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Health IT Cyberinfrastructure for the Patient-Centered Medical Home

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This post presents a scenario describing a novel cyberinfrastructure supporting patient-centered medical homes

The patient-centered medical home is receiving a great deal of attention lately. It's a wonderful concept with lofty goals focused on bringing greater value to the consumer; such value is essential to healthcare reform as a I've been advocating for years.

Natural Life, Madoff And The Merits Of Skepticism In A Culture Of Murky Thinking

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Madoff to be locked up for the rest of his natural life? What does that mean?

... Ruth Madoff expressed shock and dismay at her husband's behavior, telling reporters, 'This is not the man I owned nine homes with. When you spend hundreds of millions of dollars with someone, you think you know him.  I guess I was wrong.'  Mrs. Madoff said she was kept 'totally in the dark' about her husband's activities because he used a clever cover story: 'He told me he was hiking the Appalachian Trail.'

Andy Borowitz, The Borowitz Report, June 30, 2009

 

How Will FTC's New Blog Disclosure and Monitoring Scheme Go Wrong?

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As the talk of FTC regulating bloggers heats up, the risks and unintended consequences are getting more apparent and troubling.

As I highlighted a few months ago, FTC is hard at work updating 30-year old rules on testimonials for the age when anyone is a publisher: "FTC Guidelines for Endorsements Could Shake Up Social Media Marketing".

They made headlines again last week touting the need for regulation: "FTC plans to monitor blogs for claims, payments". Now with the agency's direction being less of a surpirse we are starting to see more coverage and real discussion of if and how such regulations may or may not work.

A government agency regulating an industry? What could go wrong?

A Debate on Gradual versus Radical Change

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Debate whether HIT should evolve gradually or leap forward with the aid of disruptive innovation and a focus on radical change

 

Following is a discussion I'm having on a LinkedIn forum about adopting a very gradual approach to HIT evolution versus implementing a strategy promoting evolutionary leaps coming from disruptive innovation and a focus on radical change.

A 'uniquely' American health care plan

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I'm sure everyone can get behind this free market based solution to reform the US health care system, and at the same time dramatically reduce costs.

The first step would be to completely remove the government as a provider/facilitator of health care/insurance, secondly forbid businesses from providing payment for health care/insurance to their employees, thirdly eliminate all health care regulations, and finally completely eliminate the sale of all health insurance products.

Not only will this ensure health insurance companies, and [especially] the government, have no part in dictating

Whiplash, neck pain, and the muscles of the neck

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Car accidents frequently cause whiplash where the head and neck are violently thrown forward and back injuring the soft tissues of the neck.

Although vertebrae and disk injuries do occur often in this kind of a scenario, frequently nothing obvious comes up on imaging tests, and the patient is left with neck pain without a concrete reason as to why. In other situations, the accident victim may feel surprisingly okay immediately post accident, and then a few weeks to months later may develop neck pain. In this scenario it may be harder to prove to insurance companies that the neck pain is actually a result of the car accident, even though there is a very understandable explanation for this pain pattern.

How Free Is Free Will?

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A REAL wellness perspective on the topic of free will.

What's the deal with free will?  Do we have it or not,  If not, are we off the hook of personal responsibility?  What IS free will, anyway?  Have recent articles on the subject put the issue to re

Regulatory Rant: Whose Interests Does FDA *REALLY* Represent?

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FDA's stated mission is to protect the public and advance safe and sound foods and drugs. The actions tell a very different story.

This year I have written several pieces calling out FDA for their lack of enlightenment about Internet and social media marketing. My conclusion has been that literal application of last century regulations, without understanding the changes in media are counter-productive to FDA's stated mission.

I spared no scorn criticising the agency in posts titled like "FDA Bureaucrats Gone Wild, Launch a Witch Hunt on Internet Marketing", "Will DDMAC Ever Get a Clue About Internet Marketing?" and "Dumb Regulation Watch: Traditional Healthcare Marketing Rules Can Be Meaningless Online". I have been ahead of my colleagues in calling out FDA's flaws, but now looks like the frustration with the agency is growing louder and louder.

In the last weeks pharma blogs hosted some pointed exchanges

Meaningful Healthcare Reform: Challenges and Solutions

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Discusses a provocative paper titled "Electronic Record Keeping, Wellness Programs, and Care Coordination -- Would They Yield Real Savings, and When?"

David Koitz--a former analyst for The Congressional Research Service and the Congressional Budget Office, just published a provocative paper entitled "Electronic Record Keeping, Wellness Programs, and Care Coordination -- Would They Yield Real Savings, and When?

Why You Should Stand Up for Small Farmers

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The small farmers who produce much of the safest and most nutritious food available need your help!

Food safety has been a popular political topic this year, especially with the intended implementation of the National Animal Identification System (NAIS). Unfortunately, much of the recently proposed legislation relating to food safety promotes a symptom driven approach that favors industrial farming and poses significant challenges to smaller farmers.

Stand Up for the Small Guy!

Ironically, it's the small farmers who use natural, organic, and sustainable methods who need the least amount of regulation but are impacted by it the most. These farmers raise crops and livestock in a manner that resembles their natural environment. This results in healthy and robust plants and animals that are naturally resistant to infection and disease. In contrast, many large industrial farms raise crops and livestock in an artificial and assembly line type of environment that increases output and profitability at the cost of food quality. Because the plants and animals that are raised in these conditions are unhealthy and much more susceptible to infection and disease, more regulation is needed.

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