Congress

Steve Schoenbaum writes: In his blog this week, Mark Pendergrast challenges someone/anyone to take on explaining the differences between case-control studies vs. cohort studies. As an EIS officer, back in late May/early June 1968, I did a case-control study as part of the investigation of a common source outbreak of hepatitis in Ogemaw County, Michigan, so I will try to pick up the challenge. I believe it was only the second time case-control methods were used in a CDC epidemic investigation. In using this method I learned about the power of comparison, not just that numerators need…
Karen Starko writes: When the "financial crisis" started and the news media started throwing around numbers in the trillions and projected fixes in the billions, I realized I just didn't get it. So I got a little yellow post-it, labeled it "understanding trillions," and started a list of examples. And when I learned that the US GDP in 2006 was 13T and the derivative market, estimated in June 2007, was valued at 500T, I quickly got a sense of the potential drain of the derivative market (in which money is spent on items without real value...my definition, please correct me if I am wrong). I…
Liz Borkowski writes: Mark Pendergrast wrote yesterday about how politics plays into the work of the EIS, and it's something that I kept noticing as I read Inside the Outbreaks. As he points out, my post last week highlighted the solution to the Reye's Syndrome puzzle - which was solved by Karen Starko, who's also one of the Book Club bloggers! - but didn't get into the larger issue: there can be a big difference between solving the puzzle and solving the problem. In yesterday's post, Mark writes: Although Karen's and subsequent CDC studies clearly demonstrated that giving children aspirin…
The Subcommittee on Health of the Energy and Commerce Committee of the House of Representatives has announced a hearing for Wednesday: "Promoting the Development of Antibiotics and Ensuring Judicious Use in Humans." The witness line-up is: Janet Woodcock, M.D., Director, Center for Drug Evaluation and Research, Food and Drug Administration Robin Robinson, Ph.D., Director, Biomedical Advanced Research and Development Authority, Department of Health and Human Services Brad Spellberg, M.D., F.I.D.S.A., Associate Professor of Medicine, David Geffen School of Medicine at UCLA and Member,…
--A great NYT article on science museums and cabinets of curiosities: This antic miscellany is dizzying. But there are lineaments of sustained conflict in the apparent chaos. Over the last two generations, the science museum has become a place where politics, history and sociology often crowd out physics and the hard sciences. There are museums that believe their mission is to inspire political action, and others that seek to inspire nascent scientists; there are even fundamental disagreements on how humanity itself is to be regarded. The experimentation may be a sign of the science museum's…
In the political bloggysphere, there's been some discussion about former Congressman and Two Million Dollar Man Billy Tauzin losing his job as the top lobbyist for Big Pharma. I follow this stuff a lot more than most--my observation that much of what our great congressional solons do is geared towards their retirements, to me, seems so obvious that I'm surprised it received some minor circulation. But Tauzin's degeneracy is stunning (italics mine): So in 2003 Mr. Tauzin, then chairman of the powerful energy and commerce committee, made a deal. Though still on a modest Congressional salary,…
Clearly, I'm not the only one who thinks that the most obvious solution for health care reform is for the House to pass the Senate bill: The New York Times just published an editorial arguing the same point: The most promising path forward would be for House Democrats to pass the Senate bill as is and send it to the president for his signature. That would allow the administration and Congress to pivot immediately to job creation and other economic issues. The Senate bill is not perfect, but it would expand coverage to 94 percent of all citizens and legal residents by 2019, reduce the deficit…
It's been a rocky ride this year, getting heath care bills passed in the House and the Senate. It's been just over a month since the Senate passed its bill in a dramatic Christmas Eve vote (and much longer since the House passed its version), but the fate of health care reform still appears as uncertain as ever. In particular, a surprising political setback in Massachusetts has made the already difficult Senate an almost impossibly hostile environment for reform. The most obvious solution is for the House to pass the Senate bill without hesitation; however, House Speaker Nancy Pelosi has…
Al Franken may have made his name as a comedian on Saturday Night Live, but as a Senator (D-MN) he's a force to reckon with. In this clip from hearings this week he nails a witness from the right wing Hudson Institute pimping for the health care industry. Her claim? That health care reform would lead to more bankruptcies. He makes his point and thanks the witness, but she tries to score with a question of her own. Bad move. It turns out Franken knows the answer: Smart, serious, prepared. Live from Washington, DC. It's not Saturday Night Live! Addendum, 1 pm EST: Just had to take my son-in-…
tags: bat, congress, offbeat, humor, funny, satire, streaming video In this breaking news video, we see that Congress is deadlocked on the best way to get a bat out of their committee chamber.
