There are moments in public health when the path forward is unusually clear, when the evidence aligns with behavior, when risks are well understood, and when policy has a genuine opportunity to reduce harm at scale. This should be one of those moments. Non-combustible nicotine products—vapes, heated tobacco, and especially nicotine pouches—are widely understood to be far less harmful than...
Last Word
Primary care is in trouble. So doctors band together to boost their market power
Western Massachusetts, a patchwork of rural communities and low-income cities, is a difficult place to find a primary care doctor if you don’t already have one. Frustrated patients often turn to online forums, asking for leads or advice on how to find a practice that is accepting new patients. One name repeatedly crops up in these discussions: Valley Medical Group. With four locations in the...
The intensity and perfectionism that drive Olympic athletes also put them at high risk for eating disorders
Several Olympic figure skaters have spoken publicly of their eating disorders in recent years. aire images/Moment via Getty Images ~~~~~ Olympians – athletes at the top of their sport and in prime health – are idolized and often viewed as superhuman. These athletes spend their lives focusing on building physical strength through rigorous training and diets that are honed to provide the nutrients...
ProPublica’s Rx Inspector tool is helping people find critical safety information on generic drugs
The calls came over the span of a single month in 2004, patient after patient with strikingly similar complaints. Some told Oregon psychiatrist James Hancey that their new generic medication for depression had stopped working. Others described unexpected reactions — dizziness, flu-like symptoms and electric shock sensations in the brain. “That started to tell me, ‘This drug is no good,’” Hancey...
Meritocracy vs. Credentialocracy
It is generally acknowledged that the Baby Boom generation (of which I am a member) has been the most successful, socioeconomically speaking, in the history of this planet, and the prospects for the generations following to match or surpass us are not looking good. As a confirmation of the disparity, I recently read that while Baby Boomers make up approximately 20% of the current US population,...
What to do if your medical license is at risk
Recognize the risk When a state medical board notifies you of a formal complaint or investigation, your right to practice is at risk. State medical boards oversee professional conduct under the Medical Practice Act and may impose disciplinary actions ranging from letters of concern and fines to suspension or revocation of your license. Processes and deadlines vary by jurisdiction. Early legal...