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Only in America: Bankruptcy Due to Health Care Costs
James E. Dalen, MD The article by Himmelstein et al in the August 2009 issue of the The American Journal of Medicine documents that health care expenses were the most common cause of bankruptcy in the...
View ArticleAspirin for the Primary Prevention of Stroke and Myocardial Infarction:...
More than 40 million Americans take aspirin for the primary or secondary prevention of myocardial infarction and stroke, including approximately half of all those aged 65 years or more.(1) The daily...
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We Can Reduce US Health Care Costs
James E. Dalen, MD, AJM Associate Editor The primary reason that the US needs health care reform is that we pay more for health care than any other country in the world; yet our health outcomes are...
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Should the Affordable Care Act of 2010 Be Repealed?
James E. Dalen, MD Most Republicans in the 112th Congress pledged to repeal the Affordable Care Act of 2010. When Speaker of the House John Boehner was asked why the Republicans want to repeal the...
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Should the Affordable Care Act of 2010 Be Repealed? Another viewpoint from an...
Blog Commentary In the July 2011 issue, The American Journal of Medicine published Should the Affordable Care Act of 2010 Be Repealed? by James E. Dalen, MD, MPH, AJM associate editor and Dean Emeritus...
View ArticleThrombolytics & Vena Cava Filters
Thrombolytics and Vena Cava Filters Decrease Mortality in Patients with Unstable Pulmonary Embolism Standard anticoagulant therapy is very effective in patients with pulmonary embolism who are...
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Affordable Care Act Ruled Constitutional
SCOTUS Rules Affordable Care Act Constitutional– a Look Back Today the US Supreme Court (SCOTUS) ruled that the Affordable Care Act (AKA Obamacare) is constitutional. As Republicans vow to press on and...
View ArticleThe Future of Integrative Medicine
A landmark study by Eisenberg et al(1) of the extent of alternative or unconventional therapies, defined as therapies “neither taught widely in US medical schools nor generally available in US...
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Can a Healthy Diet Prevent Heart Disease?
A whole diet approach, which focuses on increased intake of fruits, vegetables, nuts, and fish, has more evidence for reducing cardiovascular risk than strategies that focus exclusively on reduced...
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The Mediterranean Diet: What You Should Know
Diet fads are a dime a dozen, but one diet has risen about the rest in terms of effectiveness– the Mediterranean Diet. The American Journal of Medicine often publishes prevention-related articles that...
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Organic Chem or Nutrition as a Pre-Med Requirement?
James E. Dalen, MD, AJM Associate Editor Success in an undergraduate course in organic chemistry is one of the master keys needed to unlock the door to medical school. Organic chemistry became a...
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Retail Clinics: A Shift From Episodic Acute Care to Partners in Coordinated Care
The first retail clinic, offering care for common acute medical conditions, opened in a grocery store in Minneapolis in 2000.1 By 2015 there were 1900 retail clinics in the United States.2 Some have...
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Unnecessary Hospitalizations for Pulmonary Embolism: Impact on US Health Care...
Each year, more than 350,000 patients are treated for pulmonary embolism in US hospitals. Recent reports indicate that the majority of these patients do not have to be hospitalized: they can be...
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Silent Atrial Fibrillation and Cryptogenic Strokes
A new suspected cause of cryptic strokes is “silent atrial fibrillation.” Pacemakers and other implanted devices allow continuous recording of cardiac rhythm for months or years. They have discovered...
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Where Have the Generalists Gone? They Became Specialists, Then Sub-Specialists.
At the onset of the 20th century, most practicing physicians had received their training in proprietary medical schools, many of which were essentially diploma mills.1 These schools offered a series...
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Concierge Medicine Is Here and Growing!!
An increasing number of primary care physicians are downsizing to a concierge medical practice (also termed “retainer-based medicine”). In a concierge medical practice, the physician limits the number...
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The 2017 Match and the Future US Workforce
For 25 years from 1980 to 2005, the number of US MD medical schools and the number of MD students did not increase because of predictions of an oversupply of US physicians by the Council on Graduate...
View ArticleThe Future of Integrative Medicine
A landmark study by Eisenberg et al(1) of the extent of alternative or unconventional therapies, defined as therapies “neither taught widely in US medical schools nor generally available in US...
View ArticleCan a Healthy Diet Prevent Heart Disease?
A whole diet approach, which focuses on increased intake of fruits, vegetables, nuts, and fish, has more evidence for reducing cardiovascular risk than strategies that focus exclusively on reduced...
View ArticleThe Mediterranean Diet: What You Should Know
Diet fads are a dime a dozen, but one diet has risen about the rest in terms of effectiveness– the Mediterranean Diet. The American Journal of Medicine often publishes prevention-related articles that...
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