New podcast on research ethics and stubbornness

Check out my latest podcast, which accompanies a new article I co-authored with Robert Silbergleit.  In the article, and in the podcast, I discuss a problem plaguing clinical research: that  doctors are sometimes not convinced by previous research, and thus want to see more evidence before changing their practice, but at the same time experts, […]

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More thoughts on doctors’ offices as campaign offices

In a recent post, I asked for your thoughts on how you would feel if your doctor posted an anti-health reform letter in his waiting room. Link The letter was a direct quote from one posted in Dr. Hal Scherz’s urology clinic in Atlanta. Scherz is president of Docs4PatientCare. For all I know, Scherz is […]

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Doctor’s office or campaign office? Your turn to vote!

I need to know what you think of the following situation. You walk into your doctor’s office, turn your insurance information into the clerk, take a seat in the waiting room and discover the following letter sitting on the couch-side table, authored by your very own doctor: “Dear Patient: Section 1311 of the new health […]

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Comparative Effectiveness: One Size Doesn’t Fit All

No sooner had the Obama administration committed a billion dollars to comparative effectiveness research than the critics began laying out their concerns: such research is a prelude to rationing, they said; it threatens to thwart doctors’ and patients’ abilities to make their own decisions. It will transfer too much power to government bureaucrats and treat […]

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When Bad Advice Is the Best Advice

Eighteen years out of training, and I still find myself struggling to understand the moral imperatives of medical practice. Not long ago, as part of my hospital duties, I cared for a man who could no longer swallow. This dysphagia was his only medical complaint, one that had sneaked up on him over the course […]

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Feeling Conflicted about Greed

With jobs disappearing faster than a major league fastball, the public is understandably irate at the damage that greed has wrought upon our economy. Financiers destroy their companies, and our retirement portfolios, and then complain when their bonuses are less than 7 figures. The greedy behavior in recent headlines has not been limited to Wall […]

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Lance is Back: Time to Make EPO Legal?

Lance Armstrong will soon be competing again in bicycle races around the world, meaning that the casual biking fan will once again show interest in the sport. It also means that doping allegations against Armstrong are likely to resume. If Lance wins some big races — at his age and after so long away from […]

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