Double standard regarding drugs

Marijuana is constantly attacked by many politicians, even though use by adults (use by children is a different story) rarely if ever results in a visit to the hospital. This makes me conclude that the problem with marijuana is that users and producers need more expensive lobbyists. I write this based on an eye-popping article on the well-established dangers of LEGAL drugs in the September 2014 edition of Consumer Reports. Here's an excerpt:

OxyContin, Percocet, and Vicodin--prescription narcotics . . . can be as addictive as heroin and are rife with deadly side effects. Use of those and other opioids has skyrocketed in recent years. ... 46 people per day, or almost 17,000 people per year, die from overdoses of the drugs. That's up more than 400 percent from 1999. And for every death, more than 30 people are admitted to the emergency room because of opioid complications. With numbers like that, you would think that the Food and Drug Administration would do all it could to reverse the trend. But against the recommendation of its own panel of expert advisers, last December the agency approved Zohydro ER, a long-acting version of hydrocodone. Almost as dangerous is a medication renowned for its safety: acetaminophen (Tylenol and generic). Almost 80,000 people per year are treated in emergency rooms because they have taken too much of it, and the drug is now the most common cause of liver failure in this country.
If lawmakers put all drugs under the same scrutiny as far as safety, it would turn the drug world upside down.

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Coca Cola and obesity

Coca Cola has been forced to reckon with the elephant in the room. Healthy people do not guzzle Coca Cola, as discussed by this article in Bloomberg.

Americans may not have figured out the answer to the obesity epidemic, but for years they’ve pointed to Coca-Cola and other soda as one of the causes. Coke has tried fighting against this. It’s tried ignoring it. Now it accepts this as a reality. This is the problem Douglas has to confront. He has to persuade people to drink Coca-Cola again, even if they don’t guzzle it like water the way they did before. Cultural shifts don’t happen overnight. They build slowly—a sip of coconut water here, a quinoa purchase there, and suddenly the American diet looks drastically different than it did 10 years ago. Nowhere is this more pronounced than in the $75 billion soda industry. For decades, soft-drink companies saw consumption rise. During the 1970s, the average person doubled the amount of soda they drank; by the 1980s it had overtaken tap water. In 1998, Americans were downing 56 gallons of the stuff every year—that’s 1.3 oil barrels’ worth of soda for every person in the country.

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Anti-Anti-Vaxxers

Vincent Iannelli, M.D., offers this thrashing of the anti-vaccine mentality:

This guide to the 50 most common anti-vaccine myths and misinformation will help you understand that vaccines are safe, are necessary, and that getting your kids vaccinated and fully protected against each and every vaccine-preventable disease is the right decision to make.

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The promise of fecal transplants

Some patients are having astounding success with fecal transplants, and a DIY community is growing. BBC reports:

There is growing recognition that faecal transplant is the best way to treat [some] patients. In the first randomised trial of the technique published in the New England Journal of Medicine last year, 94% of patients were cured by the treatment, whereas a course of antibiotics cured just 27%. The disparity was so huge that the researchers stopped the trial early, on the grounds that it was unethical to deny the better cure to the cohort assigned antibiotics.

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La Crosse, Wisconsin: the town that is willing to talk about death

Excellent story by NPR. It's a long way from the Republican scare stories about "death panels":

People in La Crosse, Wisconsin are used to talking about death. In fact, 96 percent of people who die in this small, Midwestern city have specific directions laid out for when they pass. That number is astounding. Nationwide, it's more like 50 percent. In today's episode, we'll take you to a place where dying has become acceptable dinner conversation for teenagers and senior citizens alike. A place that also happens to have the lowest healthcare spending of any region in the country.
This piece reminds me that one of the main problems with the United States is that we cannot have meaningful conversations. This is refreshingly different. And important: One-quarter of health care spending occurs in the last year of life.

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