Richard Shriner, M.D., discusses Eating Disorders and Obesity – Video

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Richard Shriner, M.D., discusses Eating Disorders and Obesity
Richard Shriner, M.D., a member of RiverMend Health #39;s Scientific Advisory Board and Professor and Chair, Department of Psychiatry, Cooper Medical School, Rowan University discusses a variety...

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Richard Shriner, M.D., discusses Eating Disorders and Obesity - Video

Changing the Face of Medical Education in the U.S.

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TIME Ideas health Changing the Face of Medical Education in the U.S. Getty Images

Zocalo Public Square is a not-for-profit Ideas Exchange that blends live events and humanities journalism.

The United States spends more money on health care than any other country in the world. So how does Costa Rica outperform the United States in every measure of health of its population?

Costa Rica is healthier because its government spends more money than ours does on prevention and wellness.

In our country, we have left vast segments of the population without affordable care and we do not focus on wellness or chronic disease management. We dont consistently control the glucose levels in diabetics and, consequently, too many go blind or lose a limb. Too often, hypertension goes untreated until the patient has a stroke or kidney disease. Then, all too often, these individuals go on medical disability with far more societal expense than the cost of the original health management.

Sadly, it has become the American way to leave many chronic diseases untreated until they become emergency situations at exorbitant cost to the U.S. healthcare system. For many patients, this care is too late to prevent life-changing disabilities and an early death.

When people ask me why we started the UC Riverside School of Medicine last year the first new public medical school on the West Coast in more than four decades I talk about the need for well-trained doctors here in inland Southern California. But we also wanted to demonstrate that a health care system that rewards keeping people healthy is better than one which rewards not treating people until they become terribly ill.

As we build this school, we have a focus on wellness, prevention, chronic disease management, and finding ways to deliver health care in the most cost-effective setting, which is what American health care needs.

We also teach a team approach to medicineanother necessary direction for our health care system. If you have a relatively minor problem, your doctor might refer you to a nurse practitioner or physicians assistant for follow-up. This kind of team care makes financial and clinical sense, particularly since we have such a national shortage of primary care doctors. The good news: Even among physicians, the team approach, or medical home model, is gaining ground, with the Affordable Care Act accelerating change.

For all the talk about the lack of health insurance in this country, we dont often discuss the other side of the problem the fact that many Americans get more care than they need. You may have heard advertisements that you should have your wife or mother get a total body scan for Mothers Day, because it will find cancer or heart disease. There is no evidence that this screening is a good idea. But in the U.S., we often encourage people to do things that have no proven benefit, and our churches or community centers sponsor these activities.

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Changing the Face of Medical Education in the U.S.

Senate Approves Med School Prof. Murthy as Surgeon General

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Harvard Medical School instructor and Brigham and Women's Hospital physician Vivek H. Murthy 98 was confirmed by the Senate as U.S. Surgeon General on Monday, following a year-long delay due to heavy opposition from lawmakers who questioned his experience and his stance on gun control.

Though President Barack Obama nominated Murthy for the position in Nov. 2013, conservative members of Congress objected to his history of activism, including comments on Twitter in support of gun control and the co-founding of Doctors for America, an organization of American physicians and medical students supportive of Obama and his policies. After Democrats chose to delay the Senate confirmation vote past midterm elections in November, Murthy was confirmed in a 51-43 vote divided predominantly along party lines.

During his contentious confirmation, Murthy said that he plans to focus on relatively uncontroversial public health issues, including obesity, vaccinations, and mental health.

I applaud the Senate for confirming Vivek Murthy to be our countrys next Surgeon General, President Obama wrote in an official statement released Monday. As Americas Doctor, Vivek will hit the ground running to make sure every American has the information they need to keep themselves and their families safe.

Joseph Loscalzo, a Medical School professor and chair of the Brigham and Womens Hospital Department of Medicine, applauded Murthys selection as Surgeon General.

We are truly delighted that Vivek Murthy's nomination for Surgeon General has been confirmed by the Senate, Loscalzo wrote in a statement. He is a remarkably talented physician with a deep and abiding commitment to the health of the nation.

Faculty at the Medical School also voiced support for Murthy.

HMS physicians have a long history of health care leadership, Medical School Dean Jeffrey S. Flier said. Vivek Murthys confirmation reflects well on that history, and we look forward to his efforts to enhance the health of our population through his position as Surgeon General.

