinology Tags: Eli Lilly and Company follow-on insulin analogs 2019 Admelog biosimilars generics Humalog insulin prices Medicare Sanofi Source Type: blogs

AMA and UnitedHealthcare Create ICD-10 Codes To Document Social Determinants Of Health
Here at this blog, we’ve been talking about social determinants of health for quite some time, and I have little doubt that most of you have been doing so as well. After all, it’s hardly a secret that many factors outside of clinical care play a role in how well a patient is overall. Given […] (Source: EMR and HIPAA)
Source: EMR and HIPAA - April 8, 2019 Category: Information Technology Authors: Anne Zieger Tags: Ambulatory Clinical Healthcare IT HIM Hospital - Health System Regulations Revenue Cycle Management AMA American Medical Association Medicare Advantage PHM Population Health Management SDOH Social Determinants of Health UHC U Source Type: blogs

Addressing weight bias in medicine
You happen to be among the two-thirds of Americans with overweight and obesity (defined as a body mass index of 25 or greater), and you are just thrilled to go to your next doctor’s appointment, right? Wrong! Unfortunately, if you have a diagnosis of overweight or obesity, you might find the doctor’s office to be the least inviting place to be. Maybe you find that there are no chairs to accommodate you in the waiting room. When the medical staff takes your blood pressure, you might find that they struggle to find the right size cuff. You might feel as though you are weighed in a disrespectful fashion. Or maybe, when yo...
Source: Harvard Health Blog - April 3, 2019 Category: Consumer Health News Authors: Fatima Cody Stanford, MD, MPH, MPA, FAAP, FACP, FTOS  Tags: Health Source Type: blogs

Public Misunderstanding of Health Risks is " a Good Thing " According to Some in the Tobacco Control Movement
Somewhere along the line, I must have gone astray. During my master ' s in public health program, I was taught that one major goal of public health is to educate the public about the risks of various exposures. I was also taught that accurately communicating these risks, as well as helping the public to accurately understand the relative risks between different hazardous behaviors or products was critical.Well, based on an editorial published this morning in theJournal of the American Medical Association (JAMA)Network Open, I was misguided. For in this editorial, it states that the increasing public misunderstanding of the...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - March 29, 2019 Category: Addiction Source Type: blogs

The Most Pressing Issues In Bioethics
Who owns medical and genetic data? How to regulate gene editing? Where is the boundary of enhancing physical or cognitive human capabilities? What to do with biological differences widening the gap of the haves and have-nots? Could we define where is the boundary to augment life? Will we sue robots or algorithms for medical malpractice? With the constant advancement of technology, unprecedented moral, ethical and legal concerns are surfacing. Channeling them into substantial debates will get us closer to their fair solution step by step. Here, we collected the most pressing issues in bioethics. Bioethicists of the world...
Source: The Medical Futurist - March 26, 2019 Category: Information Technology Authors: nora Tags: Bioethics Cyborgization Genomics bioethical data debate DNA future gene editing genetic genetics Innovation legal longevity medical medical data moral sex sexuality technology Source Type: blogs

The Big Easy: The ACC, HRS, and the ABIM
This weekend, at the American College of Cardiology (ACC) Scientific Sessions in New Orleans, the ACC and the Heart Rhythm Society (HRS) announced their commitment to the American Board of Internal Medicine's (ABIM) continuous certification financial shakedown of US cardiologists and cardiac electrophysiologists. Taking a playbook from the American Medical Association, their leadership has (Source: Dr. Wes)
Source: Dr. Wes - March 18, 2019 Category: Cardiology Authors: Westby G. Fisher, MD Source Type: blogs

The Big Easy: The ACC, HRS, and the ABIM
This weekend, at the American College of Cardiology (ACC) Scientific Sessions in New Orleans, the ACC and the Heart Rhythm Society (HRS) announced their commitment to the American Board of Internal Medicine's (ABIM) continuous certification financial shakedown of US cardiologists and cardiac elect rophysiologists. Taking a playbook from the American Medical Association, their leadership has (Source: Dr. Wes)
Source: Dr. Wes - March 17, 2019 Category: American Health Authors: DrWes Source Type: blogs

Doctors Take the MOC ® Stick: Legal Avalanche Unfolds
Working doctors have made their dissatisfaction with the American Board of Medical Specialties' (ABMS) time-limited certification known for years. They have tried to reason with the American Board of Internal Medicine (ABIM). They have exposed the corruption for all to see. They have gone to Washington DC. They have presented these findings to the leadership of the American Medical Association, (Source: Dr. Wes)
Source: Dr. Wes - February 28, 2019 Category: Cardiology Authors: Westby G. Fisher, MD Source Type: blogs