This and that
Responding to some of the responses to my last post on global carbon emissions, yes, we agree on the facts, the issue seems to be the implications. It is correct that at this moment, the U.S. accounts for about 15% of global greenhouse gas emissions, and we have been heading downward; while China in particular has been going in the wrong direction and is the largest emitter. Maybe " fairness " is an issue here, since the U.S. is responsible for far more cumulative emissions and China ' s emissions per capita are not as large, but given the crisis facing humanity I think that ' s pretty much beside the point. What matters i...
Source: Stayin' Alive - June 26, 2023 Category: American Health Source Type: blogs

Like Don Quixote Chasing Windmills, I Aim to See Financial Remediation for Patients Still Suffering in a Predatory U.S Healthcare System
Sometimes, I feel (if you pardon the metaphor) a bit like Don Quixote chasing windmills with my efforts to see true financial remediation introduced in the predatory U.S. healthcare " system " (and I am glad to see that the term " predatory " is now being used by a growing number of medical doctors, which I think is great). I envision a type of financial remediation whereby patients will be able to get access to the care they need without having to face financial predators trying to pick their pockets with illegal discount bribes standing in the way of their getting access to things they need like insulin, CGM senors ...
Source: Scott's Web Log - June 25, 2023 Category: Endocrinology Tags: 2023 CGM Formulary Exclusion insulin PBM Source Type: blogs

Carbon footprint
Whenever I post anything about anthropogenic climate change, I get " What about China? " comments. It is true that the U.S. has actually reduced its carbon emissions slightly in recent years, and that China has now surpassed the U.S. in annual emissions. But we ' re still the #2 emitter in the world. Growing emissions from India are also a problem. Note that because the U.S. was the #1 emitter for most of the industrial age, we ' re still far an away responsible for the largest cumulative amount of anthropogenic CO2 in the atmosphere.   Here ' s the story for the whole planet right now.  So yes, if...
Source: Stayin' Alive - June 22, 2023 Category: American Health Source Type: blogs

Can You Drink Coconut Water With Hypertension?
Conclusion So, circling back to our initial question: Can you drink coconut water if you have hypertension? The evidence seems to suggest that the answer is yes, provided it’s consumed in moderation, given its potassium and magnesium content. However, one must not overlook potential risks associated with overconsumption. A cornerstone of any dietary change, especially concerning a health condition like hypertension, is professional healthcare advice. Always consult your healthcare provider before making significant changes to your diet. After all, managing hypertension is an individual journey,...
Source: The EMT Spot - June 18, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

Advancing Disability Rights in India: From Fragmented Movements to Inclusive Policies
Shanaz Hajira (University of Mysore), Advancing Disability Rights in India: From Fragmented Movements to Inclusive Policies, (2023): A disability is characterized by a malfunctioning, disturbance, or loss in the normal functioning of physical, mental, or psychological processes. The disability rights... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - June 18, 2023 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs

Court ’s ICWA Ruling Doesn’t Reach Individual Rights Claims
Walter OlsonThe Supreme Court today decidedHaaland v. Brackeen, a  challenge to the Indian Child Welfare Act of 1978. It did not reach vital underlying Constitutional issues of equal protection and individual rights for children and families, and these remain to be resolved another day. Instead, the Court addressed important structural issues concerning the relat ionship between federal, state, and tribal governments. It interpreted the Constitution as giving robust powers to Congress to regulate Indian matters, while sharply limiting the underlying authority of state governments. It also found the doctrine of “commande...
Source: Cato-at-liberty - June 15, 2023 Category: American Health Authors: Walter Olson Source Type: blogs

Stent migration : A rare & tricky complication !
Stents have become essential coronary jewelry in global CAD care. The usage of these glamorous metals inside the human heart has crossed many millions, and aiming for a billion. Obviously, when used on such a large scale un-toward events are not an exception. Stent migration While the complication list of coronary stenting hangs long, fortunately, stent migration is a rare event. , Though, early geographical miss is common during deployment, these episodes don’t come under stent migration. Stent dislodgement during the procedure is a more common technical defect.If not recognized it may be wrongly label...
Source: Dr.S.Venkatesan MD - June 14, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized stent migration Source Type: blogs

Why Legal Immigration Is Impossible for Nearly Everyone
David J. BierMylatest policy analysis published today explains why it is impossible for nearly all immigrants seeking to come permanently to the United States to do so legally. The report is a uniquely comprehensive and jargon-free (to the extent possible) explanation of U.S. legal immigration. Contrary to public perception, immigrants cannot simply wait and get a green card (permanent residence) after a few years. Legal immigration is less like waiting in line and more like winning the lottery: it happens, but it is so rare that it is irrational to expect it in any individual case.The figure below shows the U.S. legal imm...
Source: Cato-at-liberty - June 13, 2023 Category: American Health Authors: David J. Bier Source Type: blogs

