Science-Based Medicine
Defenders of Dr. Vinay Prasad’s Vulgar, Vengeful Vitriol Have No Right to Sanctimoniously Scold Anyone About Decorum (Fr, 31 Jan 2025)Defenders of Dr. Vinay Prasad fake a concern about tone to intimidate critics and create a safe space for his misinformation. The post Defenders of Dr. Vinay Prasad’s Vulgar, Vengeful Vitriol Have No Right to Sanctimoniously Scold Anyone About Decorum first appeared on Science-Based Medicine.
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An Open Letter to Dr. Vinay Prasad (Thu, 30 Jan 2025)
Please recognize that you are now influencing the national public health policy and understand that being in authority is a very different job than simply questioning authority The post An Open Letter to Dr. Vinay Prasad first appeared on Science-Based Medicine.
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Can AI Reduce Doctor Burnout? (Wed, 29 Jan 2025)
I lived and worked through the transition in medicine from completely paper-based documentation to completely digital-based – using an electronic medical record (EMR). There is no question, the EMR system is much better. Access to information, communication, ordering tests, tracking results, and documenting visits are all much easier with an EMR. But modern doctors and other health care providers are not exactly […] The post Can AI Reduce Doctor Burnout? first appeared on Science-Based Medicine.
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The willful blindness of RFK Jr’s supporters (Wed, 29 Jan 2025)
Shrug, move on and never admit you were wrong The post The willful blindness of RFK Jr’s supporters first appeared on Science-Based Medicine.
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Well Well Well, We Want Them Infected Doctors Are OK With Censorship After All (Tue, 28 Jan 2025)
Doctors who mourned the loss of a single speech or YouTube video are fine with the the mass censorship of public scientists. The post Well Well Well, We Want Them Infected Doctors Are OK With Censorship After All first appeared on Science-Based Medicine.
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The attack on the NIH has begun (Mon, 27 Jan 2025)
Donald Trump has been sworn in, and his new administration has immediately turned its sights on the NIH. The danger to US biomedical research has never been more acute. The post The attack on the NIH has begun first appeared on Science-Based Medicine.
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Dr. Vinay Prasad 2025 = Dr. Kelly Brogan 2015 (Fri, 24 Jan 2025)
In 2017, Dr. Vinay Prasad said an anti-vaccine doctor was a "quack". What changed? The post Dr. Vinay Prasad 2025 = Dr. Kelly Brogan 2015 first appeared on Science-Based Medicine.
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Why Did the FDA Ban Red Dye #3 (Wed, 22 Jan 2025)
The FDA recently removed FD&C Red No. 3 from the list of approved food additives. This was not based on any new data or interpretation of the data, but rather was a response to a petition from food safety and environmental groups. Their argument was in turn based on the Delaney Clause, a 1960 law saying that the FDA must ban any […] The post Why Did the FDA Ban Red Dye #3 first appeared on Science-Based Medicine.
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Old Doctor Yells At Clouds (Tue, 21 Jan 2025)
I’m at that age, 67 going in 68, where it is reasonable to yell at the clouds. Which, come to think of it, may be a good title for another collection of my SBM essays. Aging does indeed suck, but it is, usually, better than the alternative. As we, and by we I mean my family and me, age we get the […] The post Old Doctor Yells At Clouds first appeared on Science-Based Medicine.
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Trouble in (MAHA) paradise? (Mon, 20 Jan 2025)
Even as President Donald Trump is inaugurated today and his pick for HHS Secretary, Robert F. Kennedy, Jr. prepares to face confirmation hearings, there is trouble in "make America healthy" paradise. The post Trouble in (MAHA) paradise? first appeared on Science-Based Medicine.
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Dr. Jay Bhattacharya Was Nice to Someone During a Debate. That Doesn’t Erase the Consequences of His Misinformation. (Fri, 17 Jan 2025)
This is what it looks like when doctors treat the pandemic as an intellectual parlor game. The post Dr. Jay Bhattacharya Was Nice to Someone During a Debate. That Doesn’t Erase the Consequences of His Misinformation. first appeared on Science-Based Medicine.
