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	<title>Health &#38; FamilyCategory: Viewpoint &#124; Health &#38; Family &#124; TIME.com</title>
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	<description>A healthy balance of the mind, body and spirit</description>
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		<title>Health &#38; FamilyCategory: Viewpoint &#124; Health &#38; Family &#124; TIME.com</title>
		<link>http://healthland.time.com</link>
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		<title>Viewpoint: What&#8217;s Missing from Sesame Street&#8217;s Parents in Prison Toolkit</title>
		<link>http://healthland.time.com/2013/06/13/viewpoint-whats-missing-from-sesame-streets-parents-in-prison-toolkit/</link>
		<comments>http://healthland.time.com/2013/06/13/viewpoint-whats-missing-from-sesame-streets-parents-in-prison-toolkit/#comments</comments>
		<pubDate>Thu, 13 Jun 2013 14:00:30 +0000</pubDate>
		<dc:creator>Maia Szalavitz</dc:creator>
				<category><![CDATA[Family & Parenting]]></category>
		<category><![CDATA[Viewpoint]]></category>
		<category><![CDATA[childhood]]></category>
		<category><![CDATA[children]]></category>
		<category><![CDATA[children with incarcerated parents]]></category>
		<category><![CDATA[children's health]]></category>
		<category><![CDATA[prison]]></category>
		<category><![CDATA[Sesame Street]]></category>
		<category><![CDATA[trauma]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=88120</guid>
		<description><![CDATA[Nearly 2 million American children— one quarter of them too young to go to kindergarten— now have a parent in prison or jail.  To help the littlest ones cope, Sesame Street has just released a toolkit for families faced with losing a parent for what can be years or even decades, including a video featuring a Muppet whose father is locked up.  It is titled “Little Children Big Challenges:  Incarceration.” The effort to aid youngsters grapple with such a traumatic situation seems admirable, but it raises bigger questions. How did we get to the point where, as Reason’s Mike Riggs recently put it in a post on the toolkit, America has made it “almost normal to have a parent in prison or jail”?  And should we really see better tips for caregivers of children with incarcerated parents as the best way to mitigate the harm? Research shows that incarceration does incredible damage to families, doubling the odds that children will later be homeless, increasing the risk for aggressive child behavior problems by 33% and the risk for severe psychological distress such as depression or anxiety in childhood by 20%. It can hinder school performance and induces all of the trauma of other separations like divorce, but with the added element of shame, guilt and stigma.  Not to mention the financial strain losing a parent indefinitely imposes and the massively increased odds of winding up in foster care it causes. Moreover, having a parent in prison is listed by researchers as one of the “adverse childhood experiences [PDF]” that can add up to serious health consequences in adulthood:  the greater the number of these experiences, the higher the odds of diabetes, obesity, high blood pressure, stroke, addictions, smoking and all mental illness. As usual, Sesame Street’s brochures and programming are well-designed and sensitive to the issues they address. Leavened by the familiar fuzzy faces of Grover, Big Bird and Cookie Monster, they offer tips for caregivers such as maintaining a reassuring routine and being sensitive to and accepting of whatever emotions<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=88120&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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		<slash:comments>2</slash:comments>
	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/viewpoint-viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2013/06/sofiaabbyandrositalistentoalexsfeelings-vaknin.jpeg?w=240</featured_image>
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			<media:title type="html">“Little Children Big Challenges:  Incarceration.”</media:title>
		</media:content>

		<media:content url="http://0.gravatar.com/avatar/0a5ac57e99124922fa628492ad3db6b2?s=96&#38;d=http%3A%2F%2Fs0.wp.com%2Fi%2Fmu.gif&#38;r=G" medium="image">
			<media:title type="html">MaiaSzalavitz</media:title>
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		<item>
		<title>Viewpoint: From &#8216;Aggressive&#8217; Trayvon to &#8216;Laid-Back&#8217; Dzhokhar — Marijuana&#8217;s Changing Image</title>
		<link>http://healthland.time.com/2013/06/02/viewpoint-from-aggressive-trayvon-to-laid-back-dzhokhar-marijuanas-changing-image/</link>
