"Hypothesis: making medical records available for data analysis might expose redundancy, over-testing, and other methods of extracting profits from the fee-for-service model"
Besides being perhaps the most ignorant thing I have read this morning, this statement reminds me of the irony inherent in listening to tech people whine about how medical caregivers have no trust or knowledge of IT, while the caregivers complain non-stop that IT has no idea how to design a decent medical record system.
I forget, do we like final fantasy in these parts or not?
Final Fantasy, while the very definition of a game series that has been milked for all it is worth, is notable in the fact that almost all of the iterations of the franchise come to a concise ending. Characters die, are rejoined with their long lost whosits et cetera. The Dragon Quest series does this too, although they do tend towards three game story-arcs with a running theme.
Given that the two above series are two of the most successful franchises in the games industry worldwide, I would say "no they don't have to fail, but loose ends are the bread and butter of modern media"
"Evidence-based medicine is not the norm in the US"
It is, and it isn't
Medical school is all about evidence based medicine, we are told to use nothing but, we are tested on our ability to sift through and select the evidence based answer and are reminded time and time again not to blindly assume against age old axioms and stereotypes. And then we get into the real world...
Many physicians, particularly older ones but there are also plenty of younger ones as well, are married to their classical training, and stop learning or trying to learn after having it beat out of them on the wards. Just as in any other area of life (or science) youth is dominated by the wide-eyed idealists, and the experienced are set in their ways. Add in the insurance companies who have more to say about what tests or treatments can get done on a patient than a physician, and the 80+ hour workweeks for your medical residents, and similar hours for many of your primary care specialists and it really is no surprise that science ends up waiting for the bus.
People are so afraid of socialized medicine, that they don't realize that they already have a particularly bad form of it.
First, I am a doctor, a mere resident, but I still have the letters.
And let me just say that this is crap research. Some idiot is trying to ride the current public hysteria regarding video games into a published paper and hopefully a large bag of money and further funding. One case? Please. This is just lazy. My guess is that somebody is desperately trying to satisfy a publication quota and this is the best the idiot could come up with. I would really like to see the other topics they submitted that were refused.
Top Ten Things Overheard At The ANSI C Draft Committee Meetings: (5) All right, who's the wiseguy who stuck this trigraph stuff in here?