Dhruv Khullar
@DhruvKhullar
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physician & researcher @weillcornell | writer @newyorker
New York, NY
Joined June 2009
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I spoke with
@ashishkjha
about his Twitter threads, his public-health philosophy, his journey to the White House—and the future of the pandemic.
"I don’t think any of this is an acceptable normal for the long run," he said.
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In this week's
@NewYorker
, I write about India's unprecedented heat wave.
"The heat has created a rise in physical, psychological, and social symptoms," one doctor told me. "We have damaged the environment so much. Now the environment is damaging us."
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Excited to share that I’ve taken over as Director of the Physicians Foundation Center for the Study of Physician Practice and Leadership at Weill Cornell!
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In this week's
@NewYorker
, I write about the converging worlds of algorithms, chatbots, and mental health care.
Can artificial minds help heal real ones? What do we stand to gain, or lose, in letting them try?
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Letting patients tell their stories -- as doctors acquire new skills, we risk losing what we had before we started
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In new
@NewYorker
piece, I review the long history of convalescence as a central pillar of medicine—and explore what's been lost as we've moved away from giving recovery the time, space, and respect that it deserves.
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A growing number of companies are offering direct-to-consumer, full-body MRI scans as a preventive screening tool. Should you get one?
In new
@NewYorker
, I examine the arguments for and against—and what's ultimately at stake:
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In this week's
@NewYorker
, I write about the nano-medicine and the "molecular machines" that could soon help treat cancer and infections. As one scientist put it, "We’re now at a place where we can influence the physics of the cell."
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Medical misinformation is as ancient as medical care, but social media has intensified its speed, reach, and consequences.
My
@JAMA_current
piece on potential avenues to confront new variants of an old problem:
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I joined
@CNNThisMorning
to chat about my new
@NewYorker
article on the promise and perils of using A.I. in mental health care.
Can AI be used to treat mental illness?
Dr.
@DhruvKhullar
joins to discuss his latest piece in
@NewYorker
:
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Hospitals acquiring physician practices has become a dominant trend in American medicine, transforming the delivery of care.
In
@NEJM
, we examine the causes and implications, and propose 3 key questions to inform if and when regulators should intervene:
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For someone experiencing a mental-health crisis, it's hard to imagine a less therapeutic environment than an emergency department.
Now, some hospitals are testing out a radically new approach to psychiatric emergencies:
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The new GLP-1 drugs may be the most important health story of the year and the most effective weight-loss treatments in history. In new
@NewYorker
, I explore the ways in which they will and won't change society in the years to come:
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My latest
@NewYorker
on how to think through the Omicron numbers—and the questions that await us on the other side of this surge:
What level of disease are we willing to accept? What is the purpose of further restrictions? What do we owe one another?
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Training the 21st century physician: How do we equip trainees with new tools for the future?
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Air quality in New York and the upper Midwest is worsening again.
In this week’s
@NewYorker
, I write about wildfire smoke, air pollution, and the many hazards to our health.
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Can medicine preserve storytelling in a digital age? Health records are inaccurate. Patients reading them could help
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The Medicare Shared Savings Program (MSSP) is among the largest and longest running value-based payment efforts in the US.
10 years into the program, we asked dozens of ACO leaders about key priorities, strategies, and challenges.
@JAMAHealthForum
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My
@JAMA_current
editorial on
@HNeprash
et al's important new study on recent Medicare policy changes and primary care payment.
If payment reflects priorities, there's little doubt we undervalue primary care. Some ideas on how we might change that:
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I had a chance to join
@AudieCornish
and
@kaitlancollins
this morning to chat about mental health, Senator Fetterman, and Bruce Willis's dementia diagnosis.
New this morning: Sen.
@JohnFetterman
is in the hospital after checking himself in for clinical depression treatment.
We discuss with
@DhruvKhullar
:
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Will technology replace doctors? I explore how doctors & patients can balance automation vs autonomy moving forward
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In the fight against monkeypox, we've lost valuable time. But we still have a chance to shape the future of the disease in the U.S. and around the world.
@NewYorker
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New gene therapies may soon offer a cure for patients with sickle-cell disease—but realizing their full potential will require a much broader transformation in our approach to health care.
