Health – Page 71 – artdiamondblog.com

Communist Chinese One Child Laws Violated Basic Human Rights

On Sat., Jan. 17, 2016 I caught the re-broadcast of an interview with Mei Fong that C-SPAN’s web site suggests was first broadcast on Jan. 11, 2016. The interview focused on Fong’s book on the history, causes and effects of China’s one child laws. Fong is understated in her style, but it is clear that the Chinese communist government violated the rights of many Chinese citizens by forcing them to have unwanted abortions, and to undergo unwanted sterilizations. In many cases, when their “one child” died in a disaster, or of natural causes, parents desperately rushed to try to have the forced sterilization reversed.

Fong’s book, that she discussed on C-SPAN, is:
Fong, Mei. One Child: The Story of China’s Most Radical Experiment. Boston, MA: Houghton Mifflin Harcourt, 2016.

Health Spending Rises Faster

Source of graph: online version of the WSJ article quoted and cited below.

(p. A3) WASHINGTON–Growth in U.S. health-care spending is accelerating after reaching historic lows, a pickup largely attributed to the millions of Americans who have gotten health coverage under the Affordable Care Act.

Spending on all health care increased 5.3% in 2014, according to a report Wednesday [Dec. 2, 2015] from actuaries at the Centers for Medicare and Medicaid Services. That compares with the 2.9% growth in 2013, which marked the lowest rate since the government began tracking the gains 55 years ago.
The return to more robust growth after a slowdown in spending had been anticipated by economists. Still, it is likely to add to criticism that the 2010 health law isn’t doing enough to rein in costs. The report, based on 2014 government numbers and published in the journal Health Affairs, follows five consecutive years where average spending growth was less than 4% annually.

For the full story, see:
STEPHANIE ARMOUR. “Health Spending Picks Up.” The Wall Street Journal (Thurs., Dec. 3, 2015): A3.
(Note: bracketed date added.)
(Note: the online version of the article has the date Dec. 2, 2015, and has the title “Growth in U.S. Health-Care Spending Picks Up.”)

Medical Establishment Relies on “Accepted Dogma”

(p. A3) The Food and Drug Administration and leading cardiologists are warning that aortic heart valves from animal tissue–implanted surgically in thousands of patients world-wide–can develop tiny blood clots, causing the valves to function improperly.
The findings hit the field of cardiology as something of a shock, as these valves from pig and cow tissue have been used for three decades in patients with malfunctioning valves. In addition, the tissue valves have been regarded as less likely to produce blood clots than mechanical valves made of synthetic materials.
. . .
Cardiologist Eric Topol, chief academic officer at Scripps Health in San Diego, called it “remarkable” that such a finding could emerge after three decades of use of the animal-tissue valves. The idea that they lead to less clotting, he said, was “accepted dogma that wasn’t looked at.”

For the full story, see:
THOMAS M. BURTON. “Clot Risk Is Seen in Some Heart Valves.” The Wall Street Journal (Tues., Oct. 6, 2015): A3.
(Note: ellipsis added.)
(Note: the online version of the article has the date Oct. 5, 2015, and has the title “Clot Risk Is Seen in Some Heart Valves.” Where there were minor differences between the print and online versions, the passages quoted above follow the online version.)

Eric Topol, quoted above, has written persuasively for more medical innovation, in his:
Topol, Eric. The Creative Destruction of Medicine: How the Digital Revolution Will Create Better Health Care. New York: Basic Books, 2012.

Unusual Array of Groups Strongly Push Breast-Feeding

C-SPAN on Sat., Jan. 17, 2016 broadcast a thought-provoking presentation by Courtney Jung on her book Lactivism. Jung argues that an unusual array of groups strongly advocate breast-feeding for reasons that are independent of the fairly modest health benefits, for baby and mother, that result from breast-feeding.

Jung’s book, that she discussed on C-SPAN, is:
Jung, Courtney. Lactivism: How Feminists and Fundamentalists, Hippies and Yuppies, and Physicians and Politicians Made Breastfeeding Big Business and Bad Policy. New York: Basic Books, 2015.

Gene Therapy Again Showing Promise

(p. B2) Biotechnology startup Spark Therapeutics Inc. said its experimental gene therapy improved vision among patients with hereditary vision impairment in a clinical trial, without the serious safety problems that have dogged the emerging field of gene therapy in the past.
. . .
Spark said it plans to seek U.S. Food and Drug Administration approval to market its treatment next year, which could make it the first gene therapy to reach the U.S. market if regulators approve it for sale. . . .
Gene therapy involves the injection of genetic material into a person’s cells to treat or prevent a disease. The research stalled after some study participants died or developed cancer after receiving gene therapies in the late 1990s and 2000s.
But gene therapy is gaining ground again. In 2012, the European Commission approved the Western world’s first gene therapy, UniQure NV’s Glybera, for the treatment of patients with a rare enzyme deficiency. The therapy hasn’t been approved for sale in the U.S.

