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What are your thoughts on vitamin supplements, especially anti-oxidants?
Posted on 2/7/14 at 9:54 am
Posted on 2/7/14 at 9:54 am
Krauthammer had an intersting article out yesterday, The Health-Care Myths We Live By
Why is this posted on the PT Board, you ask? Krauthammer links this tendency to hold onto false assumptions, even when they shown to be myths, to bad policy making. This tendency is exacerbated when central planning is used to set policy instead of allowing market forces guide policy.
quote:
Swedish researchers report that antioxidants make cancers worse in mice. It’s already known that the antioxidant beta-carotene exacerbates lung cancers in humans. Not exactly what you’d expect given the extravagant — and incessant — claims you hear made about the miraculous effects of antioxidants.
In fact, they are either useless or harmful, conclude the editors of the prestigious Annals of Internal Medicine: “Beta-carotene, vitamin E, and possibly high doses of vitamin A supplements are harmful.” Moreover, “other antioxidants, folic acid and B vitamins, and multivitamin and mineral supplements are ineffective for preventing mortality or morbidity due to major chronic diseases.” So useless are the supplements, write the editors, that we should stop wasting time even studying them: “Further large prevention trials are no longer justified.”
Why is this posted on the PT Board, you ask? Krauthammer links this tendency to hold onto false assumptions, even when they shown to be myths, to bad policy making. This tendency is exacerbated when central planning is used to set policy instead of allowing market forces guide policy.
quote:
Emergency room usage: It’s long been assumed that insuring the uninsured would save huge amounts of money because they wouldn’t have to keep using the emergency room, which is very expensive. Indeed, that was one of the prime financial rationales underlying both Romneycare and Obamacare.
Well, in a randomized study, Oregon recently found that when the uninsured were put on Medicaid, they increased their ER usage by 40 percent.
quote:
Electronic records will save zillions: That’s why the federal government is forcing doctors to convert to electronic health records (EHR), threatening penalties for those who don’t by the end of 2014. All in the name of digital efficiency, of course. Yet one of the earliest effects of the EHR mandate is to create a whole new category of previously unnecessary health workers. Scribes, as they are called, now trail the doctor, room to room, entering data.
This post was edited on 2/7/14 at 10:09 am
Posted on 2/7/14 at 10:06 am to Jimbeaux
quote:
Electronic records will save zillions: That’s why the federal government is forcing doctors to convert to electronic health records (EHR),
that is really a contentious statement as often the proponents of paperless records omit the cost of servers, comps, and most importantly -maintenance.
Hell the records system that I've been involved with took tens of millions to even get the software -which sounds moronic but that it is what it is.
so yeah, paperless records are a LOT more expensive if you include bedside notes and day to day operation.
Finally datamining with the new diagnosing protocols are going to be a huge problem. For instance, a broken arm now could be entered a few ways. In a few months there will be dozens of ways to enter the same injury into the computer. Broken arm (distal) (compound) (green stick) (proximal) (blunt force) (caudal) (single fracture) (stabbing blow) (gunshot) (vehicular impact)
those are fudged up a bit but the gist is there. Big datamining is coming to a hospital near you.
This post was edited on 2/7/14 at 10:08 am
Posted on 2/7/14 at 10:07 am to Jimbeaux
quote:
Electronic records will save zillions: That’s why the federal government is forcing doctors to convert to electronic health records (EHR), threatening penalties for those who don’t by the end of 2014.
This is such a bad idea. Eventually a guy in Belarus sipping coffee and possibly commenting on TD will have all the medical records of US citizens on his laptop or a thumb drive.
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