US News just released it's annual "best hospital's report. The current hospital I'm affiliated with, UCLA, is #3. But, all I've heard since I got here is that all the hospital does is do really expensive medical care, like transplants and ICU care.
So this begs the question, do al these hospitals overall increase health at a reasonable cost?
There are probably great differences in this group. For instance, Mayo is known to try to provide cost effective care.
What I really want is for US News to rank hospitals on the cost effectiveness for their care. If they did, hospitals with a large amount of primary care outreach would be high.
Best health care should be defined as what a hospital system does for the health of their community, not how highly rated their sub-specialties are.
America's Best Hospitals: the 2009–10 Honor Roll - US News and World Report
Thursday, July 16, 2009
Monday, July 13, 2009
Family Physician Nominated for Surgeon General
Dr. Regina Benjamin could be the boost primary care needs to improve the health of this country.
This is very exciting.
Obama Names Dr. Regina Benjamin New Surgeon General - ABC News
This is very exciting.
Obama Names Dr. Regina Benjamin New Surgeon General - ABC News
Wednesday, July 08, 2009
Hospitals give healthy food more operating room
"These enhancements gave diners more choices but not necessarily healthier ones, said Dr. Lenard Lesser, a member of the National Physicians Alliance's Policy Committee...
"When you tell a patient he can't eat a hamburger and fries, and he walks out of your office and sees hamburgers and fries, what message are you sending?" he added. "
Hospitals give healthy food more operating room - MarketWatch
Posted using ShareThis
"When you tell a patient he can't eat a hamburger and fries, and he walks out of your office and sees hamburgers and fries, what message are you sending?" he added. "
Hospitals give healthy food more operating room - MarketWatch
Posted using ShareThis
Sunday, July 05, 2009
Health Care's New Model: Don't Just Do Something, Stand There
Promoting High Quality Care will require organization around primary care.
In this great article in the New Yorker, Dr. Gawande shows how we need to come together and provide high quality care. This usually means less tests, consultants, and procedures.
Annals of Medicine: The Cost Conundrum: Reporting & Essays: The New Yorker
The best idea I have heard on organizing physicians around quality care is from Brownlee and Fine (excerpted by Dr. Colin Kopes-Kerr, MD, JD:
"Primary Care for All will require new infrastructure at the regional, state, and federal levels to support universal access to primary care health centers... Each community or region will need a Primary Care Board, which can contract with primary care practices to provide effective, efficient care... Each state will also need a Primary Care Trust to plan and oversee the functions of primary care practices. The Federal Government will need an Assistant Secretary for Primary Care in the Department of Health and Human Services to bring focus and direction to the many agencies inside the Department that are concerned with primary care."
"Primary Care for All is not a proposal to change what most Americans have now. Instead, it brings together three existing systems that currently provide primary care, and out of them creates a primary health care infrastructure that cares for all citizens"--existing private primary care practices, community health centers, and vertically integrated accountable health care organizations like Kaiser Permanente. They see the continuation of a healthy tradition of private practice is "necessary for critical check and balance on the integrity of a more public system."
There are two possible methods that could be used to finance Primary Care for All. "The simplest method is for all payers (including Medicare and Medicaid) to put $400-500 per beneficiary per year into a Primary Care Trust--a state-based, non-profit, private public partnership, responsible for paying all primary care practices on a risk-adjusted, capitated basis. These funds would pay for the primary care of all Americans, not just the uninsured...People without health insurance would also be required to pay into the Primary Care Trust, but would receive tax credits for doing so. Those living in poverty would receive public subsidies for primary care, to be funded either by tobacco and alcohol taxes, or taxing employee health benefits."
The alternative payment mechanism would involve the use of Community Health Savings Accounts. "Like HSAs, Community health Savings Accounts are high deductible health insurance policies linked to tax advantaged savings accounts owned by the individual. Where they differ from HSAs is that policy holders would be required to make monthly payments out of their savings account to a certified primary care practice chosen by the individual."
