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[Not single-page] Still, a man who at 105—he’ll be 106 on December 19—has never had a life-threatening disease, who takes no cholesterol or blood-pressure medications and can give himself a clean shave each morning (not to mention a “serious sponge bath with vigorous rubbing all around”), invites certain questions. Is there something about his habits […]

If neither party is proposing effective solutions to the cost crisis, and political deadlock in Washington is preventing the consideration of new ideas, are we doomed to witness a slowly collapsing health care system that eventually will provide adequate care only to those who can afford to pay? In his latest book on health care,7 […]

The predicted dire emergency [with H1N1] did not occur. In the 2009–2010 “influenza season” about 18,000 people died from the disease worldwide, fewer than in previous years, and the vast majority of victims had serious underlying conditions such as cancer, lung disease, AIDS, or severe obesity, which can impair breathing.7 Since one influenza strain usually […]

For decades, the way bad news was broken was, as one official British report put it, “deeply insensitive.” Now we do it better, thanks to the efforts of one American widow. “Common sense tells us that those facts are an emotional bomb waiting to go off. And medical thinking now recognizes this: receiving bad news, […]

In “The Hunger Games” Collins embraces her father’s impulse to educate young people about the realities of war. “If we wait too long, what kind of expectation can we have?” she said. “We think we’re sheltering them, but what we’re doing is putting them at a disadvantage.” But her medicine goes down easily, thanks to […]

With no monitor, the original version of Oregon Trail was played by answering prompts that printed out on a roll of paper. At 10 characters per second, the teletype spat out, “How much do you want to spend on your oxen team?” or, “Do you want to eat (1) poorly (2) moderately or (3) well?” […]

The connection between banks and nuclear reactors is not obvious to most bankers, nor banking regulators. But to the men and women who study industrial accidents such as Three Mile Island, Deepwater Horizon, Bhopal or the Challenger shuttle—engineers, psychologists and even sociologists—the connection is obvious. James Reason, a psychologist who studies human error in aviation, […]

Prescription drugs kill some 200,000 Americans every year. Will that number go up, now that most clinical trials are conducted overseas—on sick Russians, homeless Poles, and slum-dwelling Chinese—in places where regulation is virtually nonexistent, the F.D.A. doesn’t reach, and “mistakes” can end up in pauper’s graves? The authors investigate the globalization of the pharmaceutical industry, […]

The myth of scale is seductive because it is easier to spread technology than to effect extensive change in social attitudes and human capacity. In other words, it is much less painful to purchase a hundred thousand PCs than to provide a real education for a hundred thousand children; it is easier to run a […]

When I have asked them whether they have any hope that medicine will change, they have tended to say yes. When I have asked them whether anybody has already begun to succeed, they have tended to mention the same name: Brent James.