Biden-Xi Meeting: Can Fentanyl Be Curtailed by Banning Precursor Chemicals?

By Josh Bloom — Dec 01, 2023
The recent meeting between President Biden and China's President Xi Jinping delved into the U.S. fentanyl crisis, centering on the export of fentanyl chemical precursors from China to Mexico, where they are converted into fentanyl. However, there is an inherent challenge in restricting precursor chemicals. A minimally trained organic chemist can either make them or simply use a different, unrestricted chemical. Thus, any international agreement designed to minimize fentanyl by restricting precursors is likely to fail, defeated by organic chemistry.

The recent meeting between President Biden and China's President Xi Jinping delved into the U.S. fentanyl crisis, centering on the export of fentanyl chemical precursors from China to Mexico, where they are converted into fentanyl. However, there is an inherent challenge in restricting precursor chemicals. A minimally trained organic chemist can either make them or simply use a different, unrestricted chemical. Thus, any international agreement designed to minimize fentanyl by restricting precursors is likely to fail, defeated by organic chemistry.

What I'm Reading (Nov. 30)

By Chuck Dinerstein, MD, MBA — Nov 30, 2023
A new internal organ! Why is TV news wildly profitable? A Holiday Warning - making consumption easy Cash is King!

A new internal organ!
Why is TV news wildly profitable?
A Holiday Warning - making consumption easy
Cash is King!

Toddler Milk: Another Attempt to Influence the Vulnerable

Walk down the baby food aisle in your supermarket, and you'll surely run into the “Toddler Milk” display. Every parent or grandparent wants the best for their child, and a product specially geared to a toddler's needs seems enticing. Don’t be fooled.

Walk down the baby food aisle in your supermarket, and you'll surely run into the “Toddler Milk” display. Every parent or grandparent wants the best for their child, and a product specially geared to a toddler's needs seems enticing. Don’t be fooled.

Truth and Scientific Consequences

By Susan Goldhaber MPH — Nov 30, 2023
An email from Dr. Kan Shao, a professor at Indiana University School of Public Health, states that EPA’s current version of Benchmark Dose Software modeling is “extremely misleading and not scientifically justified.” It is very unusual for a scientist who has been deeply involved with the EPA in developing risk assessment modeling to openly criticize the EPA. This requires a deeper dive into this issue.

An email from Dr. Kan Shao, a professor at Indiana University School of Public Health, states that EPA’s current version of Benchmark Dose Software modeling is “extremely misleading and not scientifically justified.” It is very unusual for a scientist who has been deeply involved with the EPA in developing risk assessment modeling to openly criticize the EPA. This requires a deeper dive into this issue.

10 Years Ago Today: My First Publication as a Pain Patient Advocate in the New York Post

By Josh Bloom — Nov 30, 2023
Exactly 10 years ago -December 2, 2013 - my first-ever published opinion piece about the erosion of pain control appeared in The New York Post. It was titled "New painful casualties of the drug war" and was written three years before the CDC's formal declaration of war on pain patients. It is frightening to look back a decade and see how much of this has come true. Plus much worse. Here is the article from the Post opinion page.

Exactly 10 years ago -December 2, 2013 - my first-ever published opinion piece about the erosion of pain control appeared in The New York Post. It was titled "New painful casualties of the drug war" and was written three years before the CDC's formal declaration of war on pain patients. It is frightening to look back a decade and see how much of this has come true. Plus much worse. Here is the article from the Post opinion page.

The Media and I: Masks

By Henry I. Miller, MS, MD — Nov 30, 2023
John Batchelor and I discuss the current state of the COVID-19 pandemic, focusing on the emergence of the Omicron EG.5 sub-variant and its impact. Among the ongoing challenges are viral evolution, testing difficulties, and the effectiveness of masks. I am critical of irresponsible personal behaviors and legislative attempts to prohibit mask and vaccine mandates. Continued precautions are important.

John Batchelor and I discuss the current state of the COVID-19 pandemic, focusing on the emergence of the Omicron EG.5 sub-variant and its impact. Among the ongoing challenges are viral evolution, testing difficulties, and the effectiveness of masks. I am critical of irresponsible personal behaviors and legislative attempts to prohibit mask and vaccine mandates. Continued precautions are important.

Big Bidet Aims to Wipe Out Charmin

By Josh Bloom — Nov 29, 2023
Anuses are like martinis. Some like 'em dry and some don't. And in the bathroom, a similar debate continues. Hardly a day goes by when the bidet vs. toilet paper war fails to rear its ugly head. This is only one more reason why ACSH – flush with newsworthy articles – is the place to go to learn about this and similarly vital issues. Buckle up.

Anuses are like martinis. Some like 'em dry and some don't. And in the bathroom, a similar debate continues. Hardly a day goes by when the bidet vs. toilet paper war fails to rear its ugly head. This is only one more reason why ACSH – flush with newsworthy articles – is the place to go to learn about this and similarly vital issues. Buckle up.

Pharmacists on Fire: Quenching Pharmacist Burnout

By Chuck Dinerstein, MD, MBA — Nov 29, 2023
A recent survey of pharmacists found that 75% did not have “enough time and personnel to safely perform or meet duties.” This is due, in part, to pharmacists shouldering the extra burden of providing vaccinations. And because 94% of pharmacists work for large corporations, where productivity is measured in prescriptions completed hourly. The typical solution is to increase the number of pharmacists or to turn much of the pharmacy function over to pharmacist-extenders pharmacist technicians. However, there is a simpler solution.

A recent survey of pharmacists found that 75% did not have “enough time and personnel to safely perform or meet duties.” This is due, in part, to pharmacists shouldering the extra burden of providing vaccinations. And because 94% of pharmacists work for large corporations, where productivity is measured in prescriptions completed hourly. The typical solution is to increase the number of pharmacists or to turn much of the pharmacy function over to pharmacist-extenders pharmacist technicians. However, there is a simpler solution.

Range Anxiety

By Chuck Dinerstein, MD, MBA — Nov 28, 2023
Plug-in electric vehicles (PEV) running solely on electricity are the cornerstone of the effort to reduce vehicular emissions. Prediction of electrical use and environmental benefit base their calculations on vehicle miles traveled (VMT), assuming that the number of miles driven with electrics is the same as those by conventional fossil-fueled vehicles (CV). A new study questions that assumption.

Plug-in electric vehicles (PEV) running solely on electricity are the cornerstone of the effort to reduce vehicular emissions. Prediction of electrical use and environmental benefit base their calculations on vehicle miles traveled (VMT), assuming that the number of miles driven with electrics is the same as those by conventional fossil-fueled vehicles (CV). A new study questions that assumption.

Unwise Provisions In The HHS Funding Bill Will Hamper Critical Research

By Henry I. Miller, MS, MD — Nov 28, 2023
Politicians fail to understand that "gain of function" research on microorganisms can enhance public health preparedness.

Politicians fail to understand that "gain of function" research on microorganisms can enhance public health preparedness.