Medicare Advantage(s) the Insurer, Not the Insured

By Chuck Dinerstein, MD, MBA — Nov 25, 2022
The Kaiser Family Foundation recently wrote a summary of what you actually get when you enroll in a Medicare Advantage (Part C) program.

The Kaiser Family Foundation recently wrote a summary of what you actually get when you enroll in a Medicare Advantage (Part C) program.

What I'm Reading (Nov. 24)

By Chuck Dinerstein, MD, MBA — Nov 24, 2022
Banning menthol heats up. Is it a conspiracy? A ten-point checklist Debunking pumpkins – say it ain’t so! The Decline and Fall of Eating together

Banning menthol heats up.
Is it a conspiracy? A ten-point checklist
Debunking pumpkins – say it ain’t so!
The Decline and Fall of Eating together

Diseases and Syndromes: Long COVID

By Chuck Dinerstein, MD, MBA — Nov 23, 2022
A disease produces specific signs or symptoms. Symptoms are reported by patients and are largely subjective, while signs are elicited by physicians and have a more objective quality. Meanwhile, a syndrome is a set of symptoms suggesting the presence of an underlying disease or condition. And while COVID is a disease, long COVID remains an often-ill-defined syndrome.

A disease produces specific signs or symptoms. Symptoms are reported by patients and are largely subjective, while signs are elicited by physicians and have a more objective quality. Meanwhile, a syndrome is a set of symptoms suggesting the presence of an underlying disease or condition. And while COVID is a disease, long COVID remains an often-ill-defined syndrome.

ACSH: Who Wants ‘Pox Parties’ for COVID?

Active immunity means your body’s immune system gets revved up and primed by previous infection or exposure to vaccine antigens, whether it’s the real thing, i.e., getting sick with COVID, or via exposure to a human-made varietal from a vaccine (mRNA or conventional). Yet, somehow there’s this hue and cry that getting the real thing just isn’t as good as getting jabbed. Is it true? 

Active immunity means your body’s immune system gets revved up and primed by previous infection or exposure to vaccine antigens, whether it’s the real thing, i.e., getting sick with COVID, or via exposure to a human-made varietal from a vaccine (mRNA or conventional). Yet, somehow there’s this hue and cry that getting the real thing just isn’t as good as getting jabbed. Is it true? 

We May Have a Fentanyl Vaccine. But Will it Be Useful?

By Josh Bloom — Nov 23, 2022
Illicit fentanyl continues to kill tens of thousands of people annually in the U.S. In fact, this number may very well be increasing as the "fentanyl epidemic" continues unabated. But now a fentanyl vaccine – which could be of some use in mitigating damage – appears to protect mice from the drug. Will it succeed in humans and, if so, how might it be used?

Illicit fentanyl continues to kill tens of thousands of people annually in the U.S. In fact, this number may very well be increasing as the "fentanyl epidemic" continues unabated. But now a fentanyl vaccine – which could be of some use in mitigating damage – appears to protect mice from the drug. Will it succeed in humans and, if so, how might it be used?

Every Picture Tells a Story: Spending on Social Determinants of Health

By Chuck Dinerstein, MD, MBA — Nov 22, 2022
Just as healthcare systems seek to maintain their tax-exempt status by providing “community services,” health insurers seek to dispense their largesse on the corporate term for those community services – the social determinants of health. A new study suggests that, like those not-for-profit, tax-exempt healthcare systems, the money flowing to social determinants is more for appearances. How surprising.

Just as healthcare systems seek to maintain their tax-exempt status by providing “community services,” health insurers seek to dispense their largesse on the corporate term for those community services – the social determinants of health. A new study suggests that, like those not-for-profit, tax-exempt healthcare systems, the money flowing to social determinants is more for appearances. How surprising.

A Toxin-Free Thanksgiving

By Susan Goldhaber MPH — Nov 22, 2022
As a toxicologist, I love writing about toxic substances, so I thought I would look for one associated with Thanksgiving. I failed. Many of our traditional Thanksgiving foods are not only non-toxic, but they are also healthy for you!

As a toxicologist, I love writing about toxic substances, so I thought I would look for one associated with Thanksgiving. I failed. Many of our traditional Thanksgiving foods are not only non-toxic, but they are also healthy for you!

From the Archives: The Great Cranberry Scare of 1959

By ACSH Staff — Nov 21, 2022
On November 26, 1959, "Mamie Eisenhower served applesauce with dinner." … America had been waiting with more-than-usual interest to see what the Eisenhowers would eat as Thanksgiving relish. The news came Friday, courtesy of the Associated Press: “No Cranberries for President.” Here's ACSH's take from our archives, in what was perhaps the first episode of chemophobia in the United States.

On November 26, 1959, "Mamie Eisenhower served applesauce with dinner." … America had been waiting with more-than-usual interest to see what the Eisenhowers would eat as Thanksgiving relish. The news came Friday, courtesy of the Associated Press: “No Cranberries for President.” Here's ACSH's take from our archives, in what was perhaps the first episode of chemophobia in the United States.

Another Health Harm from Marijuana

By Chuck Dinerstein, MD, MBA — Nov 21, 2022
“In a new analysis of medical records, cannabis smokers had higher rates of a certain type of emphysema than tobacco smokers.” It's another attention-grabbing headline that fails to tell the whole story. Let’s skip the public relations version and consider the study's findings.

“In a new analysis of medical records, cannabis smokers had higher rates of a certain type of emphysema than tobacco smokers.” It's another attention-grabbing headline that fails to tell the whole story. Let’s skip the public relations version and consider the study's findings.

Ozempic Goes Way Off-Label

By Chuck Dinerstein, MD, MBA — Nov 18, 2022
Ozempic, a drug indicated for Type II diabetes, has become the latest weight-loss darling. Not since ivermectin has a drug gained so much interest from its off-label uses. Let’s take a deeper look at the science and a regulatory conundrum.

Ozempic, a drug indicated for Type II diabetes, has become the latest weight-loss darling. Not since ivermectin has a drug gained so much interest from its off-label uses. Let’s take a deeper look at the science and a regulatory conundrum.