Murthy, 37, previously worked in health care policy as a member of the national Advisory Group on Prevention, Health Promotion, and Integrative and Public Health. Murthy, who currently teaches classes at the Medical School and works as an attending physician at Brigham and Womens Hospital, spoke at HMS Class Day in May 2014.

Staff writer Melanie Y. Fu can be reached at mfu@college.harvard.edu.

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Senate Approves Med School Prof. Murthy as Surgeon General

Metal Gear Solid 2: Sons Of Liberty | Let’s play | Episodio 12 | Emma Emmerich | Crim06 – Video

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Metal Gear Solid 2: Sons Of Liberty | Let #39;s play | Episodio 12 | Emma Emmerich | Crim06
Vuelvo a pedir disculpas por eso casi 20 minutos perdidos. Es algo que me ha sabido muy mal, pero bueno es lo que hay... En fin por fin hemos encontrado a Emma la hermana de nuestro amigo...

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Metal Gear Solid 2: Sons Of Liberty | Let's play | Episodio 12 | Emma Emmerich | Crim06 - Video

2012 Jeep Liberty Henderson,Evansville,Mt Vernon,Owensboro,Newburgh P14170 – Video

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2012 Jeep Liberty Henderson,Evansville,Mt Vernon,Owensboro,Newburgh P14170
2012 Jeep Liberty http://audubonchrysler.com For more information on this vehicle and our full inventory, call us at (888) 256-1850 Audubon Chrysler 2945 US Highway 41North Henderson KY...

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2012 Jeep Liberty Henderson,Evansville,Mt Vernon,Owensboro,Newburgh P14170 - Video

L. Minneola tops Liberty Christian, Tacko Fall

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MINNEOLA They came to see the world's tallest high-school basketball player, 7-foot-6 Tacko Fall of Tavares Liberty Christian Prep.

But in the end, it was the shortest player on Lake Minneola's basketball team who had the biggest night.

Marcus Dodson, a 5-foot-11 junior guard, banged in 3-point shots from the corners and then hit four consecutive free throws in the final 30 seconds to help the Hawks hang on to a 71-66 victory Thursday night.

"When I went to the free-throw line, I was thinking, 'If I hit these, we can put it away,'" said Dodson, who hit six 3-pointers and finished with 26 points.

Lake Minneola (11-1), the No. 1 team in the state in Class 6A, was a state runner-up last season and showed its talent and depth by winning the Winter Park Rotary Tip-Off Classic this month. During that tournament, Lake Minneola defeated reigning state champions Orlando Christian Prep (2A) and Winter Park (8A).

The Hawks' only loss this season was to national No. 1 Montverde Academy.

"We have been tested a lot," Lake Minneola coach Freddie Cole said. "We are not the kind of team that panics, even when they got up late in the game. We are all about staying poised."

Fall, who has signed with UCF, scored 27 points with grabbed 13 rebounds.

He tied the score with 1 minute, 54 seconds remaining in the third quarter when he scored on a dunk off a pass from Freddy Zotchi. He gave the Lions (8-5) a 66-65 lead with another dunk with 3:04 left in the fourth quarter.

That advantage was short-lived when Avery Brown, who had 19 points, scored on a driving floater over Fall's outstretched arms to give Lake Minneola a 67-66 lead with 2:37 remaining.

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L. Minneola tops Liberty Christian, Tacko Fall

2 states challenge Colorado marijuana legalization

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Originally published December 18, 2014 at 2:03 PM | Page modified December 19, 2014 at 12:27 AM

Colorado's top law enforcement official promises to vigorously defend the state's historic law legalizing marijuana after Nebraska and Oklahoma asked the U.S. Supreme Court to declare it unconstitutional, saying the drug is freely flowing into neighboring states.

The two states filed a lawsuit seeking a court order to prevent Colorado from enforcing the measure known as Amendment 64, which was approved by voters in 2012 and allows recreational marijuana for adults over 21. The complaint says the measure runs afoul of federal law and therefore violates the Constitution's supremacy clause, which says federal laws trump state laws.

Colorado Attorney General John Suthers said the lawsuit was without merit.

"Because neighboring states have expressed concern about Colorado-grown marijuana coming into their states, we are not entirely surprised by this action," he said. "However, it appears the plaintiffs' primary grievance stems from non-enforcement of federal laws regarding marijuana, as opposed to choices made by the voters of Colorado."

The lawsuit says Colorado marijuana flows into neighboring states undermining their efforts to enforce their anti-marijuana laws.

