• ## The population-level effect of ADHD medications

In short, the evidence suggests that the increased access to stimulant medication that resulted from Quebec’s insurance law had some negative effects on behavioral outcomes, consistent with known side effects, and did not improve academic outcomes. The authors suggest that one possible explanation for this surprising finding is that “medication is a substitute for other types of cognitive and behavioral interventions that might be necessary to help the child learn. By making children less disruptive, ADHD medication could decrease the attention that they receive in the average classroom and reduce the probability of receiving other services.”

• ## Why your statistically significant results are still wrong

The following proposition is justified from several different points of view. If you use P = 0.05 to suggest that you have made a discovery, you will be wrong at least 30 percent of the time. If, as is often the case, experiments are under-powered, you will be wrong most of the time. It is concluded that if you wish to keep your false discovery rate below 5 percent, you need to use a 3-sigma rule, or to insist on P value below 0.001. And *never* use the word “significant”.
• ## Should Medicare negotiate drug prices?

"Medicare could save billions if Congress overcame its reluctance to anger the drug industry and allowed the program to demand rebates or negotiate prices, Rep. Henry Waxman, D-Calif., said Wednesday. He added that’s something polls show many Americans support."

• ## Mister Rogers to doctors

"YOU WERE A CHILD ONCE, TOO." That’s what Mister Rogers said, that’s what he wrote down, once upon a time, for the doctors. The doctors were ophthalmologists. An ophthalmologist is a doctor who takes care of the eyes. Sometimes, ophthalmologists have to take care of the eyes of children, and some children get very scared, because children know that their world disappears when their eyes close, and they can be afraid that the ophthalmologists will make their eyes close forever. The ophthalmologists did not want to scare children, so they asked Mister Rogers for help, and Mister Rogers agreed to write a chapter for a book the ophthalmologists were putting together—a chapter about what other ophthalmologists could do to calm the children who came to their offices. Because Mister Rogers is such a busy man, however, he could not write the chapter himself, and he asked a woman who worked for him to write it instead. She worked very hard at writing the chapter, until one day she showed what she had written to Mister Rogers, who read it and crossed it all out and wrote a sentence addressed directly to the doctors who would be reading it: "You were a child once, too."

• ## On anti- e-cigarette physician rhetoric

“We need to get America off this toxic chemical inhalant that is dangerous to their health, and substitute it with a more natural alternative.” “Well, there are known knowns, and there are known unknowns. And natural cigarettes are a known known,” said Dr. Smitherson, while slowly taking in a smooth puff of a Marlboro Menthol Light, “you know?”

• Perspective

i-heart-histo

• Nautilus is running a series of webcomics on being a cystic fibrosis carrier while pregnant.

• (Lack of) supplement regulation gets some much-needed mainstream attention.

• ## What's the matter with teenagers

The CDC released its risk factor/behavioral survey of teenagers, grades 9-12. Public discourse about adolescent health has shifted to anxiety over “lifestyle” and chronic illnesses — obesity, diabetes, asthma. This report confirms these are important issues. But let’s not forget all the dangerous and traumatizing scenarios we still subject our children to.

About 18% of teenagers carried a weapon in the last month.

1 in 4 teenagers was in a fight in the last year.

7.3% of teenagers had been forced to have sex. 10.5% of females, 4.2% of males.

8% had attempted suicide in the last year.

40% hadn’t used a condom the last time they had sex.

• ## History Of Medicine: 45 Paintings By Robert Thom

This is a pretty crazy look at the history of medicine.

• ## Giving kids health insurance improves their education

"Our findings indicate that expanding health insurance coverage for low-income children has large effects on high school completion, college attendance and college completion. These estimates are robust to only using federal Medicaid expansions, and they are mostly due to expansions that occur when the children are older (i.e., not newborns). We present suggestive evidence that better health is one of the mechanisms driving our results by showing that Medicaid eligibility when young translated into better teen health. Overall, our results indicate that the long-run benefits of public health insurance are substantial."

• The savings residents provide to hospitals are vast. Here in Seattle, a recent posting for an emergency room nurse practitioner offered $32 to$48 per hour for a job with treatment responsibilities limited to patients with minor illnesses. Resident physicians working in the same emergency department, sometimes asked to treat far more serious issues — from hemorrhagic shock after a major car accident to cardiac arrest — are paid an hourly rate about a third of that.
~ The medical residency racket - Pittsburgh Post-Gazette (via hartmd)

(via hartmd)

• The decision to grant admitting privileges to doctors is generally a function of the business arm of the hospital, and part of what those decision-makers take into consideration is how many patients - and how much money - a doctor will bring in. So abortion providers - who almost never transfer patients to hospitals - may not be able to get privileges precisely because abortions are so safe.
~ The latest fad in anti-choice law is a lie, my latest at the Guardian US (via jessicavalenti)
• ## Choosing silicon and glycerine over paper

"The e-cigarette feels like the future. It is a generational marker that gives millennials another way to distinguish themselves from the past. It takes its design cues and business models from smartphones, gentrified downtowns, and complimentary next-day global delivery systems. When you choose to use silicon and glycerine over paper and tobacco, you are also choosing a shipping warehouse in Anaheim over the nearest gas station, opting to monitor battery life instead of lighter fluid, and possibly demonstrating a preference for the DIY promise of building your own vaping rig over the predictability of mass-produced, uniformly rolled cigarettes. It should be no surprise that almost every e-cig battery charges over USB, there are no disposable batteries, and if you want to plug it into a wall outlet you have to use a converter brick just as with a smartphone. E-cigs are eminently compatible with our digitized lives."

• ## Should A Mental Illness Mean You Lose Your Kid?

Mindi has never harmed her daughter and is capably raising a son, but authorities took her daughter under a concept sometimes called “predictive neglect.”