My latest
@NewYorker
:
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Thrilled to be leading the Physicians Foundation Center for the Study of Physician Practice and Leadership
@WeillCornell
@PhysiciansFound
We welcome conversations and collaborations. Learn more about our team and research focus here:
Excited to share that I’ve taken over as Director of the Physicians Foundation Center for the Study of Physician Practice and Leadership at Weill Cornell!
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Better care is more collaborative care. In
@nytimeswell
, I explore why we need more interprofessional training
http://t.co/Ox6iWYk3K4
#meded
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In
@nytimeswell
, I explore the Efficiency-Empathy Tradeoff in
#healthcare
http://t.co/fr8upEyMMR
#meded
#PatientCare
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This summer has been the hottest on record, and the years ahead will get even hotter. In new
@NewYorker
, I explore how extreme heat impacts our health—and what we can do to cope.
.
@DhruvKhullar
enters a 104-degree chamber—which scientists use to study the effect of high temperatures—to find out what heat does to the body.
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In
@nytimeswell
, I explore why we need more data on residency work hours--and why more data won't be enough
#MedEd
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I wrote about Francis Collins—his faith, his tenure at the NIH, and what comes next.
In an era when public health is politicized and science is mistrusted, Collins is committed to building bridges. Can he succeed?
@NewYorker
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A difficult discharge: In
@nytimeswell
, I explore why the most dangerous time at the hospital may be when you leave
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Large language models could play an increasingly important role in health care. In new
@JournalGIM
commentary,
@feiwang03
@wangxbzb
and I outline potential use cases but also key limitations and risks, as well as how to mitigate them.
@WCMPopHealthSci
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Death & Sandwiches: In
@nytimeswell
, I explore the tension
#doctors
face balancing analytical and empathic thinking
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Beautiful poem by
@drjenniferbest
on sitting with her patient, the night before she died
#MedX
#meded
http://t.co/BH1nJXrp8P
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Beautiful and heartbreaking reflection by Paul Kalanithi: My Last Day as a Surgeon
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Our new
@JAMA_current
paper on Medicare's MIPS program👇
We find that MIPS is no better than chance at identifying good performance on various outcomes, and that PCPs who care for vulnerable patients may be at risk for penalties even when providing high-quality care.
MIPS, Medicare’s largest value-based payment system, influences $ for ~1 million clinicians
Today in
@JAMA_current
,
@DhruvKhullar
,
@wschpero
, Casalino, Zhang & I show that MIPS is ~ as effective as chance at identifying high- vs low-performing PCPs
🧵⬇️
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In new
@nytimeswell
piece, I explore how
#doctors
& patients talk about medical errors:
http://t.co/QnIM5JTq02
#patientsafety
#meded
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I joined
@CNNThisMorning
to discuss a new FDA-approved nasal spray for people with migraines.
The spray acts fast, targets a molecule associated with inflammation, and should be available in July.
Pfizer says the FDA has approved a new nasal spray as a rapid treatment for migraines in adults.
@DhruvKhullar
has the details:
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New
@NewYorker
:
How a COVID success story suddenly turned tragic. What went wrong in Hong Kong?
Many thanks to
@sid8998
for sharing his account:
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Must read new book from
@AnupamBJena
and
@ChrisWorsham
!
A fascinating look at the forces—large, small, and invisible—that shape health and medicine.
Big day for
@ChrisWorsham
& me
Random Acts of Medicine from
@doubledaybooks
is out!
Great launch
@HarvardBooks
w/ amazing
@ProfEmilyOster
If you’re interested in how chance affects your health & what we can learn from it, the book is for you
Please RT to give the book life!
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The Center produces research and commentary to clarify key issues in medicine, health care, and public policy.
We’re currently focused on 5 areas: value-based payment, clinician well-being, health care consolidation, telehealth, and social drivers of health.
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The Common Health Coalition—a powerful new initiative supporting much needed links between health care and public health.
Chaired by
@davechokshi
— one of the most intelligent, compassionate, thoughtful leaders I know.
For too long, health care &
#publichealth
have worked in parallel instead of hand in hand. That must change!
Today we're announcing a new coalition of leading health care organizations stepping up for public health — with *our health* as the common goal.
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One of the most prevalent false beliefs about the pandemic is that the government exaggerated the number of COVID deaths. In fact, the official count—nearly 1 million—is likely an underestimate.
There still much we can do to mitigate the ongoing damage:
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#designthinking
helps entrepreneurs develop new products, but can it also help create
#healthy
habits?
