Tag Archives: health

Science Says You Should Leave Work at 2 p.m. and Go for a Walk

Mother Jones

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Charles Dickens, perhaps the greatest of the Victorian novelists, was a man of strict routine. Every day, Dickens would write from 9 a.m. to 2 p.m. After that, he would put his work away and go out for a long walk. Sometimes he walked as far as 30 miles; sometimes, he walked into the night. “If I couldn’t walk fast and far, I should just explode and perish,” Dickens wrote.

According to engineering professor Barbara Oakley, author of the new book A Mind for Numbers: How to Excel at Math and Science (Even If You Flunked Algebra), Dickens wasn’t just a guy who knew how to keep himself healthy. Rather, his habits are indicative of a person who has figured out how to make his brain function at a very high level. And for this, Dickens’ walks were just as important as his writing sessions. “That sort of downtime, when you’re not thinking directly about what you’re trying to learn, or figure out, or write about—that downtime is a time of subconscious processing that allows you to learn better,” explains Oakley on the latest episode of the Inquiring Minds podcast.

And structured downtime doesn’t just help the world’s greatest writers and thinkers do their best work; it helps all of us while we’re learning and striving to achieve tasks. Or at least it would, if someone told us how important it actually is. “We spend from 12 to 16 years of our lives in formal education institutions. And yet, we’re never given any kind of real formal instruction on how to learn effectively,” says Oakley. “It’s mindboggling, isn’t it?”

Barbara Oakley. John Meiu.

In fact, suggests Oakley, there are some very simple techniques and insights that can make you way better at learning—insights based on modern cognitive neuroscience. The most central is indeed this idea that while you obviously have to focus your cognitive energies in order to learn something (or write something, or read something, or to memorize something), that’s only part of what counts. In addition to this “focused mode”—which relies on your brain’s prefrontal cortex—we also learn through a “diffuse mode,” rooted in the operations of a variety of different brain regions. In fact, the brain switches back and forth between these modes regularly. (For those familiar with Daniel Kahneman’s famous book Thinking, Fast and Slow, the diffuse mode would be analogous to Kahneman’s “System 1,” and the focused mode to “System 2.”)

What’s crucial about the diffuse mode, writes Oakley in A Mind For Numbers, is that the relaxation associated with it “can allow the brain to hook up and return valuable insights.” “When you’re focusing, you’re actually blocking your access to the diffuse mode,” adds Oakley on Inquiring Minds. “And the diffuse mode, it turns out, is what you often need to be able to solve a very difficult, new problem.”

Oakley is not a neuroscientist. However, as someone who initially hated math, but then later decided to “retrain my brain” and become an engineer, she grew fascinated by the process of learning itself. “Now, as a professor, I have become interested in the inner workings of the brain,” she writes in A Mind for Numbers.

Oakley’s findings are bad news for those of us at two extremes of the learning and working spectrum. First, there are the extremely driven (and control-obsessed) hard-workers, who never let themselves rest, who sleep only five hours per night, and who fuel their unending labors with yet another coffee or yet another burst of chemical energy in the form of a cookie or a candy bar. In effect, these behaviors thwart the diffuse state. “Some very persistent and focused people can manage to hold that off some, because they’re really focusing,” says Oakley. These people are missing out on a key part of the brain’s abilities.

Tarcher

And then, there are the procrastinators. You know who you are: You wait until the last minute to do your work, or to study for that test, or to write that paper. Then you put on a burst of conscious attention, including maybe pulling an all-nighter, but because you’re so close to your deadline, there’s never any downtime at all. That’s a surefire way not to produce your best work—or, not to learn. “When you procrastinate, you are leaving yourself only enough time to do superfical focused-mode learning,” writes Oakley. And no diffuse mode at all.

This helps to explain why if you memorize a lot of stuff the night before a test, even if you do well on the test, you’ll find that in a few weeks, you don’t remember much of anything that you memorized.

The best approach, then, would seem to be to pace yourself. To work, and then to take a break, and to repeat that process steadily over days and weeks.

