Pediatricians admit struggles with disclosing errors

Doctors would not always admit errorsWhen a child’s health is at stake, parents may expect complete candor from doctors and pediatricians – but in reality, is this always the case?

A new study published in the Archives of Pediatrics & Adolescent Medicine reveals that children’s doctors differ in their approach to disclosing a medical error.

Researchers led by Dr. David J. Loren of the University of Washington School of Medicine polled more than 200 pediatricians about their responses to scenarios in which a child was hospitalized due to an error on their part.

In one of the examples, parents were more likely to be aware of the mistake, while in the other it was more easily concealed.

The survey results revealed a tendency to be more likely to acknowledge an error when it would already be obvious to the family involved.

"This study demonstrated marked variation in when and how pediatricians might disclose medical errors and found that they may be less likely to disclose an error that was less apparent to the family," the researchers wrote.

According to the Agency for Healthcare Research and Quality, medication errors result in around 770,000 injuries and deaths each year in the U.S.

Some experts backing cash investments

Some say cash is safer at the momentIt seems that each day brings new headlines about financial turmoil and a tumultuous stock market, with the result that the average investor may be uncertain about how to protect their wealth.

According to a report in the Wall Street Journal, some financial advisors are attempting to keep their clients’ money safe by increasing their cash holdings and exposure to cash and cash-equivalent investments.

Pran Tiku, a wealth manager for Peak Financial Management, told the news provider that he has been selling off lower-quality bonds with a higher yield in order to raise cash.

"If the credit crunch is as ominous as it seems and does not have a resolution, then cash becomes a very important investment to hold," he said.

In a more even-keeled market, Tiku said that he holds at least five percent of someone’s portfolio in cash and cash-equivalent short-term investments.

However, the current climate has prompted him to raise this proportion to 30 percent, while decreasing the amount held in bonds from 30 to seven percent.

Last week, Fortune magazine writer Eugenia Levinson suggested that people consider purchasing tax-exempt money market funds, which currently offer an unusually high average yield.

Pfizer accused of suppressing study results

Pfizer is accused of manipulating resultsA lawsuit has been filed against pharmaceutical firm Pfizer, alleging that the company attempted to suppress negative research about its epilepsy drug, Neurontin.

Documents submitted by the plaintiffs allege that the drug company delayed publication of certain studies regarding the medication’s success for conditions other than epilepsy.

They also claim that Pfizer used spin techniques to make results seem more positive and combined both favorable and negative findings together, which distorted research.

The pharmaceutical giant has denied it is at fault, releasing a statement saying it is "committed to the communication of medically or scientifically significant results of all studies, regardless of outcome."

According to the New York Times, some of the studies in question raised doubts about how effectively Neurontin was at treating bipolar disorder, some types of pain and migraines.

In 2004, the drug company paid hundreds of millions of dollars to settle a lawsuit claiming Neurontin was promoted to treat unapproved conditions by Warner-Lambert, a firm which was purchased by Pfizer in 2000.

Pfizer stopped marketing Neurontin in 2004, when it lost its patent protection. The company’s 2007 revenue was $48.4 billion.

Forbes says pro-tax policies would result in “stagnation”

Is a tax cut needed to stimulate the economy?Steve Forbes, publisher and editor-in-chief of Forbes magazine, has spoken out against policies that raise taxes in times of financial crisis, claiming that they stifle the economy.

"It was the Roosevelt-Hoover policies that were a disaster in the 30s [and] inflationary, pro-tax policies in the 70s, that turned that decade into a decade of stagnation – and Reagan reversed it," he told CNBC, according to Newsmax.

Forbes has been constantly vocal about the need for tax reform, particularly during his two bids for the presidency in 1996 and 2000.

He has suggested that the U.S. government dispose of the current tax code completely and replace it with a flat tax of 17 percent. He also opposes taxes on social security, pensions, personal savings and capital gains.

In the CNBC interview, Forbes also called for an end to market-to-market accounting rules, which he blamed for the downfall of firms such as AIG and Lehman Brothers.

"This thing is now 14 months old, when it should have been 14 weeks," he added, referring to the credit crisis.

Report: Counterterrorism schemes should ensure privacy protection

Counterterrorist schemes need oversightU.S. government agencies should be obligated to assess the impact of counterterrorism initiatives on people’s privacy before they begin, a new report claims.

The National Research Council looked at the methodology, effectiveness and privacy implications of a variety of surveillance techniques used by the government.

