In June, the American College of Physicians (ACP) reported what many doctors have known for years: There is little justification for the widespread practice of the annual pelvic exam. In its clinical guidelines, the physicians group recommended against performing the exams for non-pregnant women who don’t have pelvic pain or other symptoms that suggest a gynecologic problem. These guidelines do not apply to Pap smears for cervical cancer screening, for which there is strong evidence for their continued use. They apply to the pelvic exam, where the clinician first uses a speculum to perform an internal exam, and then with his or her hands, feels for pelvic organs.
The Great Debate
from Stories I’d like to see:
1. Does health insurance covering contraception actually cost anything?
In this article about a renewed fight at the U.S. Supreme Court just days after its decision about whether the owners of the Hobby Lobby retail chain had to buy insurance covering certain forms of contraception, the New York Times’ ace court reporter Adam Liptak wrote:
In all the brouhaha about the Veterans Administration — the alleged misconduct and malpractice in Arizona, and the ensuing calls for the head of Secretary Eric Shinseki — it is crucial that the issue not be treated solely as a referendum on Shinseki, and on the Obama administration generally.
Five years ago Monday, President Barack Obama signed the signature economic proposal of his presidency, saying that the passage of the $787 billion economic stimulus package heralded the “the beginning of the end” of the Great Recession.
The United States was the world’s first middle-class nation, which was a big factor in its rapid growth. Mid-19th-century British travelers marveled at American workers’ “ductility of mind and the readiness…for a new thing” and admired how hard and willingly they labored. Abraham Lincoln attributed it the knowledge that “humblest man [had] an equal chance to get rich with everyone else.”
Would you purchase a new phone without knowing its data plan? For almost everybody, the answer is an obvious “no.” We simply cannot make a good choice if we don’t know how much coverage the phone will offer, or how much money it will end up costing us.
When Mark Zuckerberg announced a new private sector initiative last month to make affordable Internet access available to people in developing countries, he breathed new life into a long-simmering debate within the global development community — what is the value of technology in societies suffering from urgent social, economic and humanitarian challenges? Familiar voices of criticism have been heard, pointing out that in communities lacking food, clean water and medicine, getting people online is hardly a priority.
from Nicholas Wapshott:
Robert Fogel, who died this week, won a Nobel for economics by mining historical data and in the process shook up the study of history forever. Just as with cholesterol, it seems there is good data mining and bad data mining. Fogel’s was undoubtedly the good kind.
When even a key architect of Obamacare says the law’s implementation will resemble a “train wreck,” it is clear that its biggest remaining supporters need to finally level with the American people about what’s in store — starting with President Barack Obama.