For the full story, see:
PETER LOFTUS. “Eye Gene Therapy Shows Promise.” The Wall Street Journal (Tues., Oct. 6, 2015): B2.
(Note: ellipses added.)
(Note: the online version of the article has the date Oct. 5, 2015, and has the title “Gene Therapy for Visually Impaired Shows Promise.” Where there were minor differences between the print and online versions, the passages quoted above follow the online version.)

“Good News for the Grumpy”: Happiness Does Not Lengthen Life

(p. A6) A study published on Wednesday [Dec. 9, 2015] in The Lancet, following one million middle-aged women in Britain for 10 years, finds that the widely held view that happiness enhances health and longevity is unfounded.
“Happiness and related measures of well-being do not appear to have any direct effect on mortality,” the researchers concluded.
“Good news for the grumpy” is one way to interpret the findings, said Sir Richard Peto, an author of the study and a professor of medical statistics and epidemiology at the University of Oxford.
He and his fellow researchers decided to look into the subject because, he said, there is a widespread belief that stress and unhappiness cause disease.
Such beliefs can fuel a tendency to blame the sick for bringing ailments on themselves by being negative, and to warn the well to cheer up or else.
“Believing things that aren’t true isn’t a good idea,” Professor Peto said in an interview. “There are enough scare stories about health.”
The new study says earlier research confused cause and effect, suggesting that unhappiness made people ill when it is actually the other way around.
. . .
Professor Peto said particularly important data came from 500,000 women who reported on their baseline surveys that they were in good health, with no history of heart disease, cancer, stroke or emphysema.
A “substantial minority” of these healthy women said they were stressed or unhappy, he said, but over the next decade they were no more likely to die than were the women who were generally happy.

For the full story, see:
DENISE GRADY. “Happiness Doesn’t Bring Good Health, Study Finds.” The New York Times (Thurs., DEC. 10, 2015): A6.
(Note: bracketed date added.)
(Note: the online version of the story has the date DEC. 9, 2015, and has the title “Happiness Doesn’t Bring Good Health, Study Finds.”)

The research summarized in the passages quoted above, appeared in:

Liu, Bette, Sarah Floud, Kirstin Pirie, Jane Green, Richard Peto, and Valerie Beral. “Does Happiness Itself Directly Affect Mortality? The Prospective UK Million Women Study.” The Lancet (Dec. 9, 2015) DOI: http://dx.doi.org/10.1016/S0140-6736(15)01087-9.

Frustrating Failure to Cure Cancer

“Emma Pierson as a child playing chess with her grandfather, whose cancer she is trying to fight.” Source of caption: print version of the NYT article quoted and cited below. Source of photo: online version of the NYT article quoted and cited below.

(p. D4) . . . in the four years since I learned I carried a BRCA mutation, I have watched my attempts to do something about it repeatedly miss the mark. I joined a laboratory to do cancer research, but the paper we wrote had little to do with cancer; I joined a company that offered the cheapest BRCA tests on the market, and its service was shut down a month after I arrived. I am 24 years old; at 25, I will have to choose between aggressive screening and prophylactic mastectomy. I had hoped to use my brain to protect my body, but I am running out of time.

If life’s complexities confound a 20-year-old’s desperate idealism, cancer’s do as well. The more I learn, the more I worry that we may never find a singular cure for cancer: that each cancer’s unique biological filigree necessitates a brutal and byzantine combination of treatments.
I also worry that the end goal is so far away that we sometimes lose sight of its importance, and view biological research as a competitive game rather than a means of saving lives. I feared being the worst student in my first cancer class, even though a roomful of researchers better than I am is exactly what I should want. Since then, I’ve seen many indications of the competitiveness in cancer research — a teacher who made us promise not to steal other students’ final projects, scientists who snipe at one another or falsify work — that make me think I am not the only one who sometimes forgets what is at stake.
. . .
I am not going to cure cancer, not even the BRCA cancers. And I am going to watch the people I love die from diseases I cannot understand or prevent. I would be lying if I told you I have made my peace with that. It gives me hope only to fight, as my grandfather did, for futures unseen: to strive, to seek, to find and not to yield.

For the full commentary, see:
EMMA PIERSON. “Leaving No Move Untried.” The New York Times (Tues., Dec.. 1, 2015): D4.
(Note: ellipses added.)
(Note: the online version of the commentary has the date NOV. 30, 2015, and has the title “Seeking a Cancer-Free World.” The last words in Pierson’s commentary quote the final line of Alfred Lord Tennyson’s great poem “Ulysses.”)

Recording a Pain of “5” and Then Leaving Without Relieving

If health care was provided by free market companies whose success depended on voluntarily attracting customers, instead of by bureaucratic, hyper-regulated, CYA incentivized, and competition-insulated bureaucracies, would the surreal experience reported below be as common as it is?

(p. 11) A FRIEND was recently hospitalized after a bicycle accident. At one point a nursing student, together with a more senior nurse, rolled a computer on wheels into the room and asked my friend to rate her pain on a scale of 1 to 10.

