But as costs levitate, that argument becomes more difficult to make. Today, we spend twice as much as Japan on health care—yet few would argue that our health care system is twice as good.Instead, startling new evidence suggests that one out of every three of our health care dollars is squandered on unnecessary or redundant tests; unproven, sometimes unwanted procedures; and overpriced drugs and devices that, too often, are no better than the less expensive products they have replaced.How did this happen? In Money-Driven Medicine, Maggie Mahar takes the reader behind the scenes of a $2 trillion industry to witness how billions of dollars are wasted in a Hobbesian marketplace that pits the industry's players against each other. In remarkably candid interviews, doctors, hospital administrators, patients, health care economists, corporate executives, and Wall Street analysts describe a war of "all against all" that can turn physicians, hospitals, insurers, drugmakers, and device makers into blood rivals. Rather than collaborating, doctors and hospitals compete. Rather than sharing knowledge, drugmakers and device makers divide value. Rather than thinking about long-term collective goals, the imperatives of an impatient marketplace force health care providers to focus on short-term fiscal imperatives. And so investments in untested bleeding-edge medical technologies crowd out investments in information technology that might, in the long run, not only reduce errors but contain costs.In theory, free market competition should tame health care inflation. In fact, Mahar demonstrates, when it comes to medicine, the traditional laws of supply and demand do not apply. Normally, when supply expands, prices fall. But in the health care industry, as the number and variety of drugs, devices, and treatments multiplies, demand rises to absorb the excess, and prices climb. Meanwhile, the perverse incentives of a fee-for-service system reward health care providers for doing more, not less.In this superbly written book, Mahar shows why doctors must take responsibility for the future of our health care industry. Today, she observes, "physicians have been stripped of their standing as professionals: Insurers address them as vendors ('Dear Health Care Provider'), drugmakers and device makers see them as customers (someone you might take to lunch or a strip club), while . . . consumers (aka patients) are encouraged to see their doctors as overpaid retailers. . . . Before patients can reclaim their rightful place as the center—and indeed as the raison d'être—of our health care system," Mahar suggests, "we must once again empower doctors . . . to practice patient-centered medicine—based not on corporate imperatives, doctors' druthers, or even patients' demands," but on the best scientific research available.

    We like to imagine that it’s based on evidence and the results of fair tests. In reality, those tests are often profoundly flawed. We like to imagine that doctors are familiar with the research literature surrounding a drug, when in reality much of the research is hidden from them by drug companies. We like to imagine that doctors are impartially educated, when in reality much of their education is funded by industry. We like to imagine that regulators let only effective drugs onto the market, when in reality they approve hopeless drugs, with data on side effects casually withheld from doctors and patients.All these problems have been protected from public scrutiny because they’re too complex to capture in a sound bite. But Dr. Ben Goldacre shows that the true scale of this murderous disaster fully reveals itself only when the details are untangled. He believes we should all be able to understand precisely how data manipulation works and how research misconduct on a global scale affects us. In his own words, “the tricks and distortions documented in these pages are beautiful, intricate, and fascinating in their details.” With Goldacre’s characteristic flair and a forensic attention to detail, Bad Pharma reveals a shockingly broken system and calls for something to be done. This is the pharmaceutical industry as it has never been seen before.

    The New Atkins Made Easy will guide you every step of the way with: • Easy-to-follow steps to successful weight loss that ease the transition from one phase to the next • Detailed shopping lists for the fresh foods and easy-to-find pantry staples that make losing weight delicious—and easy • Tasty recipes such as Zucchini–Pumpkin Spice Pancakes, Cheesy Chicken and Green Bean Skillet, Chipotle Shrimp Salad, and Tiramisu Pudding • Dozens of low-cook and no-cook options, including grab-and-go foods like Atkins snacks, shakes, and frozen meals • Digital tools and apps to take the guesswork out of meal planning and tracking your progress • Success stories from people just like you, who have used the new Atkins Diet to lose weight and keep it off! The new Atkins is more effective than ever, it’s backed by decades of scientific research, and it’s sustainable for a lifetime. If you’re done with diets that leave you hungry and are looking for a healthy, delicious way of eating that leads to enhanced health, The New Atkins Made Easy is the program for you. Turn to the Week 1 shopping list on page 66, pick up some tasty foods at the grocery store, and start losing weight—today.

