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Primary care for all Americans

Common Sense Family Doctor

Don Berwick's dire warning about the existential threat of greed on the failing American health care system seems to be coming true, to the extent that the brazen assassination of an insurance company executive in midtown Manhattan elicited far more outrage about delayed or denied care than sympathy for his family's loss.

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Lung cancer screening in primary care: more pragmatic research needed

Common Sense Family Doctor

A 2020 meta-analysis of eight randomized controlled trials (summarized in a POEM in American Family Physician ) concluded that low-dose CT screening prevents one lung cancer death for every 250 people screened. to 3.33, indicating that even the most pragmatic studies fell well short of simulating conditions in community settings.