How modern medicine really gets practiced

We conduct digital health research trials almost exclusively in community health centers. These primary care settings are described as part of the nation’s “safety net,” but let’s be clear: for most of these patients, there is no catcher on the trapeze. Health centers are the primary, primary care option for our nation’s poor. Without them, we’d be certain to see [even more] rampant rates of suffering, poverty, and health care costs.

Health center docs are some of the most amazing physicians you’ll ever encounter. While I’m somewhat prone to hyperbole, I’m probably understating this particular point. Need evidence? This episode from David Plotz’s wonderful new podcast series aptly captures the amazing gifts that health center physicians provide to their patients [and our nation].

Your job may be killing you

No, I’m not link baiting again. If your job requires you to sit for long periods, it may indeed be killing you.

An interesting new study from Australia reports the frightening health effects of sitting. Their conclusion:

Prolonged sitting is significantly associated with higher all-cause mortality risk independent of physical activity.

Translation: Sitting seems to hurt health, whether you’re active or not. However, physically inactive sitters seem to have the highest death rates.

The study also reported:

The population-attributable fraction of sitting time suggested that sitting was responsible for 6.9% of deaths.

Translation: Sitting isn’t a huge death driver, but it’s an easy one to change.

Don’t bash the nanny

KevinMD has a great new piece from Sherry Pagoto.

Somewhere along the line “nanny” has become a bad word…The problem with the “nanny state” mentality is that in the past many health policies have been very effective, so this new kneejerk reaction against health policy may prevent us from passing legislation that stands to significantly impact public health.

Exactly. Let’s stop the nanny name-calling and use our vast amounts of [taxpayer-funded] data to inform our decision making.