    then you want to read this book. In this book you're going to learn something most women will never know: The exact formula of exercise and eating that makes losing 10 - 15 pounds of fat and replacing it with lean, sexy muscle a breeze..."and it only takes 8 - 12 weeks." This book reveals things like... -The 5 biggest fat loss myths & mistakes that keep women overweight, frustrated, and confused. -The real science of healthy fat loss that makes losing 1 - 2 lbs of fat per week not only easy, but guaranteed. -The HORRIBLE lies women are told about how to "tone" and "shape" their bodies, and what you REALLY need to do to have sexy, lean curves. -How to develop a lightning-fast metabolism that burns up fat quickly and leaves you feeling full of energy all day long. -The carefully-selected exercises that deliver MAXIMUM results for your efforts. This is how you quickly get a firm, round butt, toned legs, a flat stomach, and sculpted arms. -A no-BS guide to supplements that will save you hundreds if not THOUSANDS of dollars each year that you would've wasted on products that are nothing more than bunk science and marketing hype. -How to get lean while still indulging in the "cheat" foods that you love every week like pasta, pizza, and ice cream. -And a whole lot more! The bottom line is you CAN achieve that "Hollywood babe" body without having your life revolve around it-no long hours in the gym, no starving yourself, no grueling cardio that turns your stomach. SPECIAL BONUS FOR READERS! With this book you'll also get a free 75-page bonus report from the author called "The Year One Challenge." In this bonus report, you'll learn exactly how to exercise, eat, and supplement to make the most of your first year of training. By applying what you learn in the book and in this report, you can make more progress in one year than most women make in three, four, or even five (seriously!). Buy this book now and begin your journey to a thinner, leaner, and stronger you!

    At the time of my arrest, I was a thirty-seven year old Harvard graduate with medical and post-doctoral degrees. I attended one of the finest residency and fellowship training programs in the world at the University of California, San Francisco. I played two sports in college, earned awards at every level of education and training, had wonderful friends and a beautiful three-year-old daughter. Having grown up the son of a restaurant manager and a housewife, I had transcended the humble beginnings of a small Midwestern town to become the quintessential American Dream.Or so I thought. But with my arrest on felony importation charges, everything I had worked so hard for was swept away and the entire trajectory of my life was indelibly altered. I would embark on a three year battle not only for my medical license, but also for my freedom. This journey would lead to intense personal introspection, and in that process, I would discover with ugliness, there was also beauty, and with punishment, mercy.There are many reasons I have written this manuscript, with one of the most important being that I hoped my story would resonate with others who have gone through difficult circumstances as a consequence of a dark side of their personality. With this book, I hope to inspire others to accept and embrace the good and bad, while continually striving for improved self-understanding and acceptance.I have changed names primarily for legal purposes, but the facts are unchanged. Although the events described in the book occurred more than ten years ago, I think about them nearly every day. The shame and humiliation are ever-present. Any simple Google search of my name reveals the truth, and that truth has affected me over and over, despite the years, as it probably should. As the judge told me that day in a federal courtroom, "You have betrayed the public's trust." This is my confessional.

    Natural Baby and Childcare shows you how to complement conventional therapy with natural treatments such as homeopathic and herbal medicine; how to bathe your child without using damaging chemicals; and how to find healthy, organic food for your baby. As a physician and a mom, Dr. Lauren Feder skillfully bridges the divide between medicine and motherhood, empowering parents to personalize traditional child-rearing practices to their own child.Natural Baby and Childcare answers common questions such as:* Do homeopathic medicines have any side effects?* What alternatives are there to wasteful or harmful baby products, such as plastic diapers and chemical-laden diaper creams?* Can vaccines cause autism or Sudden Infant Death Syndrome? In addition to shedding light on controversial topics such as antibiotic overuse and vaccination, Dr. Feder offers a complete A to Z guide to treating common childhood conditions naturally and a handy directory of easy-to-use natural medicines and home remedies. With information for children from birth to adolescence, Natural Baby and Childcare is a comprehensive, intelligent, practical, and reassuring guide to raising healthy and happy children.

    It is divided by subject area into 4 sections for ease of navigation, and then sub-divided into chapters, each of which has been specifically written for this book.Carefully edited by John Ravenhill, the text reads as an integrated whole and is suitable as an introductory text for undergraduates in both coverage and approach, each chapter making full use of learning aids such as boxes to summarize key terms and debates, chronologies, case studies, web links and further reading, which complement the lively presentation of the subject.