You can also train your mind to more profitably use both states. Here’s one recommendation from Oakley:

One thing that I talk about in the book, and it’s so simple that it seems almost absurd, is that simple technique known as the Pomodoro technique. And in that technique you just set a timer for 25 minutes, and focus, and then when it’s done, you relax. So during that 25-minute time period, you really get rid of other extraneous, possible bothersome kinds of things like email sounds, or anything like that. But what this seems to do is it allows you to practice your ability to focus intently, and to practice your ability to let go and relax.

Unfortunately, we’re not yet at the point where the insights of modern neuroscience are being applied systematically in education, or in workplaces, to help us all achieve a higher potential. In the meantime, though, you can certainly practice them on your own.

“I think the real key that eludes people a lot of time,” says Oakley, “is the idea that it’s the removing of attention that actually allows that ‘ah-ha’ insight to take place.”

This episode of Inquiring Minds, a podcast hosted by neuroscientist and musician Indre Viskontas and best-selling author Chris Mooney, also features a short conversation with neuroscientist Lucina Uddin, author of a recent paper finding that autistic kids have less brain flexibility, as well as a discussion of recent research suggesting that musical ability is innate and that fist-bumps are far superior to handshakes as a greeting, assuming you don’t want to spread germs.

To catch future shows right when they are released, subscribe to Inquiring Minds via iTunes or RSS. We are also available on Stitcher. You can follow the show on Twitter at @inquiringshow and like us on Facebook. Inquiring Minds was also recently singled out as one of the “Best of 2013” on iTunes—you can learn more here.

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Science Says You Should Leave Work at 2 p.m. and Go for a Walk

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Should Doctors Ask You About Your Guns?

Mother Jones

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In Florida, it’s illegal for a physician to ask you if you own a gun. Pediatrician Aaron Carroll thinks this is ridiculous:

When pediatricians ask you about using car seats, they’re trying to prevent injuries. When they ask you about how your baby sleeps, they’re trying to prevent injuries. When they ask you about using bike helmets, they’re trying to prevent injuries. And when they ask you about guns, they’re trying to prevent injuries, too.

….When I ask patients and parents whether they own guns, if they tell me they do, I immediately follow up with questions about how they are stored. I want to make sure they’re kept apart from ammunition. I want to make sure they’re in a locked box, preferably in a place out of reach of children. Doing so minimizes the risks to children. That’s my goal.

When we, as physicians, ask you if you drink or smoke, it’s not so that we can judge you. It’s so we can discuss health risks with you. When we ask you about domestic violence, it’s not to act like police detectives. It’s so that we can help you make better choices for your health. When we ask you about what you eat or whether you exercise, it’s so we can help you live better and longer. We’re doctors; it’s our job.

I don’t often disagree with Carroll, but I think I might here. Not about Florida’s law: that really is ridiculous. The state may have an interest in making sure doctors don’t give demonstrably bad advice, but it certainly doesn’t have a legitimate interest in preventing them from asking simple, fact-oriented question. This represents prior restraint on non-commercial speech, and as such it’s beyond the pale.

That said, should physicians ask about gun ownership? I’m not so sure. Carroll says he only wants to discuss “health risks,” and that’s appropriate. Doctors have expertise in the area of human health: that is, the biology and physiology of the human body. But that’s not the same thing as the safety of the human body.

Not only do doctors have no special professional expertise in this area, but it’s simply too wide open. Does your car have air bags? Do you ever jaywalk? Have you checked your electrical outlets lately? Is your house built to withstand an earthquake? Do you know how to work safely on your roof? Do you make sure to watch your kids in the pool? Are you planning any trips to eastern Ukraine?

I could go on forever in this vein. These are things unrelated to human physiology. If you define them all as health risks, you’re simply defining every aspect of life as a health risk, and therefore your doctor’s concern. That goes too far, and I don’t blame people for sometimes reacting badly to it. There are certainly gray areas here, but generally speaking, if I want advice about my health, I’ll see a doctor. If I want advice about gun safety, I’ll talk to a gun pro. I think it might be best to leave it this way.

