Rebuilding Joints

I suspect that this, not crude surgery, is the wave of the future:

The scaffold has two layers, one that mimics bone and one that mimics cartilage. When implanted into a joint, the scaffold can stimulate mesenchymal stem cells in the bone marrow to produce new bone and cartilage. The technology is currently limited to small defects, using scaffolds roughly 8 mm in diameter.

Bring it on. It’s only going to get better.

You’ll Be As Shocked As I Was

…to learn that the president has no class:

Wanda Sykes isn’t of any interest to me. The fact that the American president was five feet away from her and had to laugh about her joke was of interest. A comedian wishes a citizen dead and the president laughs?

I can’t imagine such a “joke” being told about (say) Michael Moore during a Bush WHCD. I thought that the idea of the WHCD was supposed to be a “roast,” with those being lampooned in attendance, not a vicious attack on the president’s absent political enemies. And had such a thing had occurred, I can’t imagine the former president laughing at it. But with this president, we don’t have to imagine it. In many ways, it’s a return to the juvenile antics of the White House during the Clinton years. But it apparently gave Chris Matthews an extended leg tingle (shameful that, too, because Rush used to let him guest host for him back in the nineties), so I guess that’s all right.

Obamacare

And your doctor:

Doctors will consolidate into larger practices to spread overhead costs, and they’ll cram more patients into tight schedules to make up in volume what’s lost in margin. Visits will be shortened and new appointments harder to secure. It already takes on average 18 days to get an initial appointment with an internist, according to the American Medical Association, and as many as 30 days for specialists like obstetricians and neurologists.

Right or wrong, more doctors will close their practices to new patients, especially patients carrying lower paying insurance such as Medicaid. Some doctors will opt out of the system entirely, going “cash only.” If too many doctors take this route the government could step in — as in Canada, for example — to effectively outlaw private-only medical practice.

These changes are superimposed on a payment system where compensation often bears no connection to clinical outcomes. Medicare provides all the wrong incentives. Its charge-based system pays doctors more for delivering more care, meaning incomes rise as medical problems persist and decline when illness resolves.

So let’s expand Medicare to everybody. Great.

Obviously, The Answer Is “No”

Madam Speaker, have you no decency?

It’s kind of hard to run a witch hunt when you’re the lead witch.

[Tuesday morning update]

Some questions for the Speaker:

You said that you concurred with the letter written by Rep. Jane Harman (D-Calif.) that raised concerns about waterboarding. Is there any documentation to back that up? Did you sign the Harman letter? Were you aware of it in real time, or only later, when it was declassified? Did you send your own letter? Did you ever express your concerns with President Bush during any of your meetings with him between 2002 and 2008?

As I say in comments, I’m all for a truth commission, as long as it’s a whole-truth-and-nothing-but-the-truth commission. Bring it on.

[Bumped]

Biting Commentary about Infinity…and Beyond!