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Cancer Medicine Politics Popular culture

The problem with mandatory breast density reporting laws

Over the years, I’ve written a lot about the intersection between the law and science in medicine. Sometimes, I support a particular bill, such as SB 277. Sometimes I oppose a bill, such as right-to-try or laws licensing naturopaths. The case I will discuss here is unusual in that it is a case of the […]

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Cancer Clinical trials Medicine

The Canadian Breast Screening Study attacked: Why do doctors have such a hard time with the concept of overdiagnosis?

The last couple of weeks, I’ve made allusions to the “Bat Signal” (or, as I called it, the “Cancer Signal,” although that’s a horrible name and I need to think of a better one). Basically, when Bat Cancer Signal goes up (hey, I like that one better, but do bats get cancer?), it means that […]

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Medicine

Uncertainty versus certainty in the mammography wars

As I write this, I am winging my way home from the 2014 meeting of the American Association for Cancer Research (AACR, Twitter hashtag #AACR14) in San Diego. (OK, I’m revising this to fit the format and, of course, the Insolence of this particular blog. Shockingly, I didn’t have as much time to blog in […]

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Clinical trials Medicine Skepticism/critical thinking Surgery

Do negative clinical trials change practice?

One of the central themes of this blog from the very beginning is that all medicine, regardless of where it comes from or how it was developed, should be held to a single science-based standard with regards to efficacy, effectiveness, and safety. I tend to focus primarily on “complementary and alternative medicine” (CAM), now more […]

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Cancer Complementary and alternative medicine Quackery

A Scottish doctor endorses Robert O. Young’s “pH Miracle Living”

I didn’t think I’d be revisiting this topic so quickly. However, given that I’m at TAM and I don’t have a lot of time to do one of my usual 2,000 word epics for a change, I thought that this story, which popped up the other day while I was traveling was at least worth […]