Friday, February 5, 2010

Reward for Getting It Wrong: More $$$ for AHRQ

The Agency for Healthcare Research and Quality (AHRQ), America's equivalent of the draconian National Institute for Clinical Health (NICE) in Great Britain, saw its budget increased multifold by the Obama stimulus plan--with a cool $1 billion in funding. Now, after getting the data wrong on women under 50 not needing mammograms, the agency is being rewarded with another increase of $640 million.

AHRQ is tasked with comparing medical treatments and coming up with the best (i.e., cheapest) method that works (sometimes and maybe even just partially, but it looks good on paper) for each disease and condition. This is called comparative effectiveness research (CER). CER lay behind the data given the United States Preventive Services Task Force (USPSTF), which then issued a fiat that no woman under 50 be given a mammogram.

Of course, this was immediately denounced by every field-operative medical professional on the face of the earth, and the Obama administration just shrugged off the ban as being based on the "best available science."

One wonders which dictionary they used for the definition of "best."

Meanwhile, over at the National Institutes of Health (another government agency), Director Francis Collins, who helped mapped the human genome, worries that AHRQ has it all backwards, saying that the AHRQ and its CER approach wrongfully consider "everybody equivalent, which we know they are not."

In other words, "one size fits all" doesn't work in medicine, but it's a NICE solution for an agency charged with bending the health care curve through "scientific"-based evidence for rationing and denial of service.

A death panel, are ye, AHRQ?

Monday, February 1, 2010

London's Heathrow Implements Body Scanners

Anybody traveling out of Heathrow Airport in London will now be subject to screening by a body scanner (see image of results).

The new screening equipment was installed after the Amsterdam-to-Detroit bombing attempt by a Nigerian national, who slipped through security with body bombs.

"Given the current security threat level, the government believes it essential to start introducing scanners immediately," said Transport Secretary Andrew Adonis.

Britain raised its terrorism threat level to "severe," the second-highest level, on January 22, days before London was due to host two international conferences on Yemen and Afghanistan. The conferences took place last week without any security incident.

What are the odds the sexiest women are routinely--but invariably--body scanned?