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Yesterday’s report by Thomson Reuters on the real causes of excessive costs in the US healthcare system make interesting reading. Centre stage is over-treatment generated by a litigious culture which encourages patients to sue and, from that, doctors to perform tests and procedures, not because in their clinical judgement the patient needs them but because […]

A chill wind is blowing through Washington D.C. this morning and it is not just the cold front from the North blowing away the warm Autumn sun of yesterday. Yesterday, the Obama health reforms took their first step on a long and perilous road through the legislature when the Senate Finance Committee passed the preliminary […]

I put it down to Irish politeness to always say “no” first when asked if we want something and to follow up with a “yes” when asked the second time. “Will you have a cup of Lisbon tea?Oh no thank you, I’ve had quite enough already.Are you sure? I’ve just made some and I can […]

The latest results of the Euro Health Consumer Index (www.healthpowerhouse.com) further confirm the superiority of Bismarckian social philosophy over the Beveridge approach, at least as far as the patient is concerned. Bismarck countries, characterised by compulsory third party insurance systems, feature as the most consumer friendly health systems from the perspective of the patient and […]

The arcane world of credit default swaps may seem a very curious subject to stimulate the mind of a life-long medical technology man. My thoughts turned to these strange and questionable instruments, which appear to be one of the roots of the financial crisis, during a week when they were seldom far from the front […]

Browsing the news pages of the web I came across an article in a journal that I am not familiar with from the USA, the grandly titled U.S. News & World Report. The report headed off on a familiar and now even more fashionable track of squarely identifying our industry as the villains of the […]

Talking about the role of the EU in the developing world EC Director General for Development Stefano Manservisi described the new approach to health development policy on a global level: “From donorship to partnership”. He explained that access to medicine needs to be viewed as not only provision of medicines but rather the ability to […]

A crowded room at the offices of the European Policy Center yesterday afternoon. The topic of the day is “The future of medical devices in Europe”. The distinguished panel includes Josée Hansen, Pharm. D, project leader, Priority Medical Devices/ EHT, WHO-Geneva . Ms Hansen elaborated on the project’s approach, scope and objectives. In a nutshell, […]

On Thursday 11 June, I attended, as part of the EULAR conference in Copenhagen – Europe’s largest conference on Rheumatology – the session “Structure modification in osteoarthritis: Time to update the guidelines”. What became really apparent was that rheumatologists from Europe and North-America are seriously concerned about the exponentially increasing prevalence and incidence of osteoarthritis […]