In the report, the council noted that data on members of the public is regularly recorded in a number of ways – for example, through telephone calls, credit card usage and taxes – and that the government has access to a great deal of this information.

Former U.S. secretary of defense William Perry, co-chair of the committee that wrote the report, said that although technology should be used to prevent potential terrorist attacks, there should be a structure in place to protect privacy.

"The threat [of terrorism] does not justify government activities that violate the law, or fundamental changes in the level of privacy protection to which Americans are entitled," he commented.

In addition to preliminary evaluation of privacy concerns, a framework for regular oversight should be established, the report said.

The National Research Council has a mission to inform and improve the policies and actions of the U.S. government, according to its website.

New FBI guidelines prompt civil liberty concerns

Under Bush, the FBI has introduced new guidelinesSome people are not convinced that new guidelines introduced by the FBI in the final weeks of the Bush administration will adequately protect American’s civil liberties.

The standards set out what agents can and cannot do when starting an investigation, including rules about conducting surveillance, utilizing informants and including race or ethnicity as a factor for suspicion.

"These guidelines support the FBI’s mission, emphasizing early detection, prevention and interagency cooperation," an FBI press release stated. The new rules consolidate and replace five previous sets of guidelines for issues such as criminal investigations and foreign intelligence.

According to the American Civil Liberties Union, the new guidelines are overly broad and leave too much room for abuse by authorities.

"The FBI has shown time and time again that it is incapable of policing itself and there is good reason to believe that these guidelines will lead to more abuse," ACLU executive director Anthony D. Romero said in a statement.

And some lawmakers raised concerns about the FBI’s ability to access the private information of average citizens as part of an investigation.

New study claims FDR’s policies prevented recovery

Could we be headed for a new depression?President Franklin D. Roosevelt’s "misguided policies" led to the Great Depression lasting far longer than it should have, according to two UCLA economists.

Harold L. Cole and Lee E. Ohanian analyzed the economic recovery of the U.S. following the depression and concluded that New Deal measures interfered with the market’s ability to self-correct, Newsmax reports.

Roosevelt was wrong to blame "excessive competition" for economic problems, Cole explained. He said that this mistake led to the president allowing workers to demand inflated wages and businesses to collude to inflate prices.

"The economy was poised for a beautiful recovery, but that recovery was stalled by these misguided policies," Cole told the news provider.

He suggested that a central assumption many economists have held since the end of the Great Depression – that government intervention is necessary to heal wounds created by capitalism run amok – is thrown into question by this research.

A recent CNN Money poll revealed that 60 percent of Americans believe the current credit crunch will lead to an economic depression.

Credit crunch hits Americans’ retirement plans

Many people have put retirement plans on holdThe credit crunch has sent Americans of all ages scrambling to reassess their personal economic situation – including baby boomers who may have assumed they were on the cusp of enjoying their golden years in relative wealth.

Around one-third of middle-aged workers have considered putting off their retirement due to financial concerns, according to research from AARP.

The survey findings, reported in the Wall Street Journal, also reveal that 20 percent have stopped contributing to their retirement plans during the past year.

More than a quarter of respondents said they were struggling to pay rent or their mortgage, while 13 percent admitted they had prematurely withdrawn funds from their retirement savings, despite the fact that this decision carries a tax penalty.

Commenting on the findings, Jean Setzfand of the AARP said that many people have been sacrificing longer-term financial goals to cover more pressing "basic expenses like food, gas and utilities."

"People are trying to get through the day, and worry about the future later," she explained, according to the news provider.

There are around 78 million baby boomers in the U.S., according to census statistics.

Hospital disinfectants could create resistant bacteria

Biocides should not be used at low dosesWe expect hospitals to use disinfectants and other cleaning products to kill germs and protect us, but new researchers suggest this practice – if administered incorrectly – could have dangerous consequences.

Published in the journal Microbiology, the study looked at biocides, chemicals that are used by hospitals to sterilize equipment and clean surfaces.

It found that if used at optimum levels, biocides can effectively destroy bacteria. However, if the dosages used for cleaning are too low, the microbes can survive and grow even stronger.

According to the research, conducted at the Department of Veterans Affairs Medical Center, bacteria have protein pumps that eliminate various toxic substances, such as antibiotics, making them resistant to drugs.

When weak biocides allow some bugs to survive, the number of these protein pumps increased.

"We found that exposure to low concentrations of a variety of biocides and dyes resulted in the appearance of resistant mutants," explained study leader Dr. Glenn Kaatz.

MRSA is one notorious "superbug" that has become resistant to antibiotics. This type of infection may result in serious illness and even death.

