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Bioethics Complementary and alternative medicine Medicine

“Patient-centered care” vs. CAM in the New England Journal of Medicine

“Patient-centered care.” It’s the new buzzword in patient care. Personally, I find the term mor ethan a little Orwellian in that it can mean so many things. Basically, it’s a lot like Humpty Dumpty when he says to Alice, “When I use a word, it means just what I choose it to mean — neither […]

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Antivaccine nonsense Autism Medicine

The antivaccine movement resurrects the zombie that is the “autism epidemic”

If there’s one thing that I’ve learned that I can always–and I do mean always–rely on from the antivaccine movement, it’s that its members will always be all over any new study regarding vaccines and/or autism in an effort to preemptively put their pseudoscientific spin on the results. It’s much the same way that they […]

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Medicine

Choosing Wisely when it comes to medicine

Over the years, I’ve written a lot about overdiagnosis and overtreatment. Basically, overdiagnosis is the diagnosis of a condition that, if left untreated, would very likely never cause the patient harm. Because I’m a cancer surgeon, I’ve almost always written about overdiagnosis in the context of–you guessed it–cancer, particularly breast cancer. In breast cancer, for […]

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Cancer Clinical trials Medicine Politics

No, Virginia, cancer care in Europe doesn’t suck, contrary to what a recent paper implies

The U.S. is widely known to have the highest health care expenditures per capita in the world, and not just by a little, but by a lot. I’m not going to go into the reasons for this so much, other than to point out that how to rein in these costs has long been the […]

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Complementary and alternative medicine Medicine Pseudoscience Quackery Science fiction/fantasy Skepticism/critical thinking

Now there’s some “anti-science”…

I’m sometimes criticized for referring to various people who are “anti-science” as, well, “anti-science.” People, for whatever reason, have a hard time believing that anyone is anti-science; so when I point out how much, for example, antivaccinationists, alternative medicine believers, or creationists are anti-science, they have a had time believing it. This is particularly true […]