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Bruce A. Barron
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Dr. Barron has a MPH and PhD in Biomathematics from Yale and MD from NYU. He is currently Adjunct Professor at the University of North Carolina School of Medicine and Professor at New York University School of Medicine. Dr. Barron was on the faculty of The Rockefeller University for 12 years and at Columbia University School of Medicine for over 20 years. His research activities have been supported by the National Cancer Institute, The American Cancer Society and The Population Council. He also served as Vice Chair of the Board of Directors of the Health and Hospitals Corporation of the City of New York, Senior Medical Director for Policy at Empire Blue Cross and Blue Shield, and President of Columbia Presbyterian Health Services. Dr. Barron has authored many papers in peer reviewed journals, chapters in medical text books, and a book on Managed care published by Random House.

Entries by Bruce A. Barron

New Doctor-Patient Relationships

(2) Comments | Posted April 22, 2013 | 12:01 PM

Thirty years ago, managed care in the form of medical insurance carriers known as health maintenance organizations, HMOs, became a large part of the medical care system. This moved the American medical care system in the direction of what is known as the corporate model. [1] HMOs became unpopular because...

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Conflicts Between Public Health and Medical Care

(0) Comments | Posted April 16, 2013 | 12:52 PM

There is an apparent lack of understanding of the very weak correlation between the important indices of public health and medical care. This is hardly surprising since the former is focussed on improving the health status in populations while medical care measures are based on outcomes in individuals.

Efforts...

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Medical Care Bubble 2.0

(0) Comments | Posted January 30, 2012 | 7:23 PM

A not-for-profit hospital in North Carolina that historically served an underserved population salvaged it's precarious fiscal situation in the 1970s by going into the cardiac surgery business big time. It was a successful strategy and millions of dollars from government and private insurers were added to their bottom line....

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Comparative Effectiveness Research

(1) Comments | Posted January 26, 2012 | 3:20 PM

Physicians are not likely to admit and patients would not be happy to learn that much done in the practice of medicine is based on little more than custom. Historically, the absence of well designed, statistically sound randomized clinical trials, RCTs, has not discouraged the introduction and use of ineffective,...

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Scientific Breakthroughs

(1) Comments | Posted January 24, 2012 | 6:09 PM

The cover of a recent issue of Science magazine, the voice of the American Association for the Advancement of Science, heralds as the scientific breakthrough of the year the acceptance of HIV treatment with antiretroviral drugs, ARVDs, as an effective regimen for the prevention of the disease....

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Million Hearts Program and the New York Blood Center

(0) Comments | Posted November 17, 2011 | 10:21 AM

Cardiovascular disease is the leading cause of death in the United States. Two million Americans have a heart attack or stroke every year and more than 800,000 of them die. The economic affect of these events is estimated to exceed $450 billion annually. A recent initiative...

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Medical Practice and Government Regulation

(8) Comments | Posted November 8, 2011 | 11:51 AM

In July, the Food and Drug Administration issued a warning about serious complications associated with the use of surgical mesh in gynecological surgical procedures. Based on 1,500 reported complications between 2008 and 2010, the letter advised surgeons to consider the risks of using mesh and recommended that patients...

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Clinical Medicine, Capitalism and Creative Destruction

(0) Comments | Posted October 25, 2011 | 4:48 PM

As the second world war ended, The Great Atlantic and Pacific Tea Company was opening supermarkets all over the country. In time, local neighborhood grocery stores, bakeries and meat markets disappeared. When WalMart, Kmart and Target saw the opportunity, they began to compete for the family food dollar and eclipsed...

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What We Know and Don't Know

(3) Comments | Posted October 24, 2011 | 9:52 PM

A story that recently appeared on the front pages of many newspapers involves the increased risk of breast cancer in women exposed to diethylstilbestrol -- DES -- while in utero. This drug was widely used to prevent miscarriage in women who experienced vaginal bleeding in pregnancy. In the 1970s, 20...

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From Overweight to Obese

(3) Comments | Posted October 14, 2011 | 12:48 PM

Based on current trends, unless there are major changes in our eating habits and level of physical activities, half of the adults in the United States will be obese by the year 2030. If you are currently overweight, the probability is extremely high that in time you will...

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Medicine and Politics

(5) Comments | Posted September 27, 2011 | 10:43 AM

The heated political arguments about the vaccination of children to prevent oral and genital cancers have become so charged that any thoughtful discussion of the potential risks and benefits of the vaccine now appears to be out of the question.

When the manufacturer of the vaccine initiated lobbying efforts...

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Medicine and the Media

(2) Comments | Posted September 16, 2011 | 3:47 PM

You cannot watch the network evening news and not be impressed with the pervasive advertisements for prescription medicines. After an almost incomprehensible rapid fire detailing of cautions about potential adverse side effects, each advertisement ends urging you to ask your doctor if it is the right drug for you.

...
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Medicine and the Media: CRP Testing

(15) Comments | Posted September 16, 2011 | 2:54 PM

The accuracy of medical news stories included in almost every nightly network news broadcast is questionable. The recent suggestion that the blood test for c-reactive protein, CRP, should be requested by everyone over 40 as a screening test for blood vessel disease that could lead to a heart attack, is...

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