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Negative Expectations

A Country Doctor Writes

Andrea told me nobody in her family ever took an antidepressant, and none of her friends ever did. So we talked about St John’s Wort and other nonprescription alternatives, all less studied but without foreboding government-mandated warnings. Andrea Smythe needed something for her depression, but she was leery of medications.

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Oregon-based medical group Northwest Permanente announces affiliation with The Permanente Medical Group of Northern California

Permanente Medicine

Together with the Kaiser Foundation Health Plans and Kaiser Foundation Hospitals, we are Kaiser Permanente — an award-winning health care system that delivers Permanente Medicine, care that is person- and family-centered, compassionate, evidence-based, technology-enabled, culturally responsive, team-delivered and physician-led, to 12.4

Medical 52
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The Most Engaging Decision You’ll Read All Year – Five Stars

FDA Law

Koblitz — You know a court decision is going to be worth reading when the judges compare FDA’s regulatory governance of flavored e-cigarettes to a Shakespearean gaslighting. Clissold & Sara W. FDA originally set the PMTA deadline as August 8, 2022, but a district court in Maryland ordered FDA to shorten it.

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Is Hospice Losing Its Way: A Podcast with Ira Byock and Joseph Shega

GeriPal

2021 Association of Hospice Profit Status With Family Caregivers’ Reported Care Experiences. For others, this piece, while painful to read, gave voice to what they have been feeling over the last decade – hospice has in some ways lost its way in a quest of promoting profit over care. JAMA Health Forum. Is it you, Ira? Eric: Great.

IT 112
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Gabapentinoids – Gabapentin and Pregabalin: Tasce Bongiovanni, Donovan Maust and Nisha Iyer

GeriPal

This long and sordid history of gabapentin and pregabalin is beautifully described in Seth Landefeld and Mike Steinman 2009 NEJM editorial. By 2015 that number increased to 4% of US adults. There are a lot of reasons that may explain the massive increase in use of these drugs. Cochrane Database of Systematic Reviews Review. Annals of IM.

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California Immigrants Weigh Health Coverage Against Deportation Risk

Physician's Weekly

Maria is among what the federal government estimates are 2.6 without legal permission — along with the providers and community workers that help them — are anxiously weighing the benefits of pushing forward with Medi-Cal applications against the risks of discovery and deportation by the federal government.

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To Cut Medicaid, the GOP’s Following a Path Often Used To Expand Health Care

Physician's Weekly

Federal government spending falls into two categories: mandatory, or spending required by existing law, and discretionary, which traditionally is allocated and renewed each year as part of the appropriations process. (For A key reason so much health policy has passed this way has to do with how Congress manages the federal budget.