Harm Reduction

Who doesn’t love a good screening test for a health issue? The worried-well love them, either assuring them or sending them to find the underlying problem. Physicians have more of a love-hate relationship, they do provide a revenue stream for both testing and treatment, but the unsatisfied worried well can be a problem. And the quiet truth is that few screening tests for general populations are at all productive in terms of reducing mortality.
“There has been considerable time passed (5-10 years) from the initial alarm and subsequent legislation at all levels of government concerning the presumed links to traffic accidents/deaths with increased texting while driving.  Was there ever any evidence that texting while driving resulted in increased accidents/deaths?  Or, did texting while driving just replace other distractions for those same drivers, who would have had their accidents anyway?”
The ALA does not approve of e-cigarettes, despite the fact that thousands of smokers have used them to quit. Is their reluctance to acknowledge the utility of e-cigarettes due to a financial conflict?
For many years, one's family motto has been “often wrong, never in doubt.” Overconfidence is a cognitive problem, present to lesser and greater degrees in us all. And it grows in the presence of two conditions.
The “pivotal regulatory science” used in setting air pollution standards are epidemiological studies measuring the effects of particulate matter on our health. The recently proposed changes to improve the transparency of regulatory science at the EPA have brought these studies to the fore.
In the face of unethical behavior, we treat corporations differently than we treat individuals. Corporate crisis managers, using our cognitive biases, know how to deflect blame.
While Facebook has drawn massive criticism over manipulative political ads, the social media giant also runs advertisements around vaccinations, which is another divisive policy topic. A new study gives us a glimpse of the ads' content, targets and purchasers.
Healthcare consolidation involves economies of scale and standardization. Neither is a guarantee of better outcomes. For patients on dialysis, in fact, consolidation has made their care worse.
U.S. drug policies are just plain nuts. Pain patients can't get opioids because they're "bad." But your miniature poodle could walk into ... pretty much any store and waltz out with vaping solutions of CBD oil or maybe even THC because they're "good." But now fentanyl -- the real cause of most overdose deaths -- is showing up in vaping solutions. Can't make this up.
Perhaps we finally have an answer to what's causing serious lung damage and death to vapers. The CDC says the culprit is THC and/or an additive, something we explained last month. Here's why we think those officials are correct.
A new study shows how an artificial intelligence algorithm is biased against black patients. Specifically, denying them care designed to make their outcomes and quality of life better. Why is there so little concern? And who is responsible for algorithmic healthcare?
Not that we needed it, but there's now even more evidence that prescription analgesic opioids play a very small part in fatal overdoses that continue to plague America. How small? According to a new study published in Public Health Reports, let's just say: get out your magnifying glass.