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Reform Editorials Examine Rationed Care, Taxing Health Benefits
Wall Street Journal: A recent decision by CMS to end Medicare coverage of virtual colonoscopies is "a preview of how health care will be rationed when Democrats" create "a new "universal" health insurance entitlement for the middle class," a Journal editorial states. According to the editorial, the prospects of such a health system are "playing out in miniature in Medicare" where CMS has decided that offering an alternative to the traditional colonoscopy is "too pricey." The editorial states that the situation features "precisely the sort of complexity that the Democrats would prefer to ignore as they try to restructure health care" and use comparative effectiveness research to determine what works best for the majority of patients. According to the editorial, "The problem is that what "works best" isn"t the same for everyone." It continues that CMS "made the hard-and-fast choice that it was cheaper to cut [virtual colonoscopies] ... for all beneficiaries. If some patients are worse off, well, too bad." The editorial concludes that the situation is "merely a preview of the life-and-death decisions that will be determined by politics" if Democrats enact their ideal system (Wall Street Journal, 5/19).
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All Together Now - Primary Care's Role In A Tough Economic Climate
The financial crisis and lack of trust in public services mean that the NHS and the government face tough political and economic challenges ahead. In this climate, improvements in health services will only be possible if primary care takes the lead and political leaders sharpen up their vision.
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Immune System Link To Schizophrenia Identified By UCLA Collaboration
Schizophrenia is a devastating mental disease, thought to be caused by the interaction of both genetic and environmental factors. Because there is no biochemical test that can identify the disorder, physicians rely upon the recognition of its symptoms - which can include auditory hallucinations and paranoia - in order to make their diagnosis.
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Team Effort Needed To Report On Science, University Of Alberta Study Says

Trust in science is diminishing, according to recent studies, especially in the area of biomedicine, biotech and genetics. University of Alberta researchers Tim Caulfield and Tania Bubela blame it on the complexity of many discoveries and they"re concerned the whole message from the study isn"t getting across to the general public. Caulfield, who is jointly appointed in the Faculty of Law and School of Public Health, and Bubela, also from the School of Public Health, and a group of 22 international experts in health, law, science and communications gathered to discuss ways to ensure the message is complete. They came up with eight recommendations for scientists, universities and media, including: * The wide-ranging factors that contribute to hype and errors must be more explicitly recognized, such as pressure on researchers to make research seem immediately relevant. * Scientists, media and policy makers need to ensure the message is "framed" properly, meaning it is clear why a given scientific issue might be a problem, who or what might be responsible and what should be done. * Researchers should be taught how to communicate their findings clearly with media and policy makers - a lay, non-science audience. Notes: All the recommendations are published in the June edition of Nature Biotechnology. Both are available for interview, please contact me directly. I can also provide you a copy of the study. Quinn Phillips University of Alberta


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