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.…

The Fourth of July is fun, but…

The Fourth of July is a fun holiday. We celebrate America’s independence, bar-b-que, and watch fireworks.  I have many good memories watching the fireworks on July 3 (yes, in Milwaukee the largest fireworks display actually happens July 3). At the same time, the Fourth of July does have a number of health hazards to be…