politics

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While I was training in psychiatry 30 years ago, the field was changing around me.  The older psychoanalysts were forced — reluctantly — to add prescription of psychotropics to their practices or else patients would never make it to their door. Of course, they had little to no training in pharmacology and less interest so they didn’t usually know what they were doing. While I was ascending in the ranks of psychiatric trainees, the best and the brightest of us were ushered into special training in pharmacology research.  I was (and probably still am) about as idealist and apolitical an up-and-coming psychiatrist that anyone could have invented. Read more on The Politics of Drug Development…

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People often want to know something about their psychiatrist.

There is this thing called “transference” where their past relationship history can certainly color what they think and feel. I have no big secrets to hide from my patients, so I can usually be direct and take only an insignificant amount of time on these issues. Usually it just takes one of my stabs at humor.

For those to whom religion is an important facet of life, I am often asked about my beliefs. I often end up saying things like, “I am very sorry I am Jewish and not the Christian you would have preferred, but do you think Christ could work through a crazy old Jewish lady like me who would work really hard to help you feel better?” A “yes” and a laugh and we get straight into the meat of things with that one. Read more on Liberal or Conservative — Different Brains or Different Opinions?…

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I used to say I was not a political animal.  Pharmacology has become political.  Not my fault; that’s for sure.

Marijuana has suffered a legal setback.  This has not been covered by a lot of the media.  I had a heck of a time finding it. Read more on Rescheduling of Marijuana Suffers Legal Setback…

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I’ve got my outrage in motion and I’m blowing the whistle on one of the dirtiest tricks the big pharmaceutical companies play on us.

They have a technique called “Seeding Trials” that masquerade as drug testing (clinical trials) but are really nothing more than marketing surveys they can use to get around government regulations about promoting their drugs for alternative uses (also know as “off-label” uses).

But I’m printing this news in my private newsletter — not in my public blog.

The good news, you can read this for free.  All you need to do is sign up for my free newsletter (that means “free of charge” as well as “Spam-Free”).

Just type your name and email address in that little box in the upper right hand corner of this page to opt-in.  Of course, you can opt-out at any time also.

But I’m hoping that you find me so fascinating that you will continue to read.

The news I print in this blog is pretty general and the items in the newsletter are more personal and specific.

I think you will find it fascinating to see into the world of medicine, science, politics, government and even culture.

The newsletter will go out by email in a day or two … so please sign on now and take this journey with me.  I promise to make it worth your time.

Take care and be happy!

Dr. G

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No, you probably haven’t heard of the 51st state, the state of Jefferson.  It’s been removed from most history books and long forgotten.  An initiative that originated in the counties of southern Oregon and northern California, they even had their own flag.  It’s a square with two x’s inside of circles, meaning “we’ve been double crossed.”

Seal Of The Great State Of Jefferson

The people thought they had been double-crossed.

The issue surrounding the attempt to create this state was the same one that was at the heart of the American Revolution.  There was no adequate representation.

At the time, the people of southern Oregon and northern California were talking about a vein of copper that couldn’t be gotten out of this place — and still has not.  They felt decisions were being made by interests elsewhere, such as the southern California movie industry or the state government of Sacramento which was perceived as having little to do with them. Read more on Betrayed…

Filed under Government by on . Comment#

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According to Mitt Romney, God lives and always will inside the Republican platform.  Seems to me this would be a difficult place to confine a Supreme Being.  When I heard this, I was in the car with my husband.  I could only think of one response, and that was to pray aloud.  “Dear God, how do you put up with all this crap?  Your friend, Estelle.”

Our political conventions have become religious referenda

At the recent political conventions, each party claimed to be more religious than the other. Is this what politics has come to in the 21st Century?