"Why pay primary care practices through the Primary Care Trust? The Primary Care Trust approach is intended to produce an equitable and effective infrastructure, and reduce or eliminate regional disparities in the type and amount of care people receive." In addition there is a need for a single set of quality and service delivery measures, and population-based outcomes measures selected by the wisest among us. The important characteristic of this system is that physician reimbursement will no longer be on a fee-for-service basis. Like original sin, this single flaw at creation doomed us to the health care we have now.
As do most analysts of health reform, Brownlee and Fine expect to encounter work force issues--like a need for 25,000-50,000 more primary care physicians. They accurately comment, "The optimal supply of primary care physicians and practices for a given population, and the ideal composition of the primary are team is not known at present." They go on to speculate that "[S]ome of the immediate need for more primary care physicians will be relieved by improved organization or primary care practices, and by increased use of physicians assistants, nurse practitioners, case managers, and my favorite alternative, Community Health Workers.
Brownlee and Fine conclude, "Financing health care system reform can succeed best if it is accompanied by focused improvement in primary care delivery and organization. The development of Primary Care for All presents an essential and affordable first step toward an effective and efficient health care delivery system, and sustainable health care reform.
In this great article in the New Yorker, Dr. Gawande shows how we need to come together and provide high quality care. This usually means less tests, consultants, and procedures.
Annals of Medicine: The Cost Conundrum: Reporting & Essays: The New Yorker
The best idea I have heard on organizing physicians around quality care is from Brownlee and Fine (excerpted by Dr. Colin Kopes-Kerr, MD, JD:
"Primary Care for All will require new infrastructure at the regional, state, and federal levels to support universal access to primary care health centers... Each community or region will need a Primary Care Board, which can contract with primary care practices to provide effective, efficient care... Each state will also need a Primary Care Trust to plan and oversee the functions of primary care practices. The Federal Government will need an Assistant Secretary for Primary Care in the Department of Health and Human Services to bring focus and direction to the many agencies inside the Department that are concerned with primary care."
"Primary Care for All is not a proposal to change what most Americans have now. Instead, it brings together three existing systems that currently provide primary care, and out of them creates a primary health care infrastructure that cares for all citizens"--existing private primary care practices, community health centers, and vertically integrated accountable health care organizations like Kaiser Permanente. They see the continuation of a healthy tradition of private practice is "necessary for critical check and balance on the integrity of a more public system."
There are two possible methods that could be used to finance Primary Care for All. "The simplest method is for all payers (including Medicare and Medicaid) to put $400-500 per beneficiary per year into a Primary Care Trust--a state-based, non-profit, private public partnership, responsible for paying all primary care practices on a risk-adjusted, capitated basis. These funds would pay for the primary care of all Americans, not just the uninsured...People without health insurance would also be required to pay into the Primary Care Trust, but would receive tax credits for doing so. Those living in poverty would receive public subsidies for primary care, to be funded either by tobacco and alcohol taxes, or taxing employee health benefits."
The alternative payment mechanism would involve the use of Community Health Savings Accounts. "Like HSAs, Community health Savings Accounts are high deductible health insurance policies linked to tax advantaged savings accounts owned by the individual. Where they differ from HSAs is that policy holders would be required to make monthly payments out of their savings account to a certified primary care practice chosen by the individual."
"Why pay primary care practices through the Primary Care Trust? The Primary Care Trust approach is intended to produce an equitable and effective infrastructure, and reduce or eliminate regional disparities in the type and amount of care people receive." In addition there is a need for a single set of quality and service delivery measures, and population-based outcomes measures selected by the wisest among us. The important characteristic of this system is that physician reimbursement will no longer be on a fee-for-service basis. Like original sin, this single flaw at creation doomed us to the health care we have now.