Melamine OK in small doses, FDA says

Melamine has made tens of thousands of babies ill in ChinaDespite a health scare in which tens of thousands of Chinese babies have fallen ill due to melamine in their formula, the Food and Drug Administration has said that products containing small amounts of the chemical are not dangerous for adults.

The FDA explained that its safety experts believe that people who consume a very low amount of melamine, calculated as 2.5 parts per million, would not suffer health problems.

However, the agency concluded that no amount of the chemical could be considered safe in infant formula, because there is not enough information on how children are affected by exposure.

According to the FDA, its safety assessment is aimed at situations in which melamine is accidentally incorporated into food, rather than deliberate attempts to add it.

"If products are adulterated because they contain melamine, (authorities) will take appropriate actions to prevent the products from entering commerce," the agency stated.

In September, a worldwide health alert broke out after it emerged that Chinese children were getting sick from melamine that had been deliberately added to dairy products to boost protein levels.

More banks will fail, analysts predict

Bank failures have consumers and businesses worriedCongress’ approval of a $700 billion rescue package for financial institutions will not prevent more banks from failing in the coming year, analysts have suggested.

An Associated Press report suggests that the coming months could bring the most uncertainty that banks have seen since the savings and loan crisis of the 1990s.

Stanford Financial analyst Jeret Seiberg told the news agency that many banks are carrying construction loans and other deteriorating assets that will not be relieved by the bailout.

In addition, the AP points out that banks have grown larger in the past couple of decades, which could mean that even if fewer banks fail, the financial consequences could be just as great.

Joseph Mason, an economist who teaches at Louisiana State University, said that lenders are set to pay for their risky behavior.

"We just had a big party where people and businesses overborrowed," he commented. "We had a bubble and now we want to get back to normal. Is it going to be painless? No."

Last month, Washington Mutual was seized by the FDIC in what has been described as the largest bank failure in U.S. history. It seems that more casualties could be on the way.

Government proceeds with spy satellite program

A satellite willl provide images of the U.S. to authoritiesThe government now has the green light to begin a limited version of a satellite surveillance program that provides imagery of the U.S. to federal, state and local authorities.

Known as the National Applications Office, the initiative is aimed at helping officials with emergency response and domestic security, according to a report in the Wall Street Journal.

However, some have raised concerns about the civil liberties and privacy issues at stake.

For example, an unpublished Government Accountability Office report suggested that the Department of Homeland Security has not provided adequate assurance that it will be able to oversee procedures and prevent information from being misused.

In response to these concerns, Congress placed some temporary funding restrictions on the program, but an initial phase has already begun.

California representative Jane Harman told the publication that she will fight the expansion of the scheme, having taken on board lessons learned from previous government surveillance initiatives.

"I don’t want to go there again until the legal framework for the entire program is entirely spelled out," she said.

In other civil liberties news, lawmakers recently proposed legislation to limit how border officials monitor and copy electronic and paper documents carried by travelers.

Thomas Jefferson

“I believe that banking institutions are more dangerous to our liberties than standing armies. If the American people ever allow private banks to control the issue of their currency, first by inflation, then by deflation, the banks and corporations that will grow up around will deprive the people of all property until their children wake-up homeless on the continent their fathers conquered. The issuing power should be taken from the banks and restored to the people, to whom it properly belongs.”

Thomas Jefferson, Letter to the Secretary of the Treasury Albert Gallatin (1802)
3rd president of US (1743 – 1826)

A bailout full of waste?

The bailout bill now has added porkFollowing the passage of a revised $700 billion bailout package by Congress, some people may be wondering what made certain representatives change their vote.

The answer is the addition of various political "sweeteners," which are also labeled "pork" by critics. Jim Popkin, NBC News senior investigative producer, explained that the small print of the bailout proposal contains billions of dollars of tax breaks that are unlikely to benefit the average taxpayer.

These provisions range from tax breaks for businesses that encourage bicycle use among staff to write-offs for facilities that produce cellulosic biofuel.

Keith Ashdown of Taxpayers for Common Sense, told that "this is unfortunately how Washington works."

"Lawmakers piled billions of dollars of pork into the bailout bill and dared detractors to vote against it," he explained, adding that several provisions "benefit narrow interests."

Meanwhile, Rush Limbaugh worried on a recent radio show that the added pork in the bailout bill would raise its cost in real terms.

"So a $700 billion bailout bill becomes $850 billion in the Senate. This is going to end up being a trillion dollars before it’s all said and done," he said.