Abortion: Comparative Study between Indian Laws and US Laws
Swanith Kapoor (UPES), Abortion: Comparative Study between Indian Laws and US Laws (2022): Abortion is a medical process for the deliberate termination of pregnancy. Abortion is carried on in different ways, which are explained further in this paper. Apart from... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - June 10, 2023 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs

New Evidence That Prescribing Psychologists Can Save Lives
Jeffrey A. SingerRemoving barriers to prescribing psychologists (RxPs) saves patients the inconvenience and added expense of seeing a  psychiatrist or other health care practitioner that states license to prescribe psychiatric medications. Such practitioners include family physicians, nurse practitioners, physician assistants—even general surgeons like me. Now comes a study showing that it also saves lives.InEffects of Giving Psychologists Prescriptive Authority: Evidence From a  Natural Experiment in the United States, researchers publishing in the journalHealth Policy used data from the National Vital Statistics Sys...
Source: Cato-at-liberty - June 7, 2023 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

Not Indentured: Most H ‑1Bs Starting Jobs in 2022 Switched U.S. Employers
David J. BierCritics of the H ‑1B visa for skilled foreign workers often claim that the status amounts to “indentured” servitude. Indentured servitudeis a  contract to work for a  single employer for a predetermined periodwithout pay. H ‑1B workers are not only paid—they receive wagesin the top 10 percent of wage earners in the United States. As importantly, although they face more obstacles to changing jobs, H ‑1B workers are not tied to a single employer, and they change jobs regularly.In fact, H ‑1B workers are leaving their initial H‑1B employers more than ever. Figure 1 shows the number of H‑1B ...
Source: Cato-at-liberty - June 7, 2023 Category: American Health Authors: David J. Bier Source Type: blogs

Fight Aging! Newsletter, June 5th 2023
In conclusion, higher BMR might reduce lifespan. The underlying pathways linking to major causes of death and relevant interventions warrant further investigation. Betting Against Progress Turns Out Poorly, But Can Work in the Short Term in a Slow Field https://www.fightaging.org/archives/2023/06/betting-against-progress-turns-out-poorly-but-can-work-in-the-short-term-in-a-slow-field/ Setting oneself up as a spokesperson for "we will not achieve this goal", as the fellow noted here is choosing to do, is a bet against technological progress. A glance at any few decade period in the past two hundred yea...
Source: Fight Aging! - June 4, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Long Term Hypoxia Slows Aging in an Accelerated Aging Mouse Model
Researchers here show that a mouse model of accelerated aging lives considerably longer when in a low-oxygen atmosphere for most of its life span. This is quite interesting, even given that large effect sizes in accelerated aging models should be taken with a grain of salt. It is most likely that any effect on normal mice would be smaller, and also likely that any form of life extension achieved through manipulation of stress responses, such as the response to hypoxia, will produce much smaller effects in long-lived mammals than in short-lived mammals. As is always the case, recall that when we say "accelerated agin...
Source: Fight Aging! - June 2, 2023 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs

Podcast Episode Recommendation: Dear Diabetes Podcast with hostess Rene é Rayles Episode 7
 The Dear Diabetes Podcast with hostess Rene é Rayles is a relatively new podcast covering the subject of diabetes; it began quite recently on March 29, 2023. However, Reneé Rayles recently interviewed Civica, Inc. ' s current CEO Ned McCoy.  Recall that on June 1, 2023, Ned McCoy succeeded Martin VanTrieste as Civica ' s President and CEO (see the press release athttps://www.businesswire.com/news/home/20220524005169/en/Civica-Announces-Leadership-Transition for details). She spoke with Mr. McCoy about the company ' s affordable insulin biosimilar effort, which is proceeding according to planCivica has released...
Source: Scott's Web Log - June 2, 2023 Category: Endocrinology Tags: 2023 Civica CivicaRx CivicaScript Dear Diabetes Podcast podcast episode recommendations Rene é Rayles Source Type: blogs

Humira Biosimilar Gross-to-Net Pricing Bubble Was Preceded by the Same Pricing Bubble Burst for Insulin Just Months Ago
Today ' s post is not about diabetes per se, although there IS a diabetes connection. But this morning, the big news was that a biosimilar of Abbvie ' s blockbuster anti-inflammatory biologic Humira will be sold byMark Cuban Cost Plus Drug Company (see the press release athttps://www.globenewswire.com/news-release/2023/06/01/2680351/33333/en/Mark-Cuban-Cost-Plus-Drug-Company-joins-forces-with-Coherus-to-make-YUSIMRY-a-HUMIRA-biosimilar-available-to-patients.html for more) at what amounts to an 85% discount to the innovator drug. Mark Cuban Cost Plus Drug Company announced the Humira biosimilar on social media today. See th...
Source: Scott's Web Log - June 1, 2023 Category: Endocrinology Tags: 2023 Abbvie Biosimilar drug discounts gross-to-net bubble Humira insulin Source Type: blogs