She mumbled, “4 to 5.” The student put 5 into the computer — and then they left, without further inquiring about, or relieving, my friend’s pain.
This is not an anecdote about nurses not doing their jobs; it’s an illustration of what our jobs have become in the age of electronic health records. Computer documentation in health care is notoriously inefficient and unwieldy, but an even more serious problem is that it has morphed into more than an account of our work; it has replaced the work itself.
Our charting, rather than our care, is increasingly what we are evaluated on. When my hospital switched to bar code scanning for medication administration, not only were the nurses on my floor rated as “red,” “yellow” or “green” based on the percentage of meds we scanned, but those ratings were prominently and openly displayed on printouts left at the nurses’ station.
. . .
We need to streamline our records so that they serve just one master: the patient. We should focus on the most important information in guaranteeing accuracy of diagnosis, efficacy of treatment, continuity of care and patient safety. Otherwise the content of our care will be increasingly warped by the demands of our e-record systems — and patients like my poor friend will lie in hospital beds in pain, uncomforted by the knowledge that the electronic record of that pain is satisfyingly and exactingly complete.

For the full commentary, see:
THERESA BROWN. “Patients vs. Paperwork.” The New York Times, SundayReview Section (Sun., DEC. 20, 2015): 11.
(Note: ellipsis added.)
(Note: the online version of the commentary has the date DEC. 19, 2015, and has the title “When Hospital Paperwork Crowds Out Hospital Care.”)

Cooking Over Indoor Wood Fires Kills Millions

(p. A13) Indoor air pollution, caused mainly by cooking over wood fires indoors, is the world’s biggest cause of environmental death. It kills an estimated four million people every year, as noted by the nonprofit science news website, SciDev.Net. Getting fossil-fueled electricity and gas to them is the cheapest and quickest way to save their lives. To argue that the increasingly small risk of dangerous climate change many decades hence is something they should be more worried about is positively obscene.

For the full commentary, see:
MATT RIDLEY. “The Green Scare Problem; Raising constant alarms–about fracking, pesticides, GMO food–in the name of safety is a dangerous game.” The Wall Street Journal (Fri., Aug. 13, 2015): A13.
(Note: the online version of the commentary has the date Aug. 13, 2015.)

Regulations Slow Eradication of Cancer

(p. D3) . . . the triumph of chemotherapy for Hodgkin’s and then for many other tumors opened an interlocking series of dilemmas. In the clinic and the hospital, the new protocols demanded that doctors muster the courage to make their patients very sick in order to make them well. But how sick was too sick? The risks and benefits of the powerful treatments now needed careful, deliberate assessment at every stage of the disease.
Similar questions dogged those who developed, evaluated and regulated the drugs. How poisonous could these agents safely be? How assiduously should desperate patients be saved by their government from pharmaceutical risk?
Dr. DeVita stands firmly among those affirming cancer patients’ right to aggressive treatment. One particular exchange summarizes his philosophy: “Do your patients speak to you after you do this to them?” one skeptic asked him early on. “The answer is yes,” he replied, “and for a lot longer.”
The regulatory caution of the Food and Drug Administration has been a thorn in his side for decades: “I’d like to be able to say that as cancer drugs have become increasingly more complex and sophisticated, the F.D.A. has as well. But it has not.” In fact, he writes, “the rate-limiting step in eradicating cancer today is not the science but the regulatory environment we work in.”

For the full review, see:
ABIGAIL ZUGER, M.D. “An Unbowed Warrior.” The New York Times (Tues., Dec.. 1, 2015): D3.
(Note: ellipsis added.)
(Note: the online version of the review has the date NOV. 30, 2015, and has the title “Review: Science and Politics Collide in ‘The Death of Cancer’.”)

The book under review, is:
DeVita, Vincent T., and Elizabeth DeVita-Raeburn. The Death of Cancer: After Fifty Years on the Front Lines of Medicine, a Pioneering Oncologist Reveals Why the War on Cancer Is Winnable–and How We Can Get There. New York: Sarah Crichton Books, 2015.

Anti-GMO Chipotle No Longer Wears Health Halo

(p. A13) . . . if you need an anecdote for how the year unfolded for the anti-GMO movement, look no further than Chipotle. Last spring the fast food company announced with great fanfare that it would take GMO ingredients off its menu. It was all downhill after that. As was quickly pointed out, Chipotle wasn’t being fully truthful, since its soft drinks and cheese contain genetically modified ingredients, and its meat comes from animals fed genetically modified grains. A lawsuit filed in California, which is pending, accused Chipotle of false advertising and deceptive marketing.
Then cases of food-borne illnesses hit Chipotle locations across the country. Supporters of traditional agriculture, who have felt maligned by the burrito company, started keeping a tally of the number of people sickened by Chipotle’s food (ongoing, but more than 300) versus the number sickened by GMOs (zero). As the year winds to a close, the company that once wore the restaurant industry’s health halo is apologizing, preparing for lawsuits, recentralizing its vegetable preparation and cutting locally sourced ingredients.

For the full commentary, see:
JULIE KELLY. “The March of Genetic Food Progress; ‘Farmaceuticals’ and other GM products are slowly being approved, despite political scare campaigns.” The Wall Street Journal (Weds., Dec. 30, 2015): A13.
(Note: ellipsis added.)
(Note: the online version of the commentary has the date Dec. 29, 2015.)