FULL DISCLOSURE: My view is almost certainly colored by the fact that I’m all but phobic about doctors. I hate visiting them, I hate talking to them, and I hate the fact that they never seem to really, truly respond to what I tell them. I would be very annoyed if a doctor suddenly veered off and started quizzing me about general safety issues.

I’m keenly aware that this is an obvious overreaction on my part, and I do my best to restrain it when I’m actually talking to a doctor. Nonetheless, it’s there.

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Should Doctors Ask You About Your Guns?

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How Terrifying Is the New Ebola Outbreak?

Mother Jones

Two US aid workers in Liberia recently became the latest victims of an Ebola epidemic that health experts are calling “out of control” and the deadliest outbreak of the virus in history. The disease has a high fatality rate. There have been over 1,000 suspected and confirmed cases across Guinea, Liberia, Nigeria, and Sierra Leone since March, and over 660 people have died. Health workers are having trouble aiding victims, the New York Times reports, due to being shut out by fearful communities. Here’s what you need to know about this outbreak.

When and where did it start?

On March 25, 2014, the Centers for Disease Control and Prevention (CDC) announced that 86 suspected cases of Ebola had been reported to the World Health Organization across four southeastern districts in Guinea. At that time, cases were also being investigated in Liberia and Sierra Leone. By April 1, Liberia was reporting eight suspected cases and two deaths. On May 26, a case of Ebola was confirmed in Sierra Leone. Since then, the disease has continued to spread across the region. Guinea has had the highest suspected death toll so far, with 314 fatal cases as of July 20.

Since March, the latest Ebola outbreak has already spread to three neighboring countries CDC

Have there been Ebola outbreaks of this size before?

No, health workers are reporting that this is the deadliest. According to data compiled by the BBC and the World Health Organization, the outbreak that comes closest occurred in 1976, when over 400 people died. Many of those cases occurred in then-Zaire (now Democratic Republic of Congo) cropping up near the Ebola river (for which the disease is named). Since then, there have been several outbreaks across Africa, but none of this scale.

How does Ebola spread?

Ebola can infect humans and animals, and spreads through bodily fluids. Scientists believe that fruit bats are the natural carriers of the virus. According to the World Health Organization, African pig farms often play host to bats, allowing the disease to spread from the bats to pork. Eating “bushmeat“—or the meat from wild animals, such as gorillas, monkeys, or bats—can put you at risk for exposure. Recently, the government of the Cote d’Ivoire (otherwise known as Ivory Coast)—which borders two of the countries enduing the outbreak—prohibited the sale of bush meat. But the government does not have the means to enforce the ban, and it’s still easy to come by. Funerals for victims of Ebola can also be a source of transmission, with friends and family members potentially coming into contact with the blood and other fluids of the deceased. (Within some African cultures, mourners hug and kiss the bodies, making exposure even more likely.)

A monkey head roasts at a Gabon market. Butchering and eating wild animals is one way that Ebola has spread in Africa. David Maitland/Zuma Press

How fatal is Ebola?

One of the problems with treating the virus is that in its earliest stages it mimics a number of other diseases endemic to Africa. Usually within eight to 10 days of infection, according to the CDC, patients experience a fever, a headache, and muscle fatigue. Some people get better, but most—up to 90 percent—get worse. In a victim’s last days, he or she will begin to hemorrhage blood, internally and externally, as the disease lays waste to internal organs. There are no drugs approved for treating Ebola. For the infected, the only hope is that the virus will pass. According to the CDC, the only treatments available fall under the category of “supportive therapy“—providing patients with water, maintaining blood pressure, and treating for complicating infections—with the hope that a patient’s immune system can fight off the virus. Lab researchers have had some luck using drug cocktails to block the disease in animals shortly after exposure, but they haven’t yet tested these treatments on humans.

How easily is Ebola transmitted?

Doctors Without Borders calls Ebola “highly infectious,” and medical staff treating patients must wear full protective suits to avoid contracting the disease themselves. The Ebola virus is so contagious that researchers can only work with it in specially outfitted labs that boast the highest levels of biocontainment. However, David Heymann, professor of infectious disease epidemiology at the London School of Hygiene and Tropical Medicine, tells CNN that Ebola can be controlled when the right precautions are taken: “It’s not rocket science to control these outbreaks but instead basic epidemiology: infection control, hygiene practices, contact-tracing, and safe burial practices.”

