Tuesday, September 8, 2009

The Healthcare War

Every time I start to semiseriously consider just giving up on today's nasty partisan politics, a favorite writer will force me to take a deep breath, have a good laugh, and in this case - listen to some great music.

Here is San Francisco writer, Sam Barry's September 8 column. Sam is Dr. Betty Kamen's son-in-law. Dr. Kamen is an esteemed member of the Biosyntrx Scientific Advisory Board.

"We are fast approaching the time when we, as a nation—and here I am referring to the United States, not Denmark—must make a decision regarding the healthcare system. Broadly speaking, there are two positions on the healthcare crisis, which can be characterized as follows:

Position 1: Everyone should have healthcare. This should be a national priority. If you think otherwise you are an evil, greedy corporate lobbyist for Big Pharma, the insurance industry, or the AMA, or an insane member of the gun-toting Christian right-wing Republican conspiracy, located somewhere east of Berkeley and west of the Hudson River, probably in Texas or Colorado Springs.

Position 2: Healthcare is for sissies. I have a good job and I have healthcare because I earned it. Later, when I am older, I will have Medicare, which I also earned. Screw the rest of you, except for my loved ones, who deserve nothing but the best because I have family values. People who think differently than me are, in a word, Commies.

As you can see, these two positions are fairly far apart. As I see it, we can all either sit down at the negotiating table and hammer out an agreement that serves the best interests of the nation and its citizenry, or we can grab our weapons, get behind some barricades, and start shooting.

The last time we did this in the United States (the shooting that is)—if you exclude minor incidents like the pitched battles at recent congressional town hall meetings—was during the Civil War. While I am not suggesting we have another civil war over the healthcare crisis, it would solve a couple of problems: one side or the other would win, ending the debate; the economy would get a kick start; many National Guard troops would get to come home from Iraq and Afghanistan to fight Americans right here in America; and there would be some good songs written, which we could all then learn to play on the harmonica. Win, win, win all around."

Thank you Sam, for bringing some much-needed humor to the healthcare issue. As promised, here is a link of you playing two of my favorite tunes. http://www.redroom.com/video/sam-barry-and-todd-swenson-play-theme-black-orpheus-manh%C3%A3-de-carnaval-and-the-way-you-look-ton

Friday, August 21, 2009

Annals of Surgery Abstract on Healthcare Reform

Abstract: The United States has the most expensive and complex healthcare system in the world. Despite the magnitude of funds spent on the system, Americans do not achieve the high standards of health seen in other developed countries.

The current model of health insurance has failed to deliver efficient and effective healthcare. The administrative costs and lack of buying power that arise out of the existing multipayer system are at the root of the problem. The current system also directly contributes to the rising number of uninsured and underinsured Americans.

This lack of insurance leads to poorer health outcomes, and a significant amount of money is lost into the system by paying for these complications. Experience from other countries suggests that tangible improvements can occur with conversion to a single-payer system. However, previous efforts at reform have stalled.

There are many myths commonly held true by both patients and physicians. This inscrutability of the US healthcare system may be the major deterrent to its improvement. A discussion of these myths can lead to increased awareness of the inequality of our healthcare system and the possibilities for improvement.

Sarpel U, Vladeck G, Divina C: Klotman P. Fact and Fiction: Debunking Myths in the US Healthcare System Annals of Surgery: April 2008 - volume 247-Issue 4 - PP 563-569

Friday, August 7, 2009

Statins for Age-related Macular Degeneration

This Cochrane review published on July, 17, 2009, identified one completed and one ongoing randomized controlled trial.

Of the completed trial, in which 30 patients received either 20 mg simvastatin or a placebo daily for a period of three months, the analyses did not show a statistically significant difference in visual acuity at completion of study treatment or 45 days after the completion of study treatment.

Of the ongoing trial, the preliminary analyses after 12 months of treatment did not show a statistically significant difference between 40 mg simvastatin daily and placebo in visual acuity, drusen score or visual function. Due to the small size of the completed trial and the short duration of the treatment and follow–up period, no conclusion regarding the effects of statins on the onset or progression of AMD can be made at this time. The authors will update this review as data from the ongoing trial become available.