As do most analysts of health reform, Brownlee and Fine expect to encounter work force issues--like a need for 25,000-50,000 more primary care physicians. They accurately comment, "The optimal supply of primary care physicians and practices for a given population, and the ideal composition of the primary are team is not known at present." They go on to speculate that "[S]ome of the immediate need for more primary care physicians will be relieved by improved organization or primary care practices, and by increased use of physicians assistants, nurse practitioners, case managers, and my favorite alternative, Community Health Workers.
Brownlee and Fine conclude, "Financing health care system reform can succeed best if it is accompanied by focused improvement in primary care delivery and organization. The development of Primary Care for All presents an essential and affordable first step toward an effective and efficient health care delivery system, and sustainable health care reform.
Saturday, June 20, 2009
Wide Support for Public Option Health Plan
The people support it (even 50% of republicans) and doctors support it. Politicians: don't be weak. Pass health reform with a strong public option!
In Poll, Wide Support for Government-Run Health - NYTimes.com
In Poll, Wide Support for Government-Run Health - NYTimes.com
Monday, June 08, 2009
Healthy Burger King?
Nice steps Burger King.
Making smaller portions and substituting apples for fries.
But, Burger King won't really be healthy until they take the burger off the main course.
What about offering beans and kale? That would be having it my way.
Burger King crafts three more better-for-you kids' meals | Healthy Food Options | QSR Web
Making smaller portions and substituting apples for fries.
But, Burger King won't really be healthy until they take the burger off the main course.
What about offering beans and kale? That would be having it my way.
Burger King crafts three more better-for-you kids' meals | Healthy Food Options | QSR Web
Sunday, May 31, 2009
Away We Go
I just got back from a sneak preview of Away We Go. It's the movie I've been waiting for for a year. My favorite director (Mendes) with my favorite writer (Eggers).
It was everything I wanted... great cinematography, acting, and writing. About a couple just trying to find out how to do the right thing. I think the answer is that you just do what you think is best at that moment, and as long as love is there, that's the best you can do.
John Krasinski, Maya Rudolph, and Dave Eggers answered questions afterwards. A great event.
Dave Eggers signed my book before the movie. He wrote, "Lenny-
My apologies in Advance
Your true friend,
Dave Eggers"
Away We Go | Film Overview | Focus Features Movies |
It was everything I wanted... great cinematography, acting, and writing. About a couple just trying to find out how to do the right thing. I think the answer is that you just do what you think is best at that moment, and as long as love is there, that's the best you can do.
John Krasinski, Maya Rudolph, and Dave Eggers answered questions afterwards. A great event.
Dave Eggers signed my book before the movie. He wrote, "Lenny-
My apologies in Advance
Your true friend,
Dave Eggers"
Away We Go | Film Overview | Focus Features Movies |
Friday, May 29, 2009
Friday, May 01, 2009
Sugary Beverages: Stop the Tax Loophole
In addition to these proposals, the government should remove the tax loophole for sugar sweetened beverages. Currently these beverages receive an advantage over other foods, because tax payer money goes to subsidize the corn syrup used to produce them. The states can counter this reverse tax, by charge a few cents on each ounce sold. The money can be used to promote healthy foods.
Nutrition Experts Propose New Class of Low-Sugar Beverages to Reduce Role of Sugary Drink Consumption In Obesity and Diabetes Epidemics - April 20, 2009 -2009 Releases - Press Releases - Harvard School of Public Health
Nutrition Experts Propose New Class of Low-Sugar Beverages to Reduce Role of Sugary Drink Consumption In Obesity and Diabetes Epidemics - April 20, 2009 -2009 Releases - Press Releases - Harvard School of Public Health
Monday, March 16, 2009
How should we tackle Obesity?
On February 26th a large, well designed trial comparing different weight loss diets was published in the New England Journal of Medicine. It was a good behavioral intervention over two years. They compared high and low protein, high and low fat, and different amounts of carbohydrates. The result: no difference in weight loss between any of the diets. Overall, the participants lost 6.5-9 pounds at the end of 2 years. This is a mild, but significant reduction.