		<comments>http://healthland.time.com/2013/06/02/viewpoint-from-aggressive-trayvon-to-laid-back-dzhokhar-marijuanas-changing-image/#comments</comments>
		<pubDate>Sun, 02 Jun 2013 16:34:49 +0000</pubDate>
		<dc:creator>Maia Szalavitz</dc:creator>
				<category><![CDATA[Viewpoint]]></category>
		<category><![CDATA[cannabis]]></category>
		<category><![CDATA[crime]]></category>
		<category><![CDATA[drug policy]]></category>
		<category><![CDATA[Drugs]]></category>
		<category><![CDATA[Dzohokhar Tsarnaev]]></category>
		<category><![CDATA[legalization]]></category>
		<category><![CDATA[Marijuana]]></category>
		<category><![CDATA[marijuana crime link]]></category>
		<category><![CDATA[marijuana legalization]]></category>
		<category><![CDATA[media]]></category>
		<category><![CDATA[pot]]></category>
		<category><![CDATA[terrorism]]></category>
		<category><![CDATA[Trayvon Martin]]></category>
		<category><![CDATA[weed]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=87571</guid>
		<description><![CDATA[Aside from having regularly smoked marijuana, Dzhokhar Tsarnaev and Trayvon Martin share little in common. Tsarnaev, of course, is the surviving suspect in the Boston Marathon bombings and Martin was the unarmed black teenager shot to death in Florida in 2012 by a man who claims he felt threatened by him. But differences in the way the media have covered their cannabis use portend a major shift in public attitudes about the drug, as well as a troubling reminder of the racism that still largely prevents us from seeing drugs as a health issue. This week, the judge in the Martin case said his accused killer, George Zimmerman, may not use evidence related to the victim’s past marijuana use in his defense. As the New York Times put it: Mark O’Mara, Mr. Zimmerman’s lawyer, argued that Mr. Martin’s drug use could have made him aggressive and paranoid, which the defense said might have prompted him to attack Mr. Zimmerman, 29, a neighborhood-watch volunteer. Such an argument is contradicted by medical evidence, which shows that marijuana tends to reduce aggression. Nonetheless, the fact that metabolites of the cannabis were found in Martin’s blood made national headlines when it was first made public. The blood test was generally seen as discrediting the victim. As his mother told the media at the time, “They&#8217;ve killed my son, and now they&#8217;re trying to kill his reputation.” (MORE: Did Drug Stigma Contribute to Trayvon&#8217;s Death?) Indeed, while the marijuana-related evidence was only part of a huge trove of data released, it received most of the attention. From ABC News to TIME to Rush Limbaugh, the fact that Martin had smoked pot some time in the days or weeks before the killing was seen as potentially helpful to his killer’s case that his victim had been up to no good. Now let’s consider the media’s take on the weed habit of the man suspected of carrying out the worst act of terrorism on American soil since 9/11. Here’s how a high school friend, widely quoted in the<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=87571&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
		<wfw:commentRss>http://healthland.time.com/2013/06/02/viewpoint-from-aggressive-trayvon-to-laid-back-dzhokhar-marijuanas-changing-image/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/viewpoint-viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2013/05/165815684a.jpg?w=240</featured_image>
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			<media:title type="html">165815684a</media:title>
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		<media:content url="http://0.gravatar.com/avatar/0a5ac57e99124922fa628492ad3db6b2?s=96&#38;d=http%3A%2F%2Fs0.wp.com%2Fi%2Fmu.gif&#38;r=G" medium="image">
			<media:title type="html">MaiaSzalavitz</media:title>
		</media:content>
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		<title>Viewpoint: Drugs to Boost Female Sex Drive: That&#8217;s a Good Thing, Right?</title>
		<link>http://healthland.time.com/2013/05/25/viewpoint-drugs-to-boost-female-sex-drive-thats-a-good-thing-right/</link>
		<comments>http://healthland.time.com/2013/05/25/viewpoint-drugs-to-boost-female-sex-drive-thats-a-good-thing-right/#comments</comments>
		<pubDate>Sat, 25 May 2013 12:00:05 +0000</pubDate>
		<dc:creator>Maia Szalavitz</dc:creator>
				<category><![CDATA[Men & Women]]></category>
		<category><![CDATA[Sexuality]]></category>
		<category><![CDATA[Viewpoint]]></category>
		<category><![CDATA[drug laws]]></category>
		<category><![CDATA[Drugs]]></category>
		<category><![CDATA[female desire]]></category>
		<category><![CDATA[female desire drugs]]></category>
		<category><![CDATA[female sexual dysfunction]]></category>