Is there a vaccine?

There’s no vaccine for Ebola. What is so vexing for researchers is that the virus keeps emerging in new forms. Scientists can’t predict what form the virus will take when it strikes next; a vaccine would have to inoculate a person against all of the variants. But Ebola is adaptive and hard to pin down. Even if a vaccine were developed, researchers worry the virus could adapt and overcome it.

Why are health workers having trouble containing the virus this time?

Marc Poncin, the emergency coordinator in Guinea for Doctors Without Borders, told the New York Times that “we’re not stopping the epidemic.” According to health officials, locals are fearful of aid workers and are threatening violence against them to keep them from entering communities and monitoring the virus, providing supportive therapy, and isolating patients. This has led to difficulties in placing victims into quarantine. In Sierra Leone, for example, the family of a woman who had tested positive for Ebola removed her from the hospital so she could be treated using traditional medicine. The woman has since died.

Health workers in Sierra Leone at a clinic for Ebola patients Youssouf Bah/AP

Where is the virus headed next?

Nigeria is the latest country to report a case of Ebola, with an infected man dying there after arriving from Liberia. (On Sunday, Liberia closed most of its borders.) Nigeria is taking preemptive steps to stop the spread of the virus, including shutting down the hospital where the man died, monitoring people who were on his plane, and putting border checkpoints on high alert.

How dangerous would Ebola be if it arrived in the United States?

Not as dangerous. Dr. Jonathan Epstein, a veterinary epidemiologist and Ebola expert with EcoHealth Alliance, recently told Mother Jones that infections likely wouldn’t be widespread in the United States, because it has better systems in place for controlling outbreaks.

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How Terrifying Is the New Ebola Outbreak?

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Congress Might Actually Pass a Bill to Address VA Problems

Mother Jones

Since I’ve been griping for a long time about Congress being unable to pass so much as a Mother’s Day resolution these days, it’s only fair to highlight the possibility of actual progress on something:

House and Senate negotiators have reached a tentative agreement to deal with the long-term needs of the struggling Department of Veterans Affairs and plan to unveil their proposal Monday.

Sen. Bernie Sanders (I-Vt.) and Rep. Jeff Miller (R-Fla.), who lead the Senate and House Veterans’ Affairs committees, continued negotiating over the weekend. Aides said they “made significant progress” on legislation to overhaul the VA and provide funding to hire more doctors, nurses and other health-care professionals. Sanders and Miller are scheduled to discuss their plan Monday afternoon.

We don’t have all the details yet, and the bill hasn’t actually passed or anything. There’s still plenty of time for tea partiers to throw their usual tantrum. And there’s also plenty of time for the House GOP leadership to respond to the tantrum by crawling back into its cave and killing the whole thing. It’ll be President Obama’s fault, of course, probably for attending a fundraiser, or maybe for sneezing at the wrong time.

But maybe not! Maybe they really will pass this thing. It would provide vets with more flexibility to see doctors outside the VA system, which is a bit of a Band-Aid—but probably a necessary one—and it provides additional funding for regions that have seen a big influx of veterans. On the flip side, I don’t get the sense that the bill will really do much to fix the culture of the VA, which becomes a political cause célèbre every few years as we discover that all the same things we yelled about the time before are still true. But I guess that’s inevitable in a political culture with the attention span of a newt.

All things considered, it would be a good sign if this bill passed. The VA, after all, isn’t an inherently partisan issue. Just the opposite, since both parties support vets about equally and both should, in theory, be more interested in helping vets than in prolonging chaos for political reasons.

In other words, if there’s anything that’s amenable to a basically technocratic solution and bipartisan support, this is it. In a way, it’s a test of whether our political system is completely broken or just mostly broken. “Mostly” would be something of a relief.