We've said both nice things and not so nice things about Finance Committee ranking Republican on health care, Chuck Grassley (R-IA), most recently not-so-nice things. Things like calling him morally corrupt, a liar and a gold-plated hypocrite. Things like that. We know he hears us because his office complained to a colleague about it. Now, through several sources, we've gotten an email with this subject line sent around by someone in his office and containing a news article explaining why he's not as corrupt as he looks: Questions: why do journalists and arm chair pontificators always look…
We've been rather kind to Senator Charles (Chuck) Grassley in the past. Yes, he's a right wing Republican with some really odious ideas, ideas for which he deserves to be criticized. But he's also been a champion of the Federal False Claims Act which has encouraged and protected whistleblowers to reveal how corporations have taken the taxpayer for a ride, something for which he deserves credit. Lately he has been on a tear about the ways Big Pharma has been buying influence with high profile medical professionals, with the direct implication that this has skewed their practice, their research…
Mike Dunford tells a compelling story today at The Questionable Authority: Yesterday, I took the kids to the doctor for their school physicals. I wouldn't normally subject you to an account of the day-to-day minutia of my personal life, but given the current debate about how we should handle health care in the United States, the details might be of interest. We arrived - without an appointment - at a medical facility that we had not been to before. We did not have medical records with us, and the only paperwork of any kind that we had brought were the forms that needed to be filled out to…
The National Pork Producers Council didn't like swine flu being called swine flu. Bad for business. So we now call it 2009 H1N1 or some such thing. It's totally swine-origin, but hey, if Lord Agribusiness doesn't like it, that's that. Same thing with antibiotic resistant bacteria, like methicillin resistant Staphylococcus aureus ("MRSA"; best source on the net Maryn McKenna's blog). The Pork Council doesn't want anyone to die of MRSA. They just don't want it associated with their product, even though a Dutch strain associated with pigs is now spreading in the US (and infecting people). Some…
Just as an FYI, Sheril at the Intersection has created this extremely helpful list of policy fellowships for scientists and engineers. It's definitely worth bookmarking if you have any interest in exploring science policy. The fellowships on this list range from weeks to years, and placements are available throughout the federal government, in science agencies and on the Hill.
As an academic epidemiologist I routinely do NIH funded research involving human subjects. That means my university must adhere to very strict regulations and guidelines for the protection of research subjects. Approval and monitoring of the ethical conduct of research funded by the Department of Health and Human Services (DHHS), of which NIH is a part, was made a legal requirement in the 1970s following widespread abuses, of which the Tuskeegee Syphilis Study and the experiments by Nazi doctors were the most notorious. But less flagrant ethical breeches were widespread in medical research. I…
In discussions lamenting modern day political interference in science and the less-than-prominent role science plays in formulating policy, bringing back the Congressional Office of Technology Assessment (OTA) is commonly offered as a key facet of any comprehensive solution. And, this is for good reason, as Gerald L. Epstein explains in a new article at Science Progress: Over its history, OTA informed members of Congress and their staffs and helped shape legislation. But its reports played a far wider role. Since they explained complicated technical concepts to a non-technical audience, they…
Tufts University is the latest institution to step in the Conflict of Interest mess and come out with shoes that smell. The University had organized a conference on conflict of interest in medicine and research, with Iowa's Republican Senator Charles Grassley as the keynoter. Grassley has been an indefatigable crusader against instances of fraud and abuse against the federal government, and is a principal author and defender of the Federal False Claims Act, which allows whistleblowers to share in the recovery of fraudulently obtained monies (for an excellent account, see Henry Scammell's…
'Instead of monitoring volcanoes, what Congress should be monitoring is the eruption of spending in Washington.' - Governor Bobby Jindal, February 24, 2009 If this video is any indication, both eruptions have the potential to do a lot of damage and it seems to me they're not mutually exclusive. So let's keep an eye on each. (And spare the fruit fly funding too).
So I observed Pi day by baking a pie. But Representative Bart Gordon of Tennessee, Chairman of the House Committee on Science and Technology, has a much grander idea: let's pass a resolution! Witness H.Res.224, introduced yesterday: Supporting the designation of Pi Day, and for other purposes. Whereas the Greek letter (Pi) is the symbol for the ratio of the circumference of a circle to its diameter;Whereas the ratio Pi is an irrational number, which will continue infinitely without repeating, and has been calculated to over one trillion digits;Whereas Pi is a recurring constant that has…