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Archive for January 20th, 2009

What will January 20th do for science-based medicine?

Make no little plans; they have no power to stir men’s blood.

—Daniel Burnham

Politics is deadly to science-based medicine, and while I don’t often go for politics, the last eight years have seen subtle and not-so subtle predations on the practice of medicine. Will the new administration be able to promote the kind of change we need? Let’s review some of the challenges facing the Obama administration.

Ethical apocalypse

Bush’s evisceration of the Constitution of the United States has affected health care professionals. The military has likely always used psychologists to assist with interrogations, but the last eight years has seen a huge increase in the number of secret charges, unconsitutional imprisonment, and “forceful” interrogations. Military psychologists have been put in the position of choosing between what their country demand of them, and what their ethics and responsibilities to other human beings requires…

More…Additionally, the (now former) administration worked tirelessly to push through so-called “conscience clauses” during the waning days of their power. Given the challenges of the Mid-East, the economy, and other crises, it’s hard to imagine why they would think this should be a priority, but apparently giving health care providers legal protection to advance their own needs above those of their patients seemed like a good idea at the time.
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Science-based Longevity Medicine

Much nonsense has been written in the guise of longevity medicine. In Fantastic Voyage, Ray Kurzweil explains why he takes 250 pills every day and spends one day a week at a clinic getting IV vitamins, chelation, and acupuncture. He is convinced this regimen will keep him alive long enough for science to figure out how to keep him alive forever. In Healthy Aging, Andrew Weil chips in with his own mixture of science and magic. I pointed out the flaws in their reasoning in a review for Skeptic magazine – available online. There are many other popular books that promise to tell you how to live longer. Most of them amount to little more than speculation based on extrapolations from animal studies, in vitro studies, and odd non-clinical facts.

There simply is no evidence that any intervention will extend the human life span. The most promising idea from animal studies, severe calorie restriction, is not practical or palatable and would make adequate nutrition difficult. We don’t know how to prolong human life to, say, 130 years; but we do know how to prevent a number of diseases from causing premature demise at 60 or 70. That’s what real “longevity medicine” means.

To counteract all the belief-based and speculation-based “longevity medicine,” we needed a science-based longevity book. And now we have it. Carl Bartecchi, MD and Robert W. Schrier, MD have written a book entitled Living Healthier and Longer – What Works, What Doesn’t. The price is right – it is available online for free download. (more…)

Posted in: Book & movie reviews, Science and Medicine

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