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Congress Might Actually Pass a Bill to Address VA Problems

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Skip the Styrene, Skip the Cancer

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Skip the Styrene, Skip the Cancer

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For Lower Back Pain, You Can Skip the Tylenol

Mother Jones

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Here’s the latest from the frontiers of medical research:

About two-thirds of adults have lower back pain at some point in their lives, and most are told to take acetaminophen, sold under brand names like Tylenol, Anacin and Panadol. Medical guidelines around the world recommend acetaminophen as a first-line treatment.

But there has never been much research to support the recommendation, and now a large, rigorous trial has found that acetaminophen works no better than a placebo.

The good folks at Johnson & Johnson will no doubt disagree with extreme prejudice, but I’m not surprised. I suppose different people respond differently, but I’ve basically never responded other than minimally to Tylenol. It might dull a bit of headache pain slightly, but that’s about it. However, there’s more:

Dr. Williams said that acetaminophen had been shown to be effective for headache, toothache and pain after surgery, but the mechanism of back pain is different and poorly understood. Doctors should not initially recommend acetaminophen to patients with acute low back pain, he said.

Hey! That’s right. I had some mild toothache recently thanks to a filling that involved a fair amount of work beneath the gum line. It acted up whenever I chewed food on that side of my mouth, and I found that Tylenol made it go away within 20 minutes. I was pretty amazed, since Tylenol had never really worked for anything else. But it was great for toothache.

Anyway, everyone is different, and Tylenol might work for you better than it does for me. It might even work for back pain. It doesn’t on average, but that doesn’t mean it’s ineffective for everybody. In the meantime, maybe the medical research profession could hurry up a bit on that business of understanding what lower back pain is all about, OK? It so happens that I could use some answers on that score.

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For Lower Back Pain, You Can Skip the Tylenol

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Congress Considers Legislation to Ban BPA In Storage Containers

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Congress Considers Legislation to Ban BPA In Storage Containers

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5 Things You Should Know About Your Drinking Water

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5 Things You Should Know About Your Drinking Water

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Making Use Of The Best Anti-Inflammatory Super Foods For Inflammation Problems

Studies have repeatedly shown that there is a link between what you eat consistently and the conditions you tend to end up with. As a result of this correlation, studies have found a relationship between eating certain foods and inflammatory related diseases like arthritis. This should come as no big surprise given the obesity epidemic that the country is currently going through. However, the same research has also identified that certain foods can actually act as anti-inflammatories. That is they can actually reduce the pain of something like arthritis. It should be noted that these foods should be consumed as a preventative measure or temporary relief at best.

Teas Teas have actually been widely made use of as cleansers and detoxes for a long time. An uncommon fact was that they can really reduce and/or restrict the pain signals that are connected with diseases like arthritis. Given this information it should not be that big of a surprise that physicians recommend that people with arthritis make it a point to drink more tea. Since the research has not indicated any big difference from one type of tea to another the tea choice doesn’t matter. For it to be effective it will need to be made from real tea leaves. So you can drink the tea of your choice and get the same benefit.

Wine It’s common knowledge that drinking wine in moderation is a good cardioprotective activity. A lesser known quality of grape-based or red wine is that it is composed of high concentration of anti-inflammatory properties. To get the same effects you can also consume fresh grapes since the skin contains the same features.

Cruciferous Fruits & Vegetables There is a lot of study that would recommend that specific vegetables lower the transmission of pain signals. When it comes to particular condition process like arthritis, the suggestions have likewise been made to cut animal protein from the diet entirely. Broccoli has been discovered to include glutathione, an efficient antioxidant and detoxer. This is very important due to the fact that studies have suggested that individuals with lower glutathione levels tend to have a higher affinity to arthritis than people with higher levels. The other vegetables that include this element include cabbage, potatoes, asparagus, tomatoes and cauliflower. You can also find this product in high concentration in pineapples.

Omega 3 It can be discovered in abundance in olive oil. Researches have suggested that compared to raw veggies, those that have actually been cooked in olive oil produced more anti-inflammatory properties.

