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The New Privacy Crisis: What’s Health Got to Do with It?

  When The New York Times and The Observer broke the news in March that a little-known consulting firm named Cambridge Analytica had used private data from millions of Facebook users, allegedly without their consent, few readers could have foreseen the major implications for their health care. They certainly could not have known that Cambridge Analytica’s client list extended […]

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Medical Tourists: Incoming and Outgoing

Patients who travel to another country to seek health care are referred to as medical tourists. The term arose because many Americans seek less expensive elective surgical, dental, or cosmetic procedures while vacationing abroad.1 Of course, US hospitals and physicians have also long cared for medical tourists from other countries. Now, many medical tourists are going […]

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Joseph S. Alpert

The Racial Divide Here at Home

My policy as editor for The American Journal of Medicine (AJM) has been to avoid reviewing books despite the fact that we receive a number of courtesy copies of excellent volumes every month. Because we also receive many outstanding manuscripts, this policy preserves space for our clinical and scientific contributions. However, on a rare occasion, I have […]

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Hospitalists, Medical Education, and U.S. Health Care Costs

  Hospitalists are general internists whose full-time practice is to treat hospitalized patients. They are the fastest-growing medical specialty in the United States. They increased in number from 4000 in the year 2000 to 50,000 in 20161 and now are the largest subspecialty in internal medicine. By 2016, nearly all teaching hospitals and 75% of all […]

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National and Regional Trends in Deep Vein Thrombosis Hospitalization Rates, Discharge Disposition, and Outcomes for Medicare Beneficiaries

Older adults are at increased risk of developing deep vein thrombosis. Little is known about national trends of deep vein thrombosis hospitalizations in the context of primary and secondary prevention efforts. Methods Medicare standard analytic files were analyzed from 2015-2017 to identify Fee-For-Service patients aged ≥65 years who had a principal discharge diagnosis for deep […]

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Learning to De-Adopt Ineffective Healthcare Practices

With rapidly rising healthcare costs constraining US wages and forcing difficult policy decisions, there is increasing pressure to identify means to decrease spending. One attractive target is the de-adoption of medical practices found to be ineffective or harmful. Just as emerging scientific evidence can support novel practices that improve health, it can also reverse beliefs […]

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