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health care reform healthcare reform Uncategorized

Canada vs. U.S. Health Care: National Governance Reform – HHS, FDA, NIH, CDC.

Mike Magee As we have seen, America’s health care system – disintegrated, opaque and heavily conflicted – didn’t just happen. It is the result of thousands of conscious decisions over nearly a century. Choices made have tipped the scale toward intervention, technology, and medicalization at every turn. Peggy Noonan suggested this week that Paul Ryan’s […]

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FDA

Off-Label Prescribing – Where Lupron is the Rule, Not the Exception – and Doctors Never Have To Say They’re Sorry.

Credit: U. Michigan Health Lab Mike Magee After a remarkably turbulent decade in the shadows of America’s Medical Industrial Complex – a span that has witnessed the creation of a manmade opioid epidemic, the treatment of thousands of 2 and 3 year old’s with Adderall, the placement of EpiPen’s out of the financial reach of […]

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health policy Research and Discovery

Uncoupling Scientific Progress From Human Progress: How Did We Arrive At This Place? A Three Part Series.

Source: studentblogs.med.ed.ac.uk Mike Magee A fundamental principle in human physiology and homeostasis is the negative feedback loop. When the body produces too much of something, a negative signal is transmitted back to the source which limits further production until peripheral over-production declines. These systems of checks and balances have evolved over the millennia to protect us […]

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Learned Intermediary Medical Law medical professionalism Prescribing

The Future of Physician Prescribing: An Historical Perspective

Mike Magee The right to prescribe medicines has been a privilege granted by our society with near exclusivity to physicians. It has been actively protected from encroachment by physician organizations usually on the basis that the physicians education and training is clearly superior to others and translates into better prescribing decisions. This privilege has also […]

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drug drug safety drug safety and effectiveness pharmaceuticals

Substituting Robust Marketing For Scientific Evidence: Industry Pursues Legal “Free Hand” For Off-Label Promotion.

SOURCE: OFF LABEL: A FILM Mike Magee Over the past fourteen years, the pharmaceutical industry in the U.S. has successfully beaten back proposals to allow drug reimportation from Canada. These proposals were advanced by multiple members of Congress and big city mayors, and were supported by the majority of Americans. But President Bush, in negotiations […]

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Amercan Medical Association medical education pharmaceuticals

Testosterone: Another Case of Physician Enabled Drug Abuse

Ad From MedicineNet.com Mike Magee Is testosterone the next Oxycontin? It certainly has many of the same earmarks. It’s widespread abuse is being aided and abetted by sloppy prescribers. Its’ benefits are being exaggerated and its’ risks understated. It is associated with heavy marketing by pharmaceutical companies and a range of profit seeking intermediaries. And […]

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FDA pharmaceuticals Uncategorized

An FDA Golden Voucher That’s Too Good To Be True.

Mike Magee Thirty-six years ago, as Ronald Reagan assumed the presidency, Congress cried “uncle”, in the face of America’s perceived global non-competitiveness in pharmaceuticals. They had been convinced by the persistent voices of Louis Lasagna and University of Chicago economist Sam Perltzman that there was a “drug lag” in America, and that it was the […]

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