We have now had a bunch of trials that show that many different diets "work", but only modestly. If we try and take these interventions into the clinical (i.e. non-research) world, we will likely have even less success.
So what do we take out of this? The editorial by Martijn Katan (linked to below) says it best:
"We do not need another diet trial; we need a change of paradigm."
He goes on to talk about how behavior change is hard, and we will only be effective if we work at a community level:
"Like cholera, obesity may be a problem that cannot be solved by individual persons but that requires community action. ...the apparent success of such community interventions suggests that we may need a new approach to preventing and to treating obesity and that it must be a total-environment approach that involves and activates entire neighborhoods and communities."
I have been advocating for this for some time. Obesity treatment (via dieting) is not the answer to this large public health problem. Obesity prevention through large scale public health research and interventions is the answer. Let's start taking responsibility for our laws, policies, and community designs that contribute to obesity. Let's all work together to make our communities healthy places for our children, spouses, friends, and parents to live in.
NEJM -- Weight-Loss Diets for the Prevention and Treatment of Obesity
We have now had a bunch of trials that show that many different diets "work", but only modestly. If we try and take these interventions into the clinical (i.e. non-research) world, we will likely have even less success.
So what do we take out of this? The editorial by Martijn Katan (linked to below) says it best:
"We do not need another diet trial; we need a change of paradigm."
He goes on to talk about how behavior change is hard, and we will only be effective if we work at a community level:
"Like cholera, obesity may be a problem that cannot be solved by individual persons but that requires community action. ...the apparent success of such community interventions suggests that we may need a new approach to preventing and to treating obesity and that it must be a total-environment approach that involves and activates entire neighborhoods and communities."
I have been advocating for this for some time. Obesity treatment (via dieting) is not the answer to this large public health problem. Obesity prevention through large scale public health research and interventions is the answer. Let's start taking responsibility for our laws, policies, and community designs that contribute to obesity. Let's all work together to make our communities healthy places for our children, spouses, friends, and parents to live in.
NEJM -- Weight-Loss Diets for the Prevention and Treatment of Obesity
Tuesday, November 25, 2008
Influence of corporate money on study of nutrition questioned
The nutrition industry is already inheriting some of the biases of the pharmaceutical industry:
TSN Influence of corporate money on study of nutrition questioned
TSN Influence of corporate money on study of nutrition questioned
Monday, October 27, 2008
Obama links food systems, our country's health, energy policy and the built environment
"I was just reading an article in the New York Times by Michael Pollen about food and the fact that our entire agricultural system is built on cheap oil. As a consequence, our agriculture sector actually is contributing more greenhouse gases than our transportation sector. And in the mean time, it's creating monocultures that are vulnerable to national security threats, are now vulnerable to sky-high food prices or crashes in food prices, huge swings in commodity prices, and are partly responsible for the explosion in our healthcare costs because they're contributing to type 2 diabetes, stroke and heart disease, obesity, all the things that are driving our huge explosion in healthcare costs. That's just one sector of the economy. You think about the same thing is true on transportation. The same thing is true on how we construct our buildings. The same is true across the board. For us to say we are just going to completely revamp how we use energy in a way that deals with climate change, deals with national security and drives our economy, that's going to be my number one priority when I get into office, assuming, obviously, that we have done enough to just stabilize the immediate economic situation."
Swampland - TIME.com � Blog Archive The Full Obama Interview �
Swampland - TIME.com � Blog Archive The Full Obama Interview �
Tuesday, October 21, 2008
TOP 5 REASONS OBAMA SUPPORTERS SHOULDN'T REST EASY
1. The polls may be wrong. This is an unprecedented election. No one knows how racism may affect what voters tell pollsters—or what they do in the voting booth. And the polls are narrowing anyway. In the last few days, John McCain has gained ground in most national polls, as his campaign has gone even more negative.
