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Vague promises of savings from cutting waste, enhancing prevention and wellness, installing electronic medical records and improving quality are merely ‘lipstick’ cost control, more for show and public relations than for true change... Savings will require changing how doctors think about their patients: Doctors take the Hippocratic Oath too seriously, “as an imperative to do everything for the patient regardless of the cost or effects on others.
Well do I remember that dark hot little office in the hospital at Begumpett, with the necessary gleam of light coming in from under the eaves of the veranda. I did not allow the punka to be used because it blew about my dissected mosquitoes, which were partly examined without a cover-glass; and the result was that swarms of flies and of 'eye-flies' - minute little insects which try to get into one's ears and eyelids - tormented me at their pleasure
We fed the public a line of deceit, dishonesty, a fabrication of statistics and figures. We succeeded because the time was right and the news media cooperated. We sensationalized the effects of illegal abortions, and fabricated polls which indicated that 85 percent of the public favored unrestricted abortion, when we knew it was only 5 percent. We unashamedly lied, and yet our statements were quoted [by the media] as though they had been written in law.
The student of biology is often struck with the feeling that historians, when dealing with the rise and fall of nations, do not generally view the phenomena from a sufficiently high biological standpoint. To me, at least, they seem to attach too much importance to individual rulers and soldiers, and to particular wars, policies, religions, and customs; while at the same time they make little attempt to extract the fundamental causes of national success or failure.
I tried to change the conventional paradigm, for example, by insisting on the reality of mind-body interaction, by stressing the importance of natural therapies, by focusing attention on lifestyle issues, by looking at worthwhile aspects of alternative medicine. Many people have been threatened by that. Doctors especially tend to think that they know everything about the human body, and don't realize that medical education has really omitted many very important subjects.
Over his illustrious career, John Harris has explored the most challenging bioethical questions with insight, engaging wit, and eloquence. In Enhancing Evolution, Harris does it again. He argues that it is not just an option but an obligation for people to use available biomedical technologies to enhance their own--and their children's--physical and mental abilities. Harris rightly deserves his reputation for fearlessly following his ethical arguments wherever they lead.
I think integrative medicine, something I've pioneered, is the way of the future. Its great promise is that it can reduce healthcare costs by shifting the whole focus of healthcare away from disease management to health promotion and prevention. They can do that two ways: first, by focusing attention on lifestyle medicine, which is very deficient. And second, by bringing into the mainstream treatments that are lower cost because they are not dependent on expensive technology.
It is an understatement to say that the time has arrived for a serious and open international dialogue regarding the possibility of future interplanetary relations. In no other area of human experience has so much evidence existed for so long, and yet been attended by such a paucity of serious research and analysis - at least in the civilian domain. While the subject matter of UFOs itself is extraordinary, it is the absence of a serious human response to it that is most extraordinary.
Alcoholism, the opium habit and tobaccoism are a trio of poison habits which have been weighty handicaps to human progress during the last three centuries. In the United States, the subtle spell of opium has been broken by restrictive legislation; the grip of the rum demon has been loosened by the Prohibition Amendment to the Constitution, but the tobacco habit still maintains its strangle-hold and more than one hundred million victims of tobaccoism daily burn incense to the smoke god.
Lately, however, on abandoning the brindled and grey mosquitos and commencing similar work on a new, brown species, of which I have as yet obtained very few individuals, I succeeded in finding in two of them certain remarkable and suspicious cells containing pigment identical in appearance to that of the parasite of malaria. As these cells appear to me to be very worthy of attention ... I think it would be advisable to place on record a brief description both of the cells and of the mosquitos.
The underlying idea is that you can prevent disease by balancing your body's pH... None of these claims are true. Furthermore, your body needs absolutely no help in adjusting its pH. Normally, the pH of blood and most body fluids is near seven, which is close to neutral. This is under very tight biological control because all of the chemical reactions that maintain life depend on it. Unless you have serious respiratory or kidney problems, body pH will remain in balance no matter what you eat or drink.
People who are contented and serene sleep well. They fall asleep easily, stay asleep, and wake refreshed. Conversely, people who are anxious, stressed, or depressed do not sleep well, and chronic insomnia is strongly associated with mood disorders. These are clear correlations, but what is cause and what is effect is not clear. Most experts agree that sleep and mood are closely related, that healthy sleep can enhance emotional well-being, while insufficient quantity or quality of sleep can adversely affect it.
I've spent the majority of my life estranged from either one or both of my parents, and I've really had a lot of time to break down all the reasons why. There was something buried inside of me that said, I've got to kind of unravel the reasons why I don't talk to them; why not just one, but both of my parents and I have these really messed up relationships. And why I've been so fractured all these years. I got to the point where I thought, I was not the best kid. I openly admit that. But then I realized it doesn't matter. I was a kid!
I remember my parents yelling at each other and at me from an early age, and I remember a lot of things smashing. I try to look for the happy memories from the brief time my parents were married, and I can't really recall that. From the start things were messed up, and I just kept moving through the years and trying to pick out the little bits of evidence that would help me prove to myself that it wasn't my doing. But it took finding out somebody really does love me, who's not my parents or a relative, to really know that I was loveable.
A remedy [for masturbation] which is almost always successful in small boys is circumcision, especially when there is any degree of phimosis. The operation should be performed by a surgeon without administering an anaesthetic, as the brief pain attending the operation will have a salutary effect upon the mind, especially if it be connected with the idea of punishment, as it may well be in some cases. The soreness which continues for several weeks interrupts the practice, and if it had not previously become too firmly fixed, it may be forgotten and not resumed.
Greed plays a role in causing unnecessary surgery, although I don't think the economic motive alone is enough to explain it. There's no doubt that if you eliminated all unnecessary surgery, most surgeons would go out of business. They'd have to look for honest work, because the surgeon gets paid when he performs surgery on you, not when you're treated some other way. In pre-paid group practices where surgeons are paid a steady salary not tied to how many operations they perform, hysterectomies and tonsillectomies occur only about one-third as often as in fee-for-service situations.
The advantages of a uniform statistical nomenclature, however im- perfect, are so obvious, that it is surprising no attention has been paid to its enforcement in bills of mortality. Each disease has in many instances been denoted by three or four terms, and each term has been applied to as many different diseases ; vague, inconvenient names have been employed, or complications have been registered, instead of primary diseases. The nomenclature is of as much importance in this depart- ment of inquiry as weights and measures in the physical sciences, and should be settled without delay.