Olive Oil Olive oil also contains a high concentration of fatty acids. One of the best ways to take advantage of this is to cook your vegetables in olive oil. This has been found to create more of an anti-inflammatory effect then eating raw veggies alone.

Soy A recent research study has suggested that soy beans or soy can result in reducing arthritis pain. It can also, of course, be used as a substitute for animal protein.

A great way to take advantage of the information you have just learned is to actually use it. Make it a priority to add one of the foods we listed here into your diet. You can do this as a preventative measure if you are not currently suffering from one of the inflammation based diseases. In either case it’s a smart decision to make.

For a great look at taking care of swelling check this out right here top anti inflammation food

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Obamacare is Working, and It Will Probably Continue to Work

Mother Jones

Tyler Cowen isn’t satisfied with current answers to the question of how well Obamacare is working. But although no one has firm answers to the questions he asks, I think we know more than he implies we do—especially when you widen your scope beyond just the details of the Obamacare transition over the next few years. Here are a few quick responses to his questions:

1. Five to ten years from now, how much do we think employment will have gone down as a result of ACA?

Take a look at Europe. The answer almost certainly is (a) perhaps a little, but not much, and (b) it’s going to be swamped by other factors anyway. In fact, if Obamacare eventually leads to the end of employers being responsible for health insurance, it could end up helping employment. More generally, though, if you’re worried about employment trends, then health care taxes and mandates should be the least of your concerns. They’re just a blip by comparison to everything else going on.

1b. How will the effort to introduce greater equality of health care consumption fare if wage and income inequality continue to rise? Will this attempt at consumption near-equalization require massively distorting incentives?

No. Even if we move to full universal health care, it will likely raise marginal tax rates by something in the neighborhood of 6-7 points. That’s nothing to sneeze at, but the bulk of it will replace current spending by employers and will do little to distort anything. The remainder is simply too little to introduce more than a modest amount of distortion in a $15 trillion economy.

2. Will ACA even have improved overall health in America?

Probably a little bit, but not a lot—though it depends on how you measure it. Especially in the under-65 age group, for example, it will do little to reduce mortality. However—and this is something I can’t repeat often enough—this is not the main point of universal care anyway. The main point is to improve quality of life and reduce the life-shattering financial consequences of serious medical emergencies.

3. Given that prices in the individual insurance market already seem to have gone up 14-28 percent, and may go up more once political scrutiny of insurance companies lessens, what is the overall individual welfare calculation from this policy change?

Actually, prices will probably go up less in future years. The initial increase was a one-time response to the new requirements of the law, especially the addition of lots of sicker people to the insurance pool. In the future, given the competition between insurance companies, increases are likely to roughly match the rate of health care inflation.

4. Given supply side constraints, how much did ACA increase the consumption of health services in the United States?

We don’t know yet. But obviously the answer is that, yes, any kind of universal health care entitlement will increase consumption. Once again, though, look at Europe. We have decades of experience in lots of different countries with a wide array of different forms of universal health care, and in every case health consumption is lower than in the US. There may well be birthing pains associated with Obamacare, but in the longer run there’s simply no reason to think that it inevitably has to lead to a significant increase in consumption.

5. How much of the apparent slowdown of health care cost inflation is a) permanent, b) not just due to the slow economy, and c) due to ACA? Or how about d) the result of trends which have been operating slowly for the last 10-20 years?

Obviously historical evidence is never conclusive, but the historical evidence we have points very, very strongly to a permanent slowdown. There’s a lot of variability in medical inflation, but one of the most underreported trends in health care reporting has been our steady, 30-year-long decline in medical inflation. There’s no special reason to think this is suddenly going to change.

If I were allowed only one answer to all these questions, it would be this: Just look at the rest of the world. Health care is not an area where we’re confined to econometric studies and CBO models. There are dozens of countries that have implemented national health care in dozens of different ways, and we can look at how they’ve actually done in the real world. Almost universally, the answer is that they’ve done better than us on virtually every metric. Unless you really, truly believe that the United States is a unique outlier to the laws of economics, there’s very little reason to believe that national health care in America would fare any worse.

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Obamacare is Working, and It Will Probably Continue to Work

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