Minnesota Connect


Archive for June, 2008


Problems in bioethics

Two different news stories about problems in bioethics caught my eye this week. The Wall Street Journal reports:

“…as the number of hospitals with ethics consulting services has grown in recent years, so have questions about how qualified some of these professionals are to render life-and-death advice. The complex ethical issues arising from new life-prolonging medical technologies are throwing up new challenges. And hospitals face potential legal liability if patients and families feel they haven’t been properly counseled or provided with all the information they need to make decisions.”

On a quite different theme, Scientific American profiles the problems of one bioethicist at one center. Excerpt:

“When Glenn McGee founded the Alden March Bioethics Institute (AMBI) at Albany Medical College in New York State in 2005, magazine articles and newspaper stories hailed the arrival of the man once described as “Socrates with a beeper.” Now, a month after his abrupt departure, former colleagues are painting a complex portrait that suggests the ethicist’s own personal and professional relationships may have led to the institute’s undoing.

House Republicans Use Antidepressant Slogan

Catching up on some old, but quirky news…..

Last month, House Republicans made news by announcing a new slogan, “The Change You Deserve, ” to promote their agenda.

But within hours, the New York Times posted a followup report:

Democrats heard something familiar today in that new theme emerging from House Republicans: “The Change You Deserve.” effexor.png

Turns out that slogan is also used to market an antidepressant, which Democrats quickly lampooned as reflecting the Republican mood at the moment.

We’re #5! We’re #5!

OK, we’re not #1.

But we’re a busy little blog, as shown by the fact that this blog has just become the 5th most active blog out of 6,336 blogs with 15,465 authors hosted on the University of Minnesota Libraries.

What we rank 5th in is in the number of entries. Since September 2004, I’ve posted 866 entries on this site. And counting…….

"If a surgeon recommends this, run away as fast as you can."

Judy Foreman reports on an alternative to hip surgery that, “propelled by aggressive marketing featuring pictures of vigorous, youngish athletes, is sweeping the United States: hip resurfacing.”

She reports on one man who had it done, and whose surgeon is among those who “are worried about the rate at which doctors, most of whom are still on a steep learning curve for this technically demanding procedure, are jumping to do it.”

She quotes another surgeon who advises that if a surgeon recommends hip resurfacing, “Run away as fast as you can. Or limp out of that office. There is no advantage and many disadvantages. It won’t give you anything more than a total hip replacement, and with some significant downsides.”

Good article. Good snapshot of medical technology assessment (or lack thereof) - especially when it comes to surgical procedures.

Key opinion leaders not in the public interest?

Journalist Ray Moynihan reports on the role of the influential experts paid by industry to help “educate” the profession and the public. Excerpt:

In the world of medicine, “key opinion leader” is the somewhat Orwellian term used to describe the senior doctors who help drug companies sell drugs. These influential doctors are engaged by industry to advise on marketing and help boost sales of new medicines. Across all specialties, in hospitals and universities everywhere, many leading specialists are being paid generous fees to peddle influence on behalf of the world’s biggest drug companies.

Read the article and listen to the video clips with former drug rep Kimberly Elliott.

Moynihan’s concluding quote:

Disease-mongering by Russert pundits

There has been a lot of speculation about what happened to and what could have saved Tim Russert.

Some, like a Wall Street Journal piece, “A Visceral Fear: Unexpected Heart Attacks,” bordered on disease-mongering. That story discussed:

“…experts who think wider use of coronary calcium CT scans could help spot more people at risk of soft-plaque blockages. The noninvasive procedure takes about 15 minutes and costs a few hundred dollars. But few insurers cover it because there is scant evidence that treating people on that basis saves lives.

At a minimum, seeing a picture of the calcium lining their arteries can be a wake-up call for patients to take their coronary-artery disease seriously and to be diligent in taking medication, exercising and making other healthy lifestyle changes.”

Tracking conflict of interest news coverage

From time to time, I’ve highlighted how the Integrity in Science Watch project of the Center for Science in the Public Interest tracks news coverage (or lack thereof) of conflicts of interest in medicine and science.

This week’s offering:

• Cheer to Andrew Pollack of the New York Times for disclosing that Eric L. Matteson, chairman of rheumatology at the Mayo Clinic, has consulted for many companies developing arthritis medication. Matteson is author of a recent study examining the link between various arthritis medications and cancer.

• Jeer to Audrey Grayson of ABC News’ Medical Unit for failing to note that Michael J. Manos, head of the Pediatric Behavioral Health Center at the Cleveland Clinic’s Children’s Hospital, consulted and served on the speakers’ bureaus of Eli Lilly, McNeil Consumer and Specialty Pharmaceuticals, and Shire US. Manos was quoted supporting use of pharmaceuticals to treat Attention Deficit and Hyperactivity Disorder rather than St. Johns Wort.

And while we fiddle with Botox, Rome burns

Employer health care costs are expected to increase by 9.9% in 2008 — more than double annual inflation rates — and 9.6% in 2009, according to a study released Tuesday by PricewaterhouseCoopers.

I’m on the lookout for any of those Botox users in my insurance pool. I’m going to give them a new reason to frown.

Billion dollar Botox bill

Newhouse News Service reports:

Americans last year spent an estimated $13.2 billion — more than the gross domestic product of Bolivia — on cosmetic surgery.

What did they get? botox.png

An array of bodily rearrangements from face-lifts to buttock augmentation, from chemical skin peels to laser hair removal.

And Botox. Lots of Botox. In all, 2.8 million treatments with Botox injections, costing more than $1 billion.

In the past decade, surgical cosmetic procedures have more than doubled, and nonsurgical procedures — such as Botox injections — grew nearly eightfold. …

The latest statistics come from the American Society for Aesthetic Plastic Surgery Inc. Its report is based on 12,000 surveys sent to board-certified surgeons and physicians in plastic surgery, dermatology and otolaryngology.

Checking local health care costs before you move

Dartmouth’s Jack Wennberg has often said, “Geography is destiny in health care.”

The Wall Street Journal reports on a new twist to that idea. Excerpts:

Charges for medical insurance and for health care differ tremendously in different locales, says Steve Zaleznick, president of Longevity Alliance, a Washington, D.C., company that provides quotes for retirement-related financial services.

For example, the average annual premium for one type of Medicare supplement policy last year ranged from $3,700 in New York to as little as $1,200 in Phoenix, according to an Alliance survey. …

The Longevity Alliance provides a downloadable booklet about health-care costs in moving at LongevityAlliance.com.