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COVID Is Still Here, But Changing (Wed, 15 Jan 2025)
My hospital just reinstituted mask mandates for all staff working with patients. They also advise patients to wear masks while in the hospital, but have not made it a requirement. I still have a stash of N95 masks so it was easy, and all too familiar, for me to comply, but I admit it created an unpleasant flash-back. All things considered, I […] The post COVID Is Still Here, But Changing first appeared on Science-Based Medicine.
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Is watchful waiting for ductal carcinoma in situ (DCIS) safe? Preliminary results of the COMET trial (Mon, 13 Jan 2025)
Ductal carcinoma in situ is a precursor of breast cancer that is usually treated with surgery, radiation therapy, and estrogen blockade. A new study suggests that watchful waiting might be safe for some women with DCIS. The post Is watchful waiting for ductal carcinoma in situ (DCIS) safe? Preliminary results of the COMET trial first appeared on Science-Based Medicine.
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Science-Based Satire: My Patients are Refusing the MMR Because the CDC Added the COVID Vaccine to the Routine Vaccine Schedule (Sun, 12 Jan 2025)
If only they had let more unvaccinated children suffer and die from COVID, we wouldn't be in this position today. The post Science-Based Satire: My Patients are Refusing the MMR Because the CDC Added the COVID Vaccine to the Routine Vaccine Schedule first appeared on Science-Based Medicine.
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Defenders of the Great Barrington Declaration Neither Know Nor Care What it Proposed. The Deliberate Erasure of the We Want Them Infected Movement Has Succeeded. (Fri, 10 Jan 2025)
Defenders of the GBD won't tell you what it actually said. I will. The post Defenders of the Great Barrington Declaration Neither Know Nor Care What it Proposed. The Deliberate Erasure of the We Want Them Infected Movement Has Succeeded. first appeared on Science-Based Medicine.
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Surgeon General Alcohol Warning (Wed, 08 Jan 2025)
In 1964 the US Surgeon General released its first report on the health risks of smoking and tobacco use. This turned out to be a landmark move, paving the way for the following decades of progressively more restrictive regulation of public tobacco use and marketing. In 1964 smoking was at its peak in the US, when 42% of Americans smoked. Today the […] The post Surgeon General Alcohol Warning first appeared on Science-Based Medicine.
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The Semmelweis gambit: A red flag for defending bad science and quackery (Mon, 06 Jan 2025)
A proponent of the Great Barrington Declaration is comparing rejection of its "natural herd immunity" approach to the pandemic to the rejection of Ignaz Semmelweis and his findings. It's a deceptive comparison beloved of all manner of scientific cranks. The post The Semmelweis gambit: A red flag for defending bad science and quackery first appeared on Science-Based Medicine.
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To Spread Mistrust, Dr. Martin Kulldorff Asks RFK Jr. to do an Unethical, Impossible RCT of Vaccines He Knows Are Safe & Effective (Fri, 03 Jan 2025)
Once again, sheltered laptop-class doctors are treating children's health as a parlor game to advance their political objectives. The post To Spread Mistrust, Dr. Martin Kulldorff Asks RFK Jr. to do an Unethical, Impossible RCT of Vaccines He Knows Are Safe & Effective first appeared on Science-Based Medicine.
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A Challenge For Dr. Edward Livingston: Defend the Great Barrington Declaration Without Censoring the Great Barrington Declaration (Wed, 01 Jan 2025)
In 2020, the GBD was all about herd immunity via natural immunity. Today, its defenders censor that. The post A Challenge For Dr. Edward Livingston: Defend the Great Barrington Declaration Without Censoring the Great Barrington Declaration first appeared on Science-Based Medicine.
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Gaslighting RFK Jr.’s role in the deadly Samoan measles outbreak (Mon, 30 Dec 2024)
One of many shameful incidents in the life of antivax activist Robert F. Kennedy Jr. was his promotion of anti-MMR fear mongering during a measles epidemic in Samoa. Now that he could become HHS Secretary, his apologists are frantically trying to gaslight you. Here's how. The post Gaslighting RFK Jr.’s role in the deadly Samoan measles outbreak first appeared on Science-Based Medicine.
