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Joseph S. Alpert

Digital Medicine: “O Brave New World”

Recently, I participated in an international meeting in Nanjing, China on digital medicine. The meeting was sponsored by the Chinese Society of Digital Medicine and the newly formed International Society of Digital Medicine, both under the leadership of the remarkably energetic and effective professor, Shaoxiang Zhang from Chongqing, China. For my part of the meeting, […]

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stethoscope on a graphic of the U.S.A.

Healthcare Disparities Affecting Americans in the US Territories: A Century-Old Dilemma

In 1917, the Jones Act granted US citizenship to natives of Puerto Rico, the first among the 5 territories acquired by the United States since 1898.1 A dilemma in that early period—“Does the Constitution follow the flag?”—was addressed in several cases considered by the Supreme Court between 1901 and 1932, known as the “Insular Cases.”2 These decisions ultimately […]

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Prevention of Anaphylaxis: The Role of the Epinephrine Auto-Injector

  Anaphylaxis is a life-threatening condition, with at-risk individuals remaining at chronic high risk of recurrence. Anaphylaxis is frequently underrecognized and undertreated by healthcare providers. The first-line pharmacologic intervention for anaphylaxis is epinephrine, and guidelines uniformly agree that its prompt administration is vital to prevent progression, improve patient outcomes, and reduce hospitalizations and fatalities. Healthcare costs […]

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An Alternative Way to Provide Healthcare for Veterans

The Veterans Health Administration (VHA) has been under considerable scrutiny because of ongoing scandals; an independent evaluation found the VHA lacking. This article examined the cost impact of enrolling veterans (the 9.079 million who are currently enrolled in the VHA, the 6.633 million who use the VHA for care, or the 1.757 million VHA users […]

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variety of pills and medications

Are Mandatory Electronic Prescriptions in the Best Interest of Patients?

Starting in March of 2016, all prescriptions in New York State must be electronic prescriptions (also known as “e-prescriptions”) in which prescribed medications are transmitted over the internet to a specific pharmacy. This will be mandatory, and prescriptions done by paper, fax, or a phone call to the pharmacy will no longer be permitted. Currently, […]

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