2. Dirty tricks. Republicans are already illegally purging voters from the rolls in some states. They're whipping up hysteria over ACORN to justify more challenges to new voters. Misleading flyers about the voting process have started appearing in black neighborhoods. And of course, many counties still use unsecure voting machines.
3. October surprise. In politics, 15 days is a long time. The next McCain smear could dominate the news for a week. There could be a crisis with Iran, or Bin Laden could release another tape, or worse.
4. Those who forget history... In 2000, Al Gore won the popular vote after trailing by seven points in the final days of the race. In 1980, Reagan was eight points down in the polls in late October and came back to win. Races can shift—fast!
5. Landslide. Even with Barack Obama in the White House, passing universal health care and a new clean-energy policy is going to be hard. Insurance, drug and oil companies will fight us every step of the way. We need the kind of landslide that will give Barack a huge mandate.
If you agree that we shouldn't rest easy, please sign up to volunteer at your local Obama office by clicking HERE.
2. Dirty tricks. Republicans are already illegally purging voters from the rolls in some states. They're whipping up hysteria over ACORN to justify more challenges to new voters. Misleading flyers about the voting process have started appearing in black neighborhoods. And of course, many counties still use unsecure voting machines.
3. October surprise. In politics, 15 days is a long time. The next McCain smear could dominate the news for a week. There could be a crisis with Iran, or Bin Laden could release another tape, or worse.
4. Those who forget history... In 2000, Al Gore won the popular vote after trailing by seven points in the final days of the race. In 1980, Reagan was eight points down in the polls in late October and came back to win. Races can shift—fast!
5. Landslide. Even with Barack Obama in the White House, passing universal health care and a new clean-energy policy is going to be hard. Insurance, drug and oil companies will fight us every step of the way. We need the kind of landslide that will give Barack a huge mandate.
If you agree that we shouldn't rest easy, please sign up to volunteer at your local Obama office by clicking HERE.
Saturday, October 18, 2008
Gandhi
I just finished watching the epic moving Gandhi. It was my first real history lesson in this saint's life. There are a few morals and values from it that I will always remember:
- Non violence works. Tyrants ultimately fail. The focus should not be WHEN they will fail; rather that they WILL FAIL. An individual's life is only a short part of the history of good and evil in the world. An eye for an eye makes the whole world blind. We must not preach revenge.
- Patience is a virtue. I often try to get things done quickly. (My mother taught me this.) But, true change takes patience. I will strive for more of it.
- True change requires collaboration with all. A great person can be effective. But a great person can have an even greater impact if he collaborates and joins with others.
- Religion can be great, if we realize that no religion is better than another. We are all Hindu, Jews, Buddhist, Muslim, and Christian.
- A free media is probably one of the most important parts of democracy. Any restriction on media should be dealt with in a serious (non-violent) way.
- Humor is a good trait of a great man.
- Hollywood is important because they make great movies.
I vow to try to work all of these into my daily life, in honor of Gandhi.
- Non violence works. Tyrants ultimately fail. The focus should not be WHEN they will fail; rather that they WILL FAIL. An individual's life is only a short part of the history of good and evil in the world. An eye for an eye makes the whole world blind. We must not preach revenge.
- Patience is a virtue. I often try to get things done quickly. (My mother taught me this.) But, true change takes patience. I will strive for more of it.
- True change requires collaboration with all. A great person can be effective. But a great person can have an even greater impact if he collaborates and joins with others.
- Religion can be great, if we realize that no religion is better than another. We are all Hindu, Jews, Buddhist, Muslim, and Christian.
- A free media is probably one of the most important parts of democracy. Any restriction on media should be dealt with in a serious (non-violent) way.
- Humor is a good trait of a great man.
- Hollywood is important because they make great movies.
I vow to try to work all of these into my daily life, in honor of Gandhi.
