I didn't read a book, at least not on the beach, because again it felt strange to be using words on a page to create signals to transport me to another place when I was already in another place
Will Democrats act boldly and unite for the cause to vote for health care reform?
Sunday's vote will be historic -- and we won't be the only ones watching: Europe is also interested to see how the debate in Washington turns out.
When your pants are on fire, most everyone looks for water rather than debating the flammability of the material
Translation: use your eyes, take a good history, weight the patient and get a few simple blood tests, and you can predict risk far better than a panel of genetic tests.
Instead I worry we will get to a point where if you are missing a finger and show up in a hospital, no one will believe you till they get an MRI, CAT scan and an orthopedic consult.
An axiom in this debate has always been that every dollar spent on health care is a dollar of income for someone and any attempt to reign in costs will bring vitriolic responses and dedicated opposition. Well, we saw that.
Lets give ourselves a chance at precise diagnosis before we treat. That means good specimens, hand carried, examined by the people who care for the patient. Proxy wars never seem to work. Find the enemy and win the firefight is a good philosophy for infectious diseases as it is for war. Diagnosis matters.
But here's the rub: we can never know which cancer has been over-diagnosed at the time of diagnosis. We can only agree that it was over-diagnosis if the individual is never treated (and turns out to be fine) or dies of something else and the cancer turns out not to be important. Since we can't know ahead of time, we generally wind up treating everybody.
What the President and our politicians should have known is that our personal health is the one arena of our life (the other being our love life) where reason and logic get thrown out of the window.
Looking across and seeing the twin towers standing, could anyone have predicted how the world would change? Or how magazines would fare over the next decade?