Farewell. The Flying Pig Has Left The Building.

Steve Hynd, August 16, 2012

After four years on the Typepad site, eight years total blogging, Newshoggers is closing it's doors today. We've been coasting the last year or so, with many of us moving on to bigger projects (Hey, Eric!) or simply running out of blogging enthusiasm, and it's time to give the old flying pig a rest.

We've done okay over those eight years, although never being quite PC enough to gain wider acceptance from the partisan "party right or wrong" crowds. We like to think we moved political conversations a little, on the ever-present wish to rush to war with Iran, on the need for a real Left that isn't licking corporatist Dem boots every cycle, on America's foreign misadventures in Afghanistan and Iraq. We like to think we made a small difference while writing under that flying pig banner. We did pretty good for a bunch with no ties to big-party apparatuses or think tanks.

Those eight years of blogging will still exist. Because we're ending this typepad account, we've been archiving the typepad blog here. And the original blogger archive is still here. There will still be new content from the old 'hoggers crew too. Ron writes for The Moderate Voice, I post at The Agonist and Eric Martin's lucid foreign policy thoughts can be read at Democracy Arsenal.

I'd like to thank all our regular commenters, readers and the other bloggers who regularly linked to our posts over the years to agree or disagree. You all made writing for 'hoggers an amazingly fun and stimulating experience.

Thank you very much.

Note: This is an archive copy of Newshoggers. Most of the pictures are gone but the words are all here. There may be some occasional new content, John may do some posts and Ron will cross post some of his contributions to The Moderate Voice so check back.


Monday, December 26, 2011

HCR -- Overuse of MRI and CT Scan

By John Ballard

I am a 78-year-old American man in robust general health and with good comprehensive health insurance all my adult life and I have never had an MRI.

How does that grab you?
Crusty of curmudgeon, you say?
What if he is George Lundberg, MedPage Today Editor-at-Large and former editor of the Journal of the American Medical Association?

He doesn't mince words.

Until 2010, I had also never had a CT scan. And I�m proud of that.

Why the CT? I had my first tooth implant, and my oral surgeon said he could be more certain of exact placement with the precise measurements of a CT scan. Okay. That seemed reasonable and it worked out well.

Why am I proud? Because I despise the American medical tradition that �more is better.�

I hate unnecessary testing and unnecessary treatment.

And I am ashamed of the American medical tradition of practicing defensively.

I can imagine the scenario of 100,000 U.S. MDs sitting in the Rose Bowl. In scampers under the goal posts one attorney waving a piece of paper and piping, �Here comes a lawsuit.� And 100,000 U.S. MDs immediately order MRIs on everyone to thwart that one lawyer.

Of course, conveniently, their institutions, their colleagues, and oftentimes they themselves earn substantial money from those 100,000 defensive MRIs.

Not on me, you won�t. Not unless there is some really good reason that will likely influence a shared medical decision.

I know that when you throw a screening or diagnostic test at someone, there will always be a risk and a cost, and that cost could easily include a harmful false positive. You don�t know whether there will be any benefit.

And don�t give me any of that �standard of practice� hokum.

You know better than I that you and your colleagues, often not based on unbiased best evidence, and functioning as a cartel, create that �standard of practice.�

MRIs, and CT scans, are wonderful, even spectacular inventions. Their products can even be great art forms. And the MRI does not even give the patient toxic radiation. It all comes down to how they are used.

Don�t ever do anything just because you can. And also, not only to cover your posterior.

But as the U.S. use of MRIs and CT scans is phased down, let�s remember to be compassionate about all those workers whose skills may not be as needed anymore. Plan for appropriate retraining for them in some useful field.

This is a card-carrying expert talking.

I know we have doctors in Congress, too. All I can say about that is that one of them is Ron Paul, another is the representative from my own Congressional district and yet another one is from a few miles away where Lockheed has been the principle employer for at least two or three generations. Nuff said.

Regarding Congress, it was Grooucho Marx who said "I wouldn't want to be a member of any club that would have me as a member."

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