Report: Few hospitals offer good palliative care

Some regions do not have good access to palliative careThose who are seriously ill may want to think twice about entering a hospital in the southern U.S., following the results of a new study.

Palliative care is a holistic approach to advanced progressive illness that focuses on managing symptoms and providing support as part of an effort to improve quality of life.

Patients suffering from chronic diseases such as heart disease, liver and kidney failure and Alzheimer’s may benefit from this type of healthcare.

The National Palliative Care Research Center and the Center to Advance Palliative Care evaluated the access to these types of services at hospitals across the U.S.

As a whole, the nation’s access was graded a C, with three southern states – Oklahoma, Alabama and Mississippi – receiving an F.

In contrast, only three states received the top grade: Vermont, Montana and New Hampshire.

Around 41 percent of southern hospitals offered palliative care, compared with 53 percent across the country as a whole.

"Without palliative care, people with serious illnesses like cancer often suffer unnecessarily from severe fatigue, pain, shortness of breath, nausea and other symptoms," commented co-author of the report Dr. Diane E. Meier.

Doctors call for FDA recall of kids’ cold medicines

Cold medicines may be risky for kids' healthOver-the-counter cold medicines for children have come under fire from some doctors and health experts, who claim they are not safe for youngsters.

The Food and Drug Administration is holding a public hearing on the topic, which could lead to tougher regulations. Last year, makers of OTC cold products agreed they would stop marketing medicines at kids who are two or younger.

Around 190 million cold and cough medicines for children are sold each year in the U.S., resulting in a multi-million dollar industry. However, the FDA has admitted that its 30-year-old cold medicine standards did not involve separate studies to assess their safety for kids.

"Parents should know that there is less evidence than ever to support the use of over-the-counter cough and cold medicines for young children," Dr. Joshua Sharfstein, Baltimore’s health commissioner, told the Associated Press.

Dr. Neil Schachter, author of The Good Doctor’s Guide to Colds and Flu, suggests that old-fashioned, natural health remedies may help relieve kids’ cold symptoms.

For example, parents can use shower steam to combat congestion and feed their children chicken soup to fight the inflammatory compounds that may arise from cold and flu, he says.

Should you be investing in money market funds?

Money market funds may present an opportunityInvestors are continuing to withdraw their cash from money market funds, despite a promise by the Treasury Department that these funds would be temporarily insured.

More than $209 billion has been moved out of these accounts since September 9th, according to managing editor Connie Bugbee.

Investors began fearing for the safety of their wealth in the middle of September, when the Reserve Funds Primary Fund announced that it would not be returning people’s full deposits. It had been stung by its involvement with failed investment bank Lehman Brothers.

Money market accounts do not typically have FDIC insurance, but the Treasury offered temporary security to funds – for a fee – in order to help encourage the market.

Fortune magazine writer Eugenia Levinson has suggested that current conditions provide "a unique opportunity" for investors to purchase tax-exempt money market funds.

Due to a "flood of inventory" caused when fund managers began to sell, firms have raised yields on these funds to appeal to buyers, Levinson writes.

She says that tax-exempt money market funds now offer the highest average seven-day annualized yield since 1985, at 5 percent.

Bill aims to protect travelers’ privacy

Law is focused on protecting laptop privacyLegislation introduced by three lawmakers this week aims to create stronger measures to protect the privacy of those who are traveling across borders.

The Travelers’ Privacy Protection Act states would require agents to be able to prove they have reasonable suspicion of illegal activity before they search people’s laptops, smartphones and documents.

Recently, the Department of Homeland Security published its guidance on the matter, raising concerns among many who support civil liberties. Currently, border inspectors do not need to have a reason to inspect and copy a traveler’s electronic and paper documents.

Representative Russ Feingold, who co-wrote the new bill, said that "most Americans would be shocked" if they knew what powers the government had to search and copy their personal emails, documents and photographs.

"Focusing our limited law enforcement resources on law-abiding Americans who present no basis for suspicion does not make us any safer and is a gross violation of privacy," he commented.

The bill would also place limits on the length of time that an electronic device can be separated from its owner.

Dan Fuss to investors: Buy bonds

Investment expert recommends bondsDan Fuss of Boston-based Loomis Sayles has advised investors that U.S. investment-grade corporate bonds currently offer an outstanding opportunity that should not be missed by those looking to grow their wealth, Reuters reports.

He told the news provider in an interview that these bonds provide "the best buying opportunity" he has noted in 34 years. In September 1974, equities and bonds were both in bear markets, Fuss said.