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I joined
@CNNThisMorning
for a discussion with
@kaitlancollins
@PoppyHarlowCNN
&
@SupermodelEmme
on both the promise and perils of new weight loss drugs like Ozempic and Mounjaro:
"People have been for decades of it thinking of a moral failing, a behavioral problem, a lifestyle problem. That is not the way to think about obesity."
@DhruvKhullar
and True Beauty Foundation founder Emme join to discuss weight-loss drug craze:
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My new
@JAMAHealthForum
piece on physician professionalism, health care quality, and what we can do to address the fundamental drivers of burnout:
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In this week's
@NewYorker
, I write about the end of the COVID public health emergency and what's lost as we try to move on:
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We could save $3 billion a year if drug companies sold cancer meds in smaller vials
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"The aftermath of pandemics requires as much focus and response as the start. And the United States’ leadership is crucial."
@Atul_Gawande
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In this week’s
@NewYorker
, I write about getting older, how our minds change with time, and what Biden can do to assuage concerns about his age:
Concerns about the President’s age are not solely ageism,
@DhruvKhullar
writes. In Biden’s case, the public is responding to the particularities of his presentation and performance.
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Enjoyed this conversation on the health, economic, and cultural effects of GLP-1s with
@adamconover
. Give it a listen if interested!
New Factually just dropped: Could Ozempic Change Medicine Forever with Dr. Dhruv Khullar
Check it out!
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The Mindful Child:
#meditation
may have its greatest impact on the developing brain in its earlier stages
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Grateful to be working with a fantastic team
@WeillCornell
and for the generous support of the
@PhysiciansFound
.
To learn more (or even better, collaborate with us!), check out:
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A thrill to join
@hmkyale
&
@thehowie
for this wide-ranging conversation on medicine, writing, and mentorship.
#HealthAndVeritas
welcomes
@yalemed
alum
@DhruvKhullar
to talk about newest
@NewYorker
piece on convalescing, his career, & why
@YaleMed
seems to mint talented writers!
@hmkyale
talks $HIMS.
I talk election results & healthcare.
@YaleSOM
@YaleSPH
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Excited to discuss medical writing, persuasion, and op-eds with
@LisaSandersmd
&
@JoshuaLiaoMD
at the
@ACPinternists
conference!
#IM2016
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Can payment reform reduce health care disparities?
Join us today at 4 pm
@WCMPopHealthSci
for a conversation with leading experts on the promise and challenges of incentivizing health equity.
@gelb_dana
@JMichaelMcW
@LaurieZephyrin
#WCMPopHealthSci
's roundtable event begins at 4PM today! We hope you'll join us as Dr.
@DhruvKhullar
moderates a conversation with leading experts on “Paying for Equity: Can we Address Healthcare Disparities Through Payment Reform?”
Register here:
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I’m excited to announce that I’ll be in conversation with
@Atul_Gawande
at this year’s
@NewYorkerFest
!
We'll be talking about living longer and better, as individuals and as a society. Get your tickets here:
Our first set of events is officially on the books! Subscribers enjoy exclusive access to a presale now. General on-sale begins tomorrow at 10 AM E.T.
Subscribers, your discount will be applied at checkout here:
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New
@JAMANetworkOpen
: How do patients feel about the growing use of AI in health care?
We conducted a national study with 3 key findings:
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"In came the consultants and out came the yardsticks" --
@Bob_Wachter
on how measurement fails
#doctors
&
#teachers
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On building better pit crews: Doctors and Nurses, Not Learning Together
http://t.co/Ox6iWYk3K4
@Atul_Gawande
#teambasedcare
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Conceptualizing violence as disease: ignoring homicide kills progress on health disparities
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New
@NewYorker
on John Fetterman and what voters should know about candidates’ health.
It’s not that health should be off-limits, but health status is almost never the thing that differentiates a competent politician from an incompetent one.
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Looking forward to talking patients' right to EMR, data accuracy & privacy with
@FrancieGrace
& others at
#hdpalooza
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.
@larry_levitt
: plan is less sweeping than originally envisioned, but the fact that it passed "despite the opposition of the drug industry...makes it, in a sense, even more of a statement about what’s politically possible in reforming the health system."
