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The enduring curse of Ancel Keys
Who is Ancel Keys? If you ever wondered why we think eggs and shell fish are harmful, why low-fat foods sell so well, why we have become...
Negotiating the fog of health care fantasy
Before we can fully understand why medical dogma has gone so far astray, and why Medicare’s quality indicators push us to purse a costly...
Number Chasing
As doctors we often chase numbers, measuring them and then fixing them. It is very tempting to think that we can help people by "fixing"...
The Pain of dying in our current system
In its new report, "Dying in America," the Institute of Medicine takes a critical look at our flawed American medical system that makes...
The pitfalls of hospitalization
This is a sign in front of our local hospital, and it is a piece of wisdom that my frail elderly patients should heed. Not that it is a...
The impact of Medicare Reform on Primary Care
Today Medicare reform is all about keeping doctors like me accountable. Quality is defined by having us fill out an abundance of forms...
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