Why did life expectancy fall in Canada?

According to a news report in The Globe and Mail, one of the primary reasons for falling life expectancy in Canada is the opioid epidemic. Life expectancy in Canada has stopped increasing for the first time in more than four decades, due largely to soaring overdose deaths in the Western provinces. In British Columbia, the…

Nudge or Nanny State?

An interesting article in the N.Y. Times “Upshot” section by Austin Frakt argues that federal efforts to nudge people towards healthier behaviors may be doomed to fail. A $100 billion dollar health care package…encourages exercise by treating gym memberships as tax-deductible medical expenses…[a]nd it would permit the use of flexible spending accounts and health savings accounts…

Patient care under uncertainty: Or why I learned to stop loving clinical practice guidelines

The National Cancer Institute defines personalized medicine as “uses information about a person’s genes, proteins, and environment to prevent, diagnose, and treat disease”. In practice, however, patient treatment is rarely personalized by individual since evidence to support complete personalization is rarely available. Personalization in practice more often means care that varies with some individual characteristics.…