The vice president of Loomis Sayles explained that he has been paying an average price that ranges in the low 70 cents on the dollar to purchase long-maturing "AA"-rated corporate bonds.

Merrill Lynch data cited by Reuters indicates that corporate bonds with this rating currently average a yield of around 7 percent.

The current uncertainty in the U.S. economy has had a tumultuous effect on the stock market, which has seen record falls in recent days. Many people have been moving their money away from what they perceive to be risky investments.

Fuss has 50 years of investing experience and was named to the Fixed Income Analysts Society’s Hall of Fame in 2000.

Schwarzenegger says hospitals can be fined for privacy breaches

Patient records should remain private, governor saysCalifornia governor Arnold Schwarzenegger has signed legislation that gives a state office the right to fine hospitals that do not adequately protect patient privacy.

One bill approved by the governor creates an office to oversee the privacy of patient records, while the other specifies the potential for issuing fines up to $250,000.

"Repeated violations of patient confidentiality are potentially harmful to Californians, which is why financial penalties are needed to ensure employees and facilities do not breach confidential medical information," Schwarzenegger said, according to the LA Times.

Dave Jones, who authored one of the bills, said that "private medical information shouldn’t be flapping in the breeze like an open hospital gown."

The legislation also increases the amount that hospitals may be fined for medical mistakes that imply other patients may also be harmed.

Earlier this year, an employee at UCLA Medical Center was discovered to have breached security rules by accessing dozens of patient records without permission, including those of Schwarzenegger’s wife, Maria Shriver.

Detoxify your life

Toxins may exist in common household productsRecent news about toxins in plastic bottles, the water supply and common household cleaning products may cause people to feel a bit helpless about how to protect themselves against dangerous chemicals.

Nena Baker – author of The Body Toxic – gave Newsweek some suggestions for easy ways to limit your contact with toxins.

Filtering your water can help remove the small quantities of pollutants such as lead, arsenic and pesticides that make it into some communities’ water supplies, she says.

In the home, people should avoid paint that is made with volatile organic compounds that are linked with breathing problems, as well as steering clear of electronics that include flame retardants known as PBDEs, Baker advises.

She explains that shampoos and make-up products may also contain some toxic ingredients, while canned foods and some plastic containers could have been made with BPA – which has been linked with heart disease.

In some cases, it is simply a matter of going back to the basics. When seeking to control the amount of toxic substances that are present in your house, the article recommends that "it’s best to keep your house clean through regular dusting and vacuuming."

House prices continue to fall

Falling house prices can affect wealthThose who were counting on the equity in their homes to provide them with wealth in their later years may be watching the housing market with a careful eye.

New figures from Standard & Poor/Case-Shiller reveal that house prices in 20 major American cities increased their pace of decline in July, falling by 16.3 percent compared with the same period in 2007.

This represents the greatest drop in the eight-year history of the 20-city index. Meanwhile, the 10-city index also saw its largest fall since it was created 1988, decreasing by 17.5 percent.

David M. Blitzer, chairman of the Index Committee at Standard & Poor’s, said that the figures suggest there is "no evidence of a bottom" to house price decline.

"While some cities did show some marginal improvement over last month’s data, there is still very little evidence of any particular region experiencing an absolute turnaround," he commented.

Las Vegas, Phoenix and Miami suffered the worst drops, with house prices in the three cities declining by nearly 30 percent over the past year.

In 2004, Las Vegas was at the heart of a housing investment boom, with property values rising by 44 percent in the third quarter of that year, Bloomberg reported.

Maryland police involved in civil liberties issue

Maryland police are accused of unwarranted surveillanceA probe has begun to investigate the full extent of surveillance practiced by Maryland state police, who have already admitted to tracking certain activist groups.

David Rocah, attorney for the Maryland American Civil Liberties Union, said that the state’s reasons for spying on the groups were "baseless," the Associated Press reports.

He said he has filed public information requests covering 32 groups that are involved in a variety of causes, including death penalty, animal rights and abortion issues.

The initial ACLU complaint began when it was discovered that the police had begun monitoring two activist groups, prompted by a pending execution. The surveillance ended in 2006, when the execution was delayed.

Responding to previous allegations of unwarranted surveillance made by the ACLU, state police superintendent Colonel Terrence B. Sheridan said that the state police’s homeland security division was responsible for the decision.

The news comes after the Electronic Frontier Foundation filed a lawsuit against the National Security Agency and members of the Bush administration, claiming that their surveillance practices were illegal.