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Dr. Marty Makary, What Are You Going To Do If RFK Jr. Demands That You Revoke Approval For Vaccines? (Fri, 27 Dec 2024)
The time to start speaking out to defend vaccines from RFK Jr. is now. The post Dr. Marty Makary, What Are You Going To Do If RFK Jr. Demands That You Revoke Approval For Vaccines? first appeared on Science-Based Medicine.
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Robert F. Kennedy, Jr. is NOT a “vaccine skeptic.” He is antivax. Period. (Mon, 23 Dec 2024)
I wish I didn't have to write this post, but the press won't stop referring to RFK Jr. as a "vaccine skeptic." He is not. He is antivax. The post Robert F. Kennedy, Jr. is NOT a “vaccine skeptic.” He is antivax. Period. first appeared on Science-Based Medicine.
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Dr. Joseph Marine: “MAHA is More Than RFK and Has Little to do With Vaccines” (Sun, 22 Dec 2024)
If pro-RFK Jr. propaganda wins the day, I am confident we will soon find out a tough truth- MAHA is all about RFK and has everything to do with vaccines. The post Dr. Joseph Marine: “MAHA is More Than RFK and Has Little to do With Vaccines” first appeared on Science-Based Medicine.
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Trusting RFK Jr. to Research Vaccines is Like Trusting a Hungry Python to Babysit a Kitten (Fri, 20 Dec 2024)
If RFK Jr. "researches" vaccines, he will certainly "discover" they cause autism. It's possible that this "research" will be used as justification to revoke authorization for vaccines. That's always been the endgame. The post Trusting RFK Jr. to Research Vaccines is Like Trusting a Hungry Python to Babysit a Kitten first appeared on Science-Based Medicine.
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Homeopathy: Magical thinking, not medicine (Thu, 19 Dec 2024)
The Science-Based Medicine blog was established way back in 2008. Since that time, contributors to this blog have been sounding the alarm about the harmful effects of pseudoscience and conspiracy theories related to health. Few people in positions of authority heeded these warnings or recognized the severity of the threat over the next decade. Sometimes we as health professionals were even mocked […] The post Homeopathy: Magical thinking, not medicine first appeared on Science-Based Medicine.
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RFK Jr On Obesity (Wed, 18 Dec 2024)
We have been giving a lot of attention to RFK Jr recently, with good reason. He is poised to be put in charge of the federal institutions that regulate health and medicine. This is beyond problematic, as he has a long list of antiscience opinions. Part of the problem is that he lacks topic expertise (he is not a health care professional […] The post RFK Jr On Obesity first appeared on Science-Based Medicine.
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Reality (Tue, 17 Dec 2024)
Reality. Doesn't care what you think. The post Reality first appeared on Science-Based Medicine.
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Anyone Who Supports Pro-RFK Jr. Doctors, Is Also Pro-RFK Jr. (Fri, 13 Dec 2024)
We don't need "spirited debate" about RFK Jr. We've been trying to warn you about him for years. It's not our fault that some people didn't listen. The post Anyone Who Supports Pro-RFK Jr. Doctors, Is Also Pro-RFK Jr. first appeared on Science-Based Medicine.
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Health Benefits of the Weekend Warrior (Wed, 11 Dec 2024)
I tend to view skeptically science reporting that leans heavily on simplistic concepts and flashy titles. However, “skeptical” does not mean “dismissive”. Mainstream reporting may focus on click-bait terms but that does not necessarily mean anything about the underlying science. I have seen lots of recent headlines about the benefits of being a “weekend warrior” and decided to look at the primary […] The post Health Benefits of the Weekend Warrior first appeared on Science-Based Medicine.
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Are NIH study sections a waste of time? (Mon, 09 Dec 2024)
Since the nomination of Dr. Jay Bhattacharya for NIH Director, I've been seeing a suggestion from certain contrarian doctors for a "randomized trial" of study sections vs. a "modified lottery" to determine which grant applications are funded by the NIH. Just what the heck is Dr. Vinay Prasad talking about? The post Are NIH study sections a waste of time? first appeared on Science-Based Medicine.
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