As one of the baby boomers and firmly fingered with responsibility for both the healthcare funding and pensions crises, it is with a very personal interest that I look at emerging trends in care of the chronically sick and ageing. Age unfortunately means collecting co-morbidities, hopefully minor ones, and dealing with them in a way [...]

A year on and the mood music in Washington is very different. My return to this beautiful city, where fall colours are emerging in their full majesty, has seen a very different atmosphere from a year ago when the Obama health reforms were on their way and universal coverage seemed a very real probability. The [...]

Proponents of greater regulatory harmonisation and cooperation will have been heartened by FDA chief Peggy Hamburg’s comments at the Advamed 2010 conference on Wednesday 20 October. She was quick to acknowledge that, in a changing world with vastly increased trade, the FDA could not continue to operate on an old-fashioned model designed for a time [...]

It is perhaps surprising how quickly coronary angioplasty has become just another everyday procedure. As someone who has seen open-heart surgery live and witnessed the trauma and hospital resource intensity of such procedures, the placing of a stent as an alternative is almost unimaginably better for both patient and the health sytem as a whole. [...]

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 [...]