    Scourges that have plagued human beings since the ancients still threaten to unleash themselves; new maladies are brewing that have yet to make their appearance in the headlines; lethal germs employed as weapons of warfare and terrorism have reemerged as a worldwide menace. Regardless of their mode of attack, microbes exist to multiply, thrive, and find new hosts; they cross national boundaries and social classes, attacking without prejudice. Now medical historian and pediatrician Howard Markel, author of Quarantine! (“Engrossing . . . Meticulously documented” —Sherwin Nuland, The New Republic), tells the story of six epidemics that broke out during the two great waves of immigration to the United States—from 1880 through 1924, and from 1965 to the present—and shows how federal legislation closed the gates to newcomers for almost forty-one years out of fear that these new people would alter the social, political, economic, and even genetic face of the nation. Markel writes about tuberculosis today, the most serious public health threat facing the contemporary world. He writes about bubonic plague and how it came to this country in the early twentieth century; about trachoma in the years before World War I; about Ellis Island and how an East European rabbi was diagnosed and treated for the dreaded eye infection; about typhus fever and an epidemic on the Texas-Mexico border in the aftermath of Pancho Villa’s revolution; and about AIDS, the Haitian exodus, and the early years of the AIDS epidemic.Markel explains how immigration in the twenty-first century is characterized by porous borders, rapid travel, and scattered destinations. While more than 75 percent of all immigrants during the first great wave of immigration came through New York Harbor, transportation today allows travel to all parts of the United States from the farthest reaches of the globe, giving public health physicians little opportunity to definitively diagnose infectious diseases that can incubate silently in a traveler, making the spread of epidemics far more than a theoretical concern.Markel looks at our nation’s response to the pathogens present in our midst and examines our foolhardy attempts at isolation and our vacillation between demanding a public health system so punitive that it worsens matters rather than protects and settling for one that is too lax; how we are fascinated with all things infectious and then hardly give microbes a second thought; how the United States, a country that since its inception has prided itself on being a nation of immigrants, continues its tradition of blaming newcomers for its physical and social ills; and how globalization, social upheaval, and international travel render us all potential inhabitants of the so-called Hot Zone. Finally, Markel puts forth a plan for a globally funded public health program that could stop the spread of epidemics, help eradicate certain diseases, and protect us all.

    Imagine easily managing your blood sugar, effortlessly gaining the right amount of weight during your pregnancy, and giving birth to a beautiful, healthy baby. This can be you! Real Food for Gestational Diabetes offers an alternative to the conventional nutrition approach that embraces nutrient-dense and delicious foods that nourish you and baby without causing high blood sugar. With the wrong information (or no information at all), far too many women are left alone struggling with erratic blood sugar and excessive weight gain, often leading them to high doses of insulin or medications and difficult births. Sadly, this often happens despite these moms dutifully following the dietary advice given to them by well­-meaning clinicians; a restrictive diet that leaves them feeling unsatisfied, unhappy, and confused about ever­ increasing blood sugar numbers. In Real Food for Gestational Diabetes, prenatal nutritionist and diabetes educator, Lily Nichols, RDN, CDE, CLT, sets the record straight, offering revamped carbohydrate recommendations and exercise guidelines based on the latest clinical research. You can have gestational diabetes and have a healthy baby. Lily will show you how. With this book, you have the tools to turn this diagnosis into a blessing in disguise. You’ll learn: - Why conventional diet therapy often fails and what to do instead - How the right prenatal nutrition can reduce the likelihood you’ll need insulin by 50% - Exactly which foods raise your blood sugar (and more importantly, which foods DON’T raise your blood sugar) - How to customize a meal plan with the right amount of carbohydrates for YOU (there’s no one-size-fits-all plan, despite what you may have been told) - The truth about ketosis during pregnancy (and why checking urine ketones isn’t useful) - Information on insulin and blood sugar-lowering medications used in pregnancy - Which foods to emphasize to provide your baby with the right nutrients for optimal development (these real foods have a long history of producing strong, healthy babies) - The best prenatal exercises to control your blood sugar and prepare for labor - What to do after delivery to prevent type 2 diabetes

    Communities where heroin had never been seen before—from Charlotte, NC and Huntington, WVA, to Salt Lake City and Portland, OR—were overrun with it. Local police and residents were stunned. How could heroin, long considered a drug found only in the dense, urban environments along the East Coast, and trafficked into the United States by enormous Colombian drug cartels, be so incredibly ubiquitous in the American heartland? Who was bringing it here, and perhaps more importantly, why were so many townspeople suddenly eager for the comparatively cheap high it offered?With the same dramatic drive of El Narco and Methland, Sam Quinones weaves together two classic tales of American capitalism: The stories of young men in Mexico, independent of the drug cartels, in search of their own American Dream via the fast and enormous profits of trafficking cheap black-tar heroin to America’s rural and suburban addicts; and that of Purdue Pharma in Stamford, Connecticut, determined to corner the market on pain with its new and expensive miracle drug, Oxycontin; extremely addictive in its own right. Quinones illuminates just how these two stories fit together as cause and effect: hooked on costly Oxycontin, American addicts were lured to much cheaper black tar heroin and its powerful and dangerous long-lasting high. Embroiled alongside the suppliers and buyers are DEA agents, local, small-town sheriffs, and the US attorney from eastern Virginia whose case against Purdue Pharma and Oxycontin made him an enemy of the Bush-era Justice Department, ultimately stalling and destroying his career in public service.Dreamland is a scathing and incendiary account of drug culture and addiction spreading to every part of the American landscape.