Monday, July 14, 2008
NY Times: Organized Medicine and Industry
Until organized medicine (The American Medical Association, The American Academy of Family Physicians, etc.) gives up ties with industry, patients trust in these organizations will continue to erode.
If you want to do something about it, join a medical organization that does not take industry money: The National Physicians Alliance.
Washington
Psychiatric Group Faces Scrutiny Over Drug Industry Ties
By BENEDICT CAREY and GARDINER HARRIS
Published: July 12, 2008
Probing into the financial relationship between drug companies and psychiatrists, senators are demanding that the American Psychiatric Association give an accounting of its financing
If you want to do something about it, join a medical organization that does not take industry money: The National Physicians Alliance.
Washington
Psychiatric Group Faces Scrutiny Over Drug Industry Ties
By BENEDICT CAREY and GARDINER HARRIS
Published: July 12, 2008
Probing into the financial relationship between drug companies and psychiatrists, senators are demanding that the American Psychiatric Association give an accounting of its financing
Saturday, June 14, 2008
The King of Questions
I named this blog "Question Everything", as I believe asking questions is one of our primary responsibilities as citizens and humans. Asking the proper questions of our leaders allows us to unearth their intentions and discover their values. Asking the right questions can lead to advocacy and improvements in our systems. Without the questions our society stagnates and does not progress.
There was no better questioner than Tim Russert. I watched Meet The Press as much as I could. I often planned my Sunday around it, but would skip it if Russert was not on that week. Russert was a true journalist, as he was impartial, tough, smart, and did his research. There is no one who could get to the bottom of an issue like he could. There is no journalist that did more to bring honesty to politics.
I do not know how we will navigate through difficult political issues without him. As a fan of good questions, I do not know how I will find another role model. Mr. Russert, King of Questions, I will miss you.
Tuesday, April 08, 2008
Red Soc Flyover Waste
Boston Red Sox - Air Force cutback still allows roaring fly-by at game today - The Boston Globe
Do we really need to spend $100,000 on a flyover a baseball game for a few seconds? Imagine how many lives we could save with that much money in a quality health care system....
Do we really need to spend $100,000 on a flyover a baseball game for a few seconds? Imagine how many lives we could save with that much money in a quality health care system....
Saturday, April 05, 2008
10 Things You Should Know about McCain
from Moveon.org:
1. John McCain voted against establishing a national holiday in honor of Dr. Martin Luther King, Jr. Now he says his position has "evolved," yet he's continued to oppose key civil rights laws.1
2. According to Bloomberg News, McCain is more hawkish than Bush on Iraq, Russia and China. Conservative columnist Pat Buchanan says McCain "will make Cheney look like Gandhi."2
3. His reputation is built on his opposition to torture, but McCain voted against a bill to ban waterboarding, and then applauded President Bush for vetoing that ban.3
4. McCain opposes a woman's right to choose. He said, "I do not support Roe versus Wade. It should be overturned."4
5. The Children's Defense Fund rated McCain as the worst senator in Congress for children. He voted against the children's health care bill last year, then defended Bush's veto of the bill.5
6. He's one of the richest people in a Senate filled with millionaires. The Associated Press reports he and his wife own at least eight homes! Yet McCain says the solution to the housing crisis is for people facing foreclosure to get a "second job" and skip their vacations.6
7. Many of McCain's fellow Republican senators say he's too reckless to be commander in chief. One Republican senator said: "The thought of his being president sends a cold chill down my spine. He's erratic. He's hotheaded. He loses his temper and he worries me."7
8. McCain talks a lot about taking on special interests, but his campaign manager and top advisers are actually lobbyists. The government watchdog group Public Citizen says McCain has 59 lobbyists raising money for his campaign, more than any of the other presidential candidates.8