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Need new playbook to address non-communicable disease burden in developing world
#globalhealth
HT
@sandeep_kishore
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Enjoyed this conversation with Stephen Morrissey
@NEJM
on how vertical integration is changing US health care—what we know and, importantly, what we need to know:
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#FDA
lifts ban on gay blood donors after more than 3 decades, potentially increases annual blood supply by 4%
http://t.co/nfJxFuM63L
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Should
#Doctors
be smart or empathetic? Both. Refining
#medschool
app process to improve doctor-patient interaction
http://t.co/dhh7bB0IVm
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New
@Health_Affairs
led by
@adamvohra
: during the pandemic, many hospital ICUs were overwhelmed while nearby hospitals had excess capacity.
Hospitals caring for more Black patients and more Medicaid patients were hit especially hard.
⬇️ summary from
@wschpero
@RainuKaushal
"One Hospital Was Besieged by the Virus. Nearby Was ‘Plenty of Space.’" —
@nytimes
, May 2020
📢 In a new paper out
@Health_Affairs
, we tried to examine how common that was — and who it impacted.
w/
@adamvohra
,
@DhruvKhullar
, +
@RainuKaushal
⬇️ 1/N
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Beautiful reflection
@kathrynschulz
on the fundamental 'And-ness' of life—experiencing many contradictory things at once.
"The world we inhabit is full of splendor and misery...we ourselves are hopelessly motley, full of mixed motives and mixed feelings."
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Nearly everyone will experience misdiagnosis but diagnostic error harder to fix than treatment error
http://t.co/PYV1VhPEv1
#patientsafety
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Self-reflection is especially problematic when we're down; trick is to be kind to others without thinking too much
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How Obamacare has spurred an explosion of startups trying to reinvent healthcare delivery
#healthtech
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Great
@FastCompany
article on how
@DellMedSchool
is reinventing
#medschool
& training 21st century doctors
@EvieN
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Enjoyed chatting with
@RaviMGupta
about Ozempic, full-body MRIs, and other big changes in US health care. Check out our conversation
@thebranchmedia
pod here:
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Nice to chat with
@LinkedIn
and be in the company of these fine folks!
#LinkedInNextWave
#healthcare
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Empathetic Care for the Dying:
@LisaRosenbaum17
asks what empathy looks like when its been stripped of hope
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Hospitals test putting psychiatrists on medical wards to proactively address
#mentalhealth
issues
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In this week's
@NEJM
,
@amitabhchandra2
, Gail Wilensky, and I explore
#economics
of graduate medical education
http://t.co/y2xAyx73si
#meded
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Excited for launch of
@TrueHealthINIT
--promoting evidence-based
#lifestylemedicine
for chronic disease
@DrDavidKatz
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Thinking well in middle age depends on
#fitness
as young adult, but
#exercise
better late than never for
#memory
http://t.co/jPWcXksUAN
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In this week's
@NewYorker
, I write about bird flu—what we know, what we don't, and how to think about the evolving risks.
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Most new psychotropic drugs target same receptors as in 1950s--we need psychotherapy as well as meds
http://t.co/utUAZ6Zwr0
#mentalhealth
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Are
#midwives
safer than
#doctors
? Study suggests for healthy women with uncomplicated
#pregnancy
, they might be.
http://t.co/nUuUzx4TM3
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Bringing "moneyball" to medicine: how DALYs are changing policy decision making in
#publichealth
&
#globalhealth
http://t.co/vG0bzM25ky
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Economic incentives behind
#hospital
length of stay: prospective payment, readmission penalties, Obs status & more
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.
@WHO
adds new
#Hepatitis
C drugs to list of essential medicines
http://t.co/NZwnMgwbSu
#globalhealth
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A great opportunity for medical students to explore a critical issue in health care.
📢 MEDICAL STUDENTS: We are now accepting submissions for our 2022 Building Trust Essay Contest with
@AMSANational
– open to medical students at accredited schools in the U.S. Submissions must be original, unpublished works.
▶️ Learn more:
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#FirstTrialSurgery
: who has burden of proof? Does non-inferiority mean restrictions okay or justify longer shifts?
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Fascinating comparison of UK/US
#childbirth
by
@neel_shah
: important to match treatment intensity to care needs
http://t.co/ZDUGbAXH4v
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Americans make 1 billion clinic visits each year. Should they? Thought-provoking by
@IshaniG
@jasonwasfy
& Tim Ferris
http://t.co/7mxjkIQpDc
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