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Medicine

What US Health Care Needs 584

Medical doctor and writer Atul Gawande gave the commencement address recently at Stanford's School of Medicine. In it he lays out very precisely and in a nonpartisan way what is wrong with the institution of medical care in the US — why it is both so expensive and so ineffective at delivering quality care uniformly across the board. "Half a century ago, medicine was neither costly nor effective. Since then, however, science has... enumerated and identified... more than 13,600 diagnoses — 13,600 different ways our bodies can fail. And for each one we've discovered beneficial remedies... But those remedies now include more than six thousand drugs and four thousand medical and surgical procedures. Our job in medicine is to make sure that all of this capability is deployed, town by town, in the right way at the right time, without harm or waste of resources, for every person alive. And we're struggling. There is no industry in the world with 13,600 different service lines to deliver. ... And then there is the frightening federal debt we will face. By 2025, we will owe more money than our economy produces. One side says war spending is the problem, the other says it's the economic bailout plan. But take both away and you've made almost no difference. Our deficit problem — far and away — is the soaring and seemingly unstoppable cost of health care. ... Like politics, all medicine is local. Medicine requires the successful function of systems — of people and of technologies. Among our most profound difficulties is making them work together. If I want to give my patients the best care possible, not only must I do a good job, but a whole collection of diverse components must somehow mesh effectively. ... This will take science. It will take art. It will take innovation. It will take ambition. And it will take humility. But the fantastic thing is: This is what you get to do."

Comment Re:Buzz (Score 2, Interesting) 1015

Don't worry - our radio waves are not on their way - they may go out forever, but the weaken too... sorry to say that you'd have to be by Jupiter with a radio telescope to watch our TV. By the time aliens notice the carrier signals, they'll be in our Oort Cloud. They'll notice the oxygen and methane in our atmosphere first...

Comment You wait for perfection, I'll take for good enough (Score 1) 269

Seriously. My chances of dying are 100%. Based off my family history, it'll be cancer instead of heart disease.

So if someone offers me the privilege of continued living for only 50K a year, I'll take it. I wasn't expecting to retire anyway. And I can always decide to step off the carousel at any time by not taking the drugs.

Comment Re:Come to Verizon! (Score 1) 738

They are advertised... I mean its in the name of the mobile plan - the Verizon mobile plans are called the 250/megs a month plan or 5 gigs a month plan or something like that.

I'm just shocked they weren't enforcing... does that mean we should all get verizon 250/meg a month mobile plan, and use it as much as we want? Wonder how much video can a phone download in a month on a 3G/wireless network...

Comment Give 3 year olds some credit (Score 1) 1343

I've been spending a lot of time with lots 2-3 year olds lately. With that day-to-day experience fresh in my mind, I can report they aren't usually a bunch of drooling morons. They're just little uneducated and irrational people. They may not comprehend death, but they definitely comprehend "this could hurt me or break something".

I saw a class full of 2 year olds see what happens when you drop a glass cup in a sink. Now they all use plastic or paper cups in the sink, and I never see them taking a glass one over. I figure a gun going off would make an impression equal to a glass breaking.

If you tell them something is dangerous, demonstrate the fact such that it sinks in, they usually don't do it again. Usually.

Comment Re:Suicide? Try murder. (Score 1) 1343

I questioned that also, but I wasn't familiar with the gun and didn't want to make an ass out of myself publicly speculating on the trigger... Guess I should have as I already did with my other out of whack assumptions...

Comment Suicide? Try murder. (Score 2, Interesting) 1343

A 3 year old knows the difference between a real gun, and a lightweight plastic controller. According to the parents, the gun was sitting on the table for a whole day. In a little trailer.

Apparently, loaded, cocked, and with the safety off. And then the little girl pointed it at herself and pulled the trigger? Sounds dubious to me that someone who has spent years with guns doesn't know that you don't point it at yourself.

But even if thats the case it was negligent homicide - you don't forget to keep a loaded, cocked, and ready to fire weapon out for an entire day, in plain view.

I wouldn't be shocked if the autopsy shows no signs of gun powder residue on her hands/arms, and it turns out that the father shot her, and they made up a BS story to cover.

Comment Interesting... IE sucks... except when it counts. (Score 1) 273

IE did best or near best in the web browsing events most users will care about - page load time sfor popular sites like yahoo, facebook, or youtube.

So how does a web browser that apparently sucks at so many theoretical benchmarks, crush the competition in real world load times? Apparently it doesn't matter what you do, if major websites tailor themselves to you.

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