9. McCain has sought closer ties to the extreme religious right in recent years. The pastor McCain calls his "spiritual guide," Rod Parsley, believes America's founding mission is to destroy Islam, which he calls a "false religion." McCain sought the political support of right-wing preacher John Hagee, who believes Hurricane Katrina was God's punishment for gay rights and called the Catholic Church "the Antichrist" and a "false cult."9
10. He positions himself as pro-environment, but he scored a 0—yes, zero—from the League of Conservation Voters last year.10
http://pol.moveon.org/mccaintruth/
1. John McCain voted against establishing a national holiday in honor of Dr. Martin Luther King, Jr. Now he says his position has "evolved," yet he's continued to oppose key civil rights laws.1
2. According to Bloomberg News, McCain is more hawkish than Bush on Iraq, Russia and China. Conservative columnist Pat Buchanan says McCain "will make Cheney look like Gandhi."2
3. His reputation is built on his opposition to torture, but McCain voted against a bill to ban waterboarding, and then applauded President Bush for vetoing that ban.3
4. McCain opposes a woman's right to choose. He said, "I do not support Roe versus Wade. It should be overturned."4
5. The Children's Defense Fund rated McCain as the worst senator in Congress for children. He voted against the children's health care bill last year, then defended Bush's veto of the bill.5
6. He's one of the richest people in a Senate filled with millionaires. The Associated Press reports he and his wife own at least eight homes! Yet McCain says the solution to the housing crisis is for people facing foreclosure to get a "second job" and skip their vacations.6
7. Many of McCain's fellow Republican senators say he's too reckless to be commander in chief. One Republican senator said: "The thought of his being president sends a cold chill down my spine. He's erratic. He's hotheaded. He loses his temper and he worries me."7
8. McCain talks a lot about taking on special interests, but his campaign manager and top advisers are actually lobbyists. The government watchdog group Public Citizen says McCain has 59 lobbyists raising money for his campaign, more than any of the other presidential candidates.8
9. McCain has sought closer ties to the extreme religious right in recent years. The pastor McCain calls his "spiritual guide," Rod Parsley, believes America's founding mission is to destroy Islam, which he calls a "false religion." McCain sought the political support of right-wing preacher John Hagee, who believes Hurricane Katrina was God's punishment for gay rights and called the Catholic Church "the Antichrist" and a "false cult."9
10. He positions himself as pro-environment, but he scored a 0—yes, zero—from the League of Conservation Voters last year.10
http://pol.moveon.org/mccaintruth/
Monday, March 24, 2008
It's not all about the Presidential Election
Last week I was sick and got to watch lots of MSNBC all day. 80% of the coverage was debating and analyzing who was up and who was down in the presidential campaign. There must have been an hour of analysis on each sentence a candidate said.
Our Presidential Race is important, but what about everything else going on in the world. There was only a minute (if that) each hour devoted to the troubles in Tibet, and none to other world issues like Darfur:
Dropping the Torch - New York Times
I do not have a radio while living here in DC for the month, so I miss the balanced news coverage of NPR. At least I can watch BBC News at night which gives a more realistic account of the happenings in our world.
Our Presidential Race is important, but what about everything else going on in the world. There was only a minute (if that) each hour devoted to the troubles in Tibet, and none to other world issues like Darfur:
Dropping the Torch - New York Times
I do not have a radio while living here in DC for the month, so I miss the balanced news coverage of NPR. At least I can watch BBC News at night which gives a more realistic account of the happenings in our world.
Wednesday, March 19, 2008
Healthy Foods in Canadian Hospitals
Nova Scotia News - TheChronicleHerald.ca
’Every day is the perfect day to stop serving fries and doughnuts. Every day is the perfect day for a health care institution to lead by healthy example.’
If you agree, work with me and the National Physicians Alliance to make Hospital Food Healthy. Have ideas about what is healthy food for a hospital?
Let me know.
’Every day is the perfect day to stop serving fries and doughnuts. Every day is the perfect day for a health care institution to lead by healthy example.’
If you agree, work with me and the National Physicians Alliance to make Hospital Food Healthy. Have ideas about what is healthy food for a hospital?
Let me know.
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