One concern about the Affordable Care Act was that in providing access to 700,000 people that companies refused to insure, access would decline along with the surges in cost for everyone. That has turned out to be true in both cases. 

Some states have also 'bundled' behavioral and physical health care, and that hasn't improved access or care for people with mental health issues. It isn't worse, that is the good news, but for the 400 percent increase in cost it isn't better - and demand became higher due to heightened anxiety and depression rates during and post the COVID-19 pandemic.

Though every medical school and residency program has sexual harassment training and methods for reporting, over half of medical interns surveyed from June 2016 to June 2017 data in the Intern Health Study say they have experienced sexual harassment.

Self-reported demographic characteristics and survey were from June 2016 to June 2017 data in the Intern Health Study, an ongoing National Institutes of Health–funded repeated cohort study of postgraduate year 1 residents (interns) and the Association of American Medical Colleges (AAMC).

No one likes to talk to elder family members about money, it can come across as greedy, but a sign of cognitive impairment that isn't obvious, like drastic memory loss, is 'wealth shock' - a sudden loss of savings.

Wealth shock does not cause dementia or Alzheimer's, sorry IARC epidemiologists, it does not cause cancer either, but it is a symptom of a decline. 

The Joint Task Force between the American College of Allergy, Asthma and Immunology and the American Academy of Allergy, Asthma and Immunology have released two new guidelines for allergic reactions.

The new recommendations are that calling an ambulance after use of an epinephrine auto injector  is not required if the patient experiences prompt and complete, and response to treatment. Paramedics should be called  for severe anaphylaxis, symptoms that do not resolve promptly, or nearly completely, or symptoms that return or worsen.

The recommendation remains not to give epinephrine preemptively to an asymptomatic patient.

The upside to greater wealth equality than at any point in human history is that nearly everyone can afford food for the first time ever. The famines of the 1980s have been effectively eliminated by science. The downside is that cultural maturity has not kept pace with our biological mandate to eat like we may not have food next week.

That is why obesity could soon overtake alcohol and even cigarettes as the top lifestyle disease source. Up to 20 percent of people could soon have fatty liver disease and a third of those may develop non-alcoholic steatohepatitis (NASH) that can progress to cirrhosis and end-stage liver disease, or even liver cancer.

A new study re-examined these “plant” fossils from the mid-20th century and found that they weren’t plants at all: they were the fossilized remains of baby turtles.