		<category><![CDATA[Lybrido]]></category>
		<category><![CDATA[Lybridos]]></category>
		<category><![CDATA[regulation]]></category>
		<category><![CDATA[Viagra]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=87221</guid>
		<description><![CDATA[In the past, women who lacked sexual desire were stigmatized as “frigid” — today, psychiatry’s diagnostic manual labels them with hypoactive-sexual-desire disorder. Big Pharma is betting that many such women will want to take a drug to rev up their sex lives, but is that a good idea? Ethicists and feminists are concerned that the emergence a drug that can amp up female sexual longings may have lasting effects on the very nature of female desire. Male-sexual-enhancement drugs, you see, are about shoring up the plumbing — improving blood flow to the penis — while research so far suggests that most women need more than mere physical arousal to get in the mood. To stoke female desire with pharmacology, then, you need to get into the brain. And that, understandably, makes some people nervous. While I share some of those worries, I believe we’ll nonetheless soon be faced with a variety of such drugs — and need to address the way we view and regulate them rather than trying to turn back the tide. In this week’s New York Times Magazine, author Daniel Bergner chronicles the lives of some participants in clinical trials of two new drugs aimed at relighting women’s fires. He writes: The promise of Lybrido and of a similar medication called Lybridos &#8230; or of whatever chemical finally wins the race for F.D.A. [Food and Drug Administration] approval, is that it will be possible to take a next step, to give women the power to switch on lust, to free desire from the obstacles that get in its way. “Female Viagra” is the way drugs like Lybrido and Lybridos tend to be discussed. But this is a misconception. Viagra meddles with the arteries; it causes physical shifts that allow the penis to rise. A female-desire drug would be something else. It would adjust the primal and executive regions of the brain. It would reach into the psyche. In fact, Lybrido is actually a combination of Viagra (sildenafil) and testosterone. Just as they do in men, Viagra sends blood<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=87221&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
		<wfw:commentRss>http://healthland.time.com/2013/05/25/viewpoint-drugs-to-boost-female-sex-drive-thats-a-good-thing-right/feed/</wfw:commentRss>
		<slash:comments>2</slash:comments>
	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2013/05/169276966-1a.jpg?w=240</featured_image>
		<media:thumbnail url="http://timewellness.files.wordpress.com/2013/05/169276966-1a.jpg?w=240" />
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			<media:title type="html">169276966 (1)a</media:title>
		</media:content>

		<media:content url="http://0.gravatar.com/avatar/0a5ac57e99124922fa628492ad3db6b2?s=96&#38;d=http%3A%2F%2Fs0.wp.com%2Fi%2Fmu.gif&#38;r=G" medium="image">
			<media:title type="html">MaiaSzalavitz</media:title>
		</media:content>
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		<item>
		<title>Viewpoint: My Case Shows What&#8217;s Right &#8212; and Wrong &#8212; With Psychiatric Diagnoses</title>
		<link>http://healthland.time.com/2013/05/17/viewpoint-my-case-shows-whats-right-and-wrong-with-psychiatric-diagnoses/</link>
		<comments>http://healthland.time.com/2013/05/17/viewpoint-my-case-shows-whats-right-and-wrong-with-psychiatric-diagnoses/#comments</comments>
		<pubDate>Fri, 17 May 2013 21:01:08 +0000</pubDate>
		<dc:creator>Maia Szalavitz</dc:creator>
				<category><![CDATA[Mental Health]]></category>
		<category><![CDATA[Viewpoint]]></category>
		<category><![CDATA[Addiction]]></category>
		<category><![CDATA[Asperger's]]></category>
		<category><![CDATA[asperger's syndrome]]></category>
		<category><![CDATA[bipolar]]></category>
		<category><![CDATA[dsm]]></category>
		<category><![CDATA[DSM-5]]></category>
		<category><![CDATA[obsessive-compulsive disorder]]></category>
		<category><![CDATA[ocd]]></category>
		<category><![CDATA[psychiatric diagnosis]]></category>
		<category><![CDATA[psychiatry]]></category>
		<category><![CDATA[recovery]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=86907</guid>
