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dobbspic I write articles on science, medicine, nature, culture and other matters for the New York Times Magazine, The Atlantic, Slate, National Geographic, Scientific American Mind, and other publications, and am working on my fourth book, The Orchid and the Dandelion, which expands on my recent December 2009 Atlantic article. In August 2010, I'll be moving to London for a year to work on the book. I'll also serve as a senior fellow at City University London's MA science journalism program.

You're encouraged to check out my third book Reef Madness: Charles Darwin, Alexander Agassiz, and the Meaning of Coral, which traces the strangest but most forgotten controversy in Darwin's career; subscribe to Neuron Culture by email; see more of my work at my main website; or track Twitter feed, my Google Reader shared items, or my Tumblr log, which gets it all.

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    « Morning dip: Obama on fascistic healthcare, Razib on religion, & other notables | Main | Public Plan as Inoculation Against Mandate Backlash | Gooznews »

    Public health surveillance: America the backward (from Effect Measure)

    Posted on: September 30, 2009 8:11 AM, by David Dobbs

    Every other industrialized country has a national health care system that makes keeping track of these elementary facts possible. The US doesn't. We have a lot of electronic medical records, all right, but they are mostly devoted to billing and insurance. And there are a lot of different proprietary software systems that can't be easily adapted, altered or modified and can't talk to each other. One of Obama's initiatives to control costs is Electronic Medical Records (EMR), but the economic benefits he touts are almost certainly being oversold. It won't save us that much money.

    But what a decent system could do -- and the system that we might get might be very, very far from a decent one from the provider and patient perspective -- is provide the kind of surveillance information that would make assuring the safety and efficacy of vaccine programs and a myriad of other things possible.

    Revere notes just one of the many drawbacks of our lack of healthcare statistical information at a national level.

    Posted via web from David Dobbs's Somatic Marker

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