    In this wise and passionate book, one of our most eminent physicians reacquaints us with a classic notion often overlooked in modern medicine: health care with a human face, in which the time-honored art of healing guides doctors in their approach to patient care and their use of medical technology.Drawing on four decades of practice as a cardiologist and a vast knowledge of literature and medical history, Dr. Lown probes the heart and soul of the doctor-patient relationship. Insightful and accessible to all, The Lost Art of Healing describes how true healers use sympathetic listening and touch to hone their diagnostic skills, how language affects the perception of illness, how doctors and patients can cultivate a relationship of trust, and how patients can obtain the most complete and beneficial care through a combination of healing techniques and conventional practices. As Dr. Lown explains, the art of healing does not mean abandoning the spectacular advances of modern science, but rather incorporating them into a sensitive, humane, enlightened approach to medical care. With its urgent message and poignant, fascinating vignettes, The Lost Art of Healing is a book of vital, universal importance.

    military, and the historic reassurances of fluoride safety provided by the nation’s public health establishment. The Fluoride Deception reads like a thriller, but one supported by two hundred pages of source notes, years of investigative reporting, scores of scientist interviews, and archival research in places such as the newly opened files of the Manhattan Project and the Atomic Energy Commission. The book is nothing less than an exhumation of one of the great secret narratives of the industrial era: how a grim workplace poison and the most damaging environmental pollutant of the cold war was added to our drinking water and toothpaste.From the Hardcover edition.

    It’s a choose-your-own-adventure guide to the world of rapid learning.#1 New York Times bestselling author (and lifelong non-cook) Tim Ferriss takes you from Manhattan to Okinawa, and from Silicon Valley to Calcutta, unearthing the secrets of the world’s fastest learners and greatest chefs. Ferriss uses cooking to explain “meta-learning,” a step-by-step process that can be used to master anything, whether searing steak or shooting 3-pointers in basketball. That is the real “recipe” of The 4-Hour Chef.You'll train inside the kitchen for everything outside the kitchen. Featuring tips and tricks from chess prodigies, world-renowned chefs, pro athletes, master sommeliers, super models, and everyone in between, this “cookbook for people who don’t buy cookbooks” is a guide to mastering cooking and life.The 4-Hour Chef is a five-stop journey through the art and science of learning:1. META-LEARNING. Before you learn to cook, you must learn to learn. META charts the path to doubling your learning potential.2. THE DOMESTIC. DOM is where you learn the building blocks of cooking. These are the ABCs (techniques) that can take you from Dr, Seuss to Shakespeare.3. THE WILD. Becoming a master student requires self-sufficiency in all things. WILD teaches you to hunt, forage, and survive.4. THE SCIENTIST. SCI is the mad scientist and modernist painter wrapped into one. This is where you rediscover whimsy and wonder.5. THE PROFESSIONAL. Swaraj, a term usually associated with Mahatma Gandhi, can be translated as “self-rule.” In PRO, we’ll look at how the best in the world become the best in the world, and how you can chart your own path far beyond this book.

    Barry Sears revolutionized nutritional thinking with his blockbuster Zone books. Now, for the first time Sears presents his amazing new scientific discoveries that take the Zone to a whole new level. With years of research to back him up, he maintains that consuming carefully calibrated amounts of high-quality, pharmaceutical-grade fish oils in combination with the Zone diet will offer unprecedented health benefits.Research shows that Dr. Sears’ new plan can help to treat such diseases and conditions as cancer, heart disease, Type 2 diabetes, obesity, infertility, multiple sclerosis, attention deficit disorder, chronic pain, depression, Alzheimer’s, and more. Dr. Sears’ Omega Zone offers a plan to help readers fine-tune their health to reach an entirely new level of the Zone.

    Whether you work in emergency medicine, or just want to be prepared, this book will be your essential guide.Following the latest clinical guidelines and evidence, written and reviewed by experts, this handbook will ensure you are up-to-date and have the confidence to deal with all emergency presentations, practices, and procedures. Following the latest developments in the field, such as infection control, DNR orders, advanced directives and learning disability. The book also includes new sections specifically outlining patient advice and information, as well as new and revised vital information on paediatrics and psychiatry. For all junior doctors, specialist nurses, paramedics, clinical students, GPs and other allied health professionals, this rapid-reference handbook will become a vital companion for both study and practice.