		<description><![CDATA[Over the course of my life, I have been given no fewer than five different diagnoses for mental illnesses, under the diagnostic system laid out in psychiatry&#8217;s “bible,” the DSM.  But it was a sixth diagnosis— one that ironically will no longer appear in the edition being rolled out this week, DSM-5— that probably most accurately describes what is genuinely different about me.  I&#8217;m sharing this because my experience is a case study for explaining why the latest revision to the manual is raising such ire. My journey from diagnosis to diagnosis illustrates both the pitfalls and the promise of psychiatry and why we can expect to improve some ways in which we identify mental illness, and why there are other aspects of diagnosing these conditions that will remain unsatisfactory without further scientific advances. Dr. Allen Frances, who chaired the publishing process for the previous revision, the DSM-IV, and is critical of the DSM-5 in his new book, Saving Normal, published an editorial in the Annals of Internal Medicine highlighting some of his issues with the latest revision.  Citing the “crisis in confidence” in psychiatry over diagnosis, he calls on physicians to “use the DSM cautiously, if at all.”  DSM 5, he argues, is overrun with &#8220;diagnostic inflation&#8221;— for example, labeling grief as depression and placing the 40% of college students who binge drink at risk of diagnosis equivalent to alcoholism. MORE:  Revisions to Health Manual May Turn Binge Drinkers into &#8216;Mild&#8217; Alcoholics Frances isn&#8217;t the only one who has concerns about DSM-5. Last week, the the director of the National Institute of Mental Health, Dr. Thomas Insel, posted a blog in which he announced that even for research purposes, the DSM had outlived its usefulness. “NIMH will be re-orienting its research away from DSM categories,” he wrote. The problem, he said, is that the DSM is based on subjective descriptions of collections of symptoms that tend to occur together — but not on the physiological or psychological mechanisms that cause them. As Insel put it, “Unlike our definitions of<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=86907&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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		<slash:comments>0</slash:comments>
	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2013/05/168640189.jpg?w=240</featured_image>
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			<media:title type="html">168640189</media:title>
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			<media:title type="html">MaiaSzalavitz</media:title>
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		<title>Viewpoint: Medicaid-Based Improvements in Depression Can Lead to Broader Health Benefits</title>
		<link>http://healthland.time.com/2013/05/06/benefits-of-fighting-depression-priceless/</link>
		<comments>http://healthland.time.com/2013/05/06/benefits-of-fighting-depression-priceless/#comments</comments>
		<pubDate>Mon, 06 May 2013 09:45:24 +0000</pubDate>
		<dc:creator>Maia Szalavitz</dc:creator>
				<category><![CDATA[Viewpoint]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[health costs]]></category>
		<category><![CDATA[medicaid]]></category>
		<category><![CDATA[national health care]]></category>
		<category><![CDATA[Oregon Medicaid study]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=86081</guid>
		<description><![CDATA[Improvements in treating depression could lead to broader benefits in other health outcomes. A new study of Oregon’s expansion of Medicaid disappointed advocates by failing to find improvements in health measures like high blood pressure and cholesterol within two years— but it did show a 30% reduction in depression rates. While these results are far from ideal, we shouldn’t underestimate the broader and long term impact—in both health and human costs— that simply cutting depression could have. According to the World Health Organization [PDF], depression is the leading cause of disability worldwide in terms of productive years lost. In the U.S., only back pain takes away more years of healthy function and the most recent analysis available shows that work hours lost to depression cost the economy some $83 billion annually. On average, 7% of Americans are depressed in a given year, contributing in part to nearly 40,000 suicides yearly. The Oregon Medicaid study itself grew out of a dire economic reality: the state couldn’t afford to expand access to everyone eligible, so it held a lottery. The situation provided the ideal setting for documenting how effective the Medicaid program is in providing needed preventive and treatment services &#8212; by comparing the health of the winners and losers during the program’s first two years. The researchers found no significant differences in blood pressure, diabetes control or cholesterol among the beneficiaries and non-beneficiaries, although they discovered increases in treatment and uptake of preventive services. (MORE: Rashness &#38; Rumination: New Understanding About the Roots of Depression) The winners, however, did show real improvements in mental health, as well as virtual elimination of bankruptcies and other financial catastrophes due to medical expenses &#8212; which may or may not have been related to their healthier mental state. There was no difference between the winners and the losers in terms of antidepressant use, however, so it’s likely that the stress relief from having health insurance played a role. “To my mind, the depression results are phenomenal,” says Harold Pollack, professor of public policy at the University<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=86081&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