"This contraband has been heavily trafficked into our state," Nebraska Attorney General Jon Bruning said at a news conference in Lincoln. "While Colorado reaps millions from the sale of pot, Nebraska taxpayers have to bear the cost."

Colorado has raised more than $60 million in taxes, licenses and fees from medical and recreational marijuana, which has been sold in stores since January.

The lawsuit says the sales have strained Nebraska and Oklahoma's finances and legal systems. Police are spending more time and money making arrests, housing inmates, impounding vehicles, seizing drugs and handling other problems related to Colorado pot.

Bruning, a Republican, blamed U.S. Attorney General Eric Holder for failing to enforce the federal law's ban on drugs in Colorado.

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2 states challenge Colorado marijuana legalization

Post Sydney siege idea over gun laws is absurd

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If the government cannot protect individual Australians from evil acts of the sort that occurred at Sydney's Martin Place on Monday, then it ought not to stand in the way of a rational discussion about the practical right to self-defence, Senate crossbencher David Leyonhjelm said on Thursday. The liberalisation of Australia's gun laws, for that is what Senator Leyonhjelm desires, is of a piece with his neo-classical libertarianism, but the timing of his proposition is awful, and its logic absurd.

In the still confused aftermath of the siege, many questions have been raised about how Man Haron Monis came to be in possession of a shotgun. Prime Minister Tony Abbott presumably better briefed than most about Monis' personal details and history said on Wednesday that Monis had a NSW firearms licence (despite being charged with a number of serious criminal and sexual offence charges) and that gun control laws might need to be changed as a result. NSW Police swiftly rebutted the suggestion that Monis was a licensed firearm owner. Ergo, he must have acquired the gun illegally.

For someone as determined as Monis, that would not have been difficult. The number of firearms stolen and never recovered in Australia is thought to number in the tens, possibly hundreds of thousands. Moreover, significant numbers of guns are smuggled into the country illegally each year, ensuring a plentiful black-market supply for professional criminals and the criminally minded.

Police forces and gun control organisations have on occasion highlighted the growing incidence of gun-related crime (particularly in cities such as Sydney) and the need for greater controls. But resistance to such efforts is well organised and effective, not least because of the lobbying of the Sporting Shooters Association of Australia and the Shooters and Fishers Party.

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It would not be doing Senator Leyonhjelm a disservice to suggest that he aspires to nothing less than the complete rollback of the national firearms agreement enacted after the Port Arthur massacre in 1996. He has repeatedly claimed that those reforms of which a one-off compulsory buyback of automatic and semi-automatic weapons was the most prominent aspect have not noticeably improved public safety in Australia, and that he has statistics to prove it. But lobbying for a reversion to previous state-based firearms laws is one thing pushing for a discussion of US-style laws permitting the carrying of concealed weapons in public places, quite another. Not surprisingly, many people have questioned the basis for SenatorLeyonhjelm's thinking.

Not all US states allow their citizens to carry concealed weapons, and those that do (such as Florida) do not boast noticeably safer streets or neighbourhoods than those that don't. George Zimmerman, a native of Sanford in Florida, packed a gun for "protection" of life and property, which he used to fatally shoot an unarmed teenager he "suspected" of being an immediate threat to his personal safety. Under Florida's "stand your ground" law, moreover, Zimmerman was found to have acted lawfully.

As for Senator Leyonhjelm's contention, in effect, that the Martin Place siege would not have occurred had armed citizens been present, the supporting evidence is not strong. No right-thinking person, even one trained to shoot at individuals rather than targets, would lightly challenge a dangerous and armed individual like Monis. Nor, given the likelihood of accidental shooting, would police encourage such behaviour.

That the easy availability of guns tends to increase levels of homicide, suicide and unintentional injuries and deaths, has been pretty well established, but even the likes of Senator Leyonhjelm continue to dispute it with questionable statistics. The evidence that easy access to military-style automatic weapons results in mass shootings is near irrefutable, however. Australia has had no such atrocity since 1996, though Senator Leyonhjelm continues to lament the loss of his right to own weapons designed, not for hunting or target-shooting, but for killing people.

Senator Leyonhjelm's fascination with US-style small government and rugged individualism is understandable. Nowhere is the libertarian creed espoused by the likes of John Locke and Thomas Paine taken more seriously or given greater prominence. But in its attitude to guns, the US is hardly a paragon worth emulating here.

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Post Sydney siege idea over gun laws is absurd