January 16th, 2020
Podcast 248: “Hotspotting” didn’t work in its home town — why?
The process of identifying super-users of healthcare and reducing the frequency of their hospitalizations — so-called “hotspotting” — was subjected to a randomized, controlled trial in Camden, NJ, the birthplace of the idea. It failed there. Those in the intervention group had a readmission rate within 6 months that was statistically identical to those getting usual care. […]
June 11th, 2019
Podcast 226: What we need to talk about when we talk about health
Length: 18 minutes Sandro Galea, dean of Boston University’s School of Public Health, has written a new book. It’s called “Well: What we need to talk about when we talk about health,” and it’s the centerpiece of our discussion. Dr. Galea, who trained as an emergency physician, believes that health is a public good and thus worthy […]
May 14th, 2012
Podcast 155: What’s wrong with U.S. healthcare and what will save it?
Dr. Arnold Relman, longtime observer of the U.S. healthcare system and editor emeritus of the New England Journal of Medicine, proposes two major reforms: First, private insurance companies should leave the healthcare field, and second, physicians should organize into multispecialty practices. His proposals, just published in BMJ, grow out of his alarmed observation — some 30 […]
May 6th, 2011
Podcast 120: Pass the salt!
European researchers say they’ve got the data to show that restricting salt in the general population is a bad mistake. By implication, the U.S. dietary salt guidelines are plainly wrong. How did they do this? They followed 3700 subjects for roughly 8 years, having first measured their 24-hour urinary sodium excretion. Their data show that lower […]
July 11th, 2008
Podcast 7: Interview with Dr. Nelson Adams, President, National Medical Association
Nelson Adams, president of the National Medical Association, joins us to discuss the American Medical Association’s apology to black physicians for its past efforts to exclude them from membership. Journal Watch links AMA Apologizes for Past Discrimination Against African-Americans FDA Calls for Boxed Warning on Fluoroquinolones Treating Hypertension Only Marginally Reduces Dementia Risk in the Very […]