Although I consider myself a true believer, I will admit to having had philosophical angst about His or Her existence.  I cannot and will not accept the God about whom everyone says “I remember you in my prayers.”  I cannot imagine either Mitt or Barack going to church or kneeling next to bed with a list clutched in their fist that says something like “the folks who lost their houses in the storm.”  Neither can I imagine them letting God do His or Her will, which might include letting the opponent win.  I think that they, and most of the folks I know, use “magic prayer.”  This means that when you say it you have already done it.  I have questioned a few Christians about this, and that is what it sounds like to me.  The reason I have not questioned more Christians about this is that it tends to get them very angry.  My husband does not like me to do things that might get me beat up because he is lots bigger than me and would definitely end up defending me.  I can certainly see why someone would want to pray out loud in a life threatening situation.  Like military active duty type war. Everybody wants victory, although at that precise moment, they are probably praying for their buddy to survive. Read more on Prayer on the Platform…

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Wait a second here.  President Obama did not “mandate” compulsory birth control.  As the headline plainly states, this is a mandate for insurance coverage for birth control.

Nobody is going to drag a young — or older — woman kicking and screaming into a gynecologist’s office and force her to take pills or injections or put anything into another orifice.

People are complaining that the President did not consult with people like Catholic religious groups.  The Republicans especially do not like this.  This is not surprising as they do not seem to like anything President Obama does — include breathe.

The Republicans — well, their opposition is supported by the part of the nation that seems to have chosen to “stupid up” its politics –left and right, liberal and conservative, yes and no. Read more on Contraception and Birth Control…

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Poverty, illness and desperation are a tragic trio and destroy unknown numbers of lives.

One story that broke my heart was that of a sweet young thing, age 23, who had inherited nothing from her father but a disease.

She needed a “specialty medicine” for it — one of those medicines that is so expensive that nobody seems to want to pay for it.  But she lost her job due to “downsizing” so she had no insurance and no money. Read more on US Healthcare Is A Tragedy, Not A Success…

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I never paid a great deal of attention to politics, until I realized that health care had become politics.

I may be the last of a generation that learned, in medical school in France, that the responsibility of a doctor was to keep a record of cash transactions, something best done in a bound notebook with no pages ripped out, and only a single line to cross out errors, so that integrity would not be questioned.

The same year I entered medical school, President Richard Nixon signed the Health Maintenance Organization Act of 1973.

Wealthy industrialist Henry J. Kaiser, billionaire shipbuilder, and steel and aluminum magnate (as well as staunch Republican and major contributor to the Nixon campaign) was the first person to establish a “for-profit” hospital. Read more on Don’t Tell Me You Think Insurance Will Actually HELP…

Filed under Healthcare reform by on . Comment#

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Why would a pharmaceutical manufacturer want to change a drug from prescription to over the counter (OTC)?

Well, one thing I’ve learned in my lifetime is – When the Question is “WHY?” then the answer is “MONEY.”

Prescription Drugs Go Over The CounterIn this case, the most obvious reason is more money for pharmaceutical companies.  I certainly cannot think of anything — I mean any way shape or form — that can benefit patients.

Oh, sure – in our economically-ignorant country, many people think – “Whee!  I can buy any drug I want without spending money on a doctor’s appointment and without having to get a prescription! ”

These people are prime candidates for the Darwin Awards.

Yes, believe it or not, the “RX to OTC Switch” can actually HURT patients.

Drug patents expire relatively quickly, competitors are waiting at the gates with generic equivalents, and when a drug becomes OTC, there is a chance that insurance does not cover it.

This makes insurance companies and government programs (Medicare, Medicaid/Medi-Cal, etc.) very happy.  They are so strapped for cash that even paying for a cheaper generic is a strain on the budget.  When this kind of money is involved, you can bet that lobbyists are pressuring the government to ease their restrictions so that drugs once considered risky enough to warrant a prescription so that not just anybody can have access will be available to anyone who can walk into a drug store or click on a shopping cart on the web.

Patients will have to pay for OTC meds in cash money and doctors usually do not bother prescribing an equivalent drug.  If they do not already know of an equivalent, they will probably — and generally do — just tell a patient to go buy it over the counter.

A patient who cannot afford the drug will go off it.

OK – so what’s the big deal if a cold medicine, allergy remedy or hair-restoring pill is no longer a prescription drug?

Read more on When Prescription Drugs Go Over-The-Counter…

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