Friday, July 31, 2009

Balanced Immune Health


Experts are warning that the 2009 fall/winter season could be a miserable one from a public health standpoint. Therefore, we strongly recommend that our Friday Pearl readers subscribe to this blog. http://www.balancedimmunehealth.com/

These folks clearly understand the importance of maintaining a properly balanced immune system, so that our killer cells instantly kill when they need to, and our suppressor cells know when to call off the attack dog cells when an aggressive immune response is no longer needed. Over-reactive immune response can be responsible for cytokine storms that are particularly dangerous for our lungs when it comes to flu bugs.
Have a great weekend.










Thursday, July 2, 2009

Aspen Ideas Festival

This short Brian Greene video from this week's Aspen Ideas Festival is not to be missed by those of you who love science and those of you who weren't properly introduced to the joy of the subject.

http://www.aifestival.org/audio-video-library.php?menu=3&title=315&action=full_info

Brian Greene is the author of The Elegant Universe, Icarus at the Edge of Time and The Fabric of the Cosmos. He is a full professor at Columbia University.

Monday, June 22, 2009

Selenium "Highly Unlikely" to Reduce Prostate Cancer Risk


FDA has concluded that minimal evidence supports the linking of selenium consumption and reduced risk of prostate cancer, likely delivering a further blow to Bayer One A Day Men’s Multivitamins products containing the mineral and touting its prostate health benefits.

In a decision dated June 19, the agency informs attorney Jonathan Emord that it “intends to consider the exercise of its enforcement discretion” for a claim stating the following: Two weak studies suggest that selenium intake may reduce the risk of prostate cancer. However, four stronger studies and three weak studies showed no reduction in risk. Based on these studies, FDA concludes that it is highly unlikely that selenium supplements reduce the risk of prostate cancer.

The agency's Center for Food Safety and Applied Nutrition is allowing two similarly weak qualified health claims for selenium and bladder and thyroid cancer. FDA rejected all claims for a number of other site-specific cancers Emord had sought, including lung, brain and breast cancers.

In an e-mail, Emord said the agency’s decisions violate First Amendment standards and “reveal a profound and unscientific bias against communication of accurate information concerning the relationship between these nutrients and these disease risks.”

FDA currently allows QHCs linking selenium and vitamins C and E to reduced risk of “certain forms of cancers,” but has not approved the mention of any specific cancers.

Under its new leadership, FDA has shown little willingness to be flexible when claims fall outside approved language and supporting science. Commissioner Peggy Hamburg recently said the agency does not wish “to delve too deeply into the wordsmithing of various claims and labels,” but does want them “to accurately reflect the best available science with respect to the safety and benefits of a given product.”

Thursday, June 11, 2009

Genetically Modified Foods?

I just received this news release from a fellow board member of the Optometric Nutrition Society.

One May 19, 2009, The American Academy of Environmental Medicine (AAEM) released its position paper on Genetically Modified foods stating that "GM foods pose a serious health risk" and calling for a moratorium on GM foods.

Citing several animal studies, the AAEM concludes "there is more than a casual association between GM foods and adverse health effects" and that "GM foods pose a serious health risk in the areas of toxicology, allergy and immune function, reproductive health, and metabolic, physiologic and genetic health." The AAEM calls for:* A moratorium on GM food, implementation of immediate long term safety testing and labeling of GM food.

* Physicians to educate their patients, the medical community and the public to avoid GM foods. * Physicians to consider the role of GM foods in their patients' disease processes.
* More independent long term scientific studies to begin gathering data to investigate the role of GM foods on human health.

"Multiple animal studies have shown that GM foods cause damage to various organ systems in the body. With this mounting evidence, it is imperative to have a moratorium on GM foods for the safety of our patients' and the public's health," said Dr. Amy Dean, PR chair and Board Member of AAEM.

"Physicians are probably seeing the effects in their patients, but need to know how to ask the right questions," said Dr. Jennifer Armstrong, President of AAEM. "The most common foods in North America which are consumed that are GMO are corn, soy, canola, and cottonseed oil." The AAEM's position paper on Genetically Modified foods can be found at http:aaemonline.org/gmopost.html.

We recommend that everyone reading this blog take the time to read the AAEM's position paper on genetically modified foods. We can't possibly afford the disease consequences associated with new-to-nature-molecules that prove to be harmful - think hydrogenation and trans-fats.