		<wfw:commentRss>http://healthland.time.com/2013/05/06/benefits-of-fighting-depression-priceless/feed/</wfw:commentRss>
		<slash:comments>1</slash:comments>
	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/viewpoint-viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2013/05/146513325.jpg?w=240</featured_image>
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			<media:title type="html">Hand</media:title>
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			<media:title type="html">MaiaSzalavitz</media:title>
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		<title>Can Giving Be Good for Getting Ahead?</title>
		<link>http://healthland.time.com/2013/04/05/can-giving-be-good-for-getting-ahead/</link>
		<comments>http://healthland.time.com/2013/04/05/can-giving-be-good-for-getting-ahead/#comments</comments>
		<pubDate>Fri, 05 Apr 2013 15:00:36 +0000</pubDate>
		<dc:creator>Maia Szalavitz</dc:creator>
				<category><![CDATA[Behavior]]></category>
		<category><![CDATA[Viewpoint]]></category>
		<category><![CDATA[altruism]]></category>
		<category><![CDATA[generosity]]></category>
		<category><![CDATA[giving]]></category>
		<category><![CDATA[inequality]]></category>
		<category><![CDATA[life expectancy]]></category>
		<category><![CDATA[poor]]></category>
		<category><![CDATA[poverty]]></category>
		<category><![CDATA[social support]]></category>
		<category><![CDATA[success]]></category>
		<category><![CDATA[wealth gap]]></category>
		<category><![CDATA[wealthy]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=83960</guid>
		<description><![CDATA[Sharing and caring can be good for the soul, but what about the bottom line? A recent New York Times Magazine piece explored this question, spotlighting a business professor who sees helping others as a path to the top. Adam Grant, the youngest tenured professor at Wharton, studies how generosity improves productivity, and uses his own early success and publishing record as a case in point. In the story headlined, “Is Giving the Secret to Getting Ahead?” Susan Dominus writes: For Grant, helping is not the enemy of productivity, a time-sapping diversion from the actual work at hand; it is the mother lode, the motivator that spurs increased productivity and creativity. In some sense, he has built a career in professional motivation by trying to unpack the puzzle of his own success. He has always helped; he has always been productive. How, he has wondered for most of his professional life, does the interplay of those two factors work for everyone else? MORE: How Disasters and Trauma Can Affect Children&#8217;s Empathy Grant’s research began with a personal observation. In a student job, he worked harder selling ads for a travel guide series when he considered how the company’s success allowed a close colleague to stay employed to pay for college. When he saw his work as helpful and collaborative, he put more into it. Indeed, he soon sold the largest advertising package in the company’s history and was promoted at 19 to advertising director. Grant used that insight about his own motivation to try to increase donations collected by a college call center that solicited money for scholarships.  He brought in one of the grateful award winners, and asked him to describe to the sales staff how much the financial support had mattered to him. A study he published on the center showed that following the talk with someone who benefited from their work, the revenue raised by the workers increased by 400 percent. MORE: We Day: Inspiring Children to Give Back Grant’s other research also supports the idea that<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=83960&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2013/04/wp_gift_0405.jpg?w=240</featured_image>
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		<media:content url="http://0.gravatar.com/avatar/0a5ac57e99124922fa628492ad3db6b2?s=96&#38;d=http%3A%2F%2Fs0.wp.com%2Fi%2Fmu.gif&#38;r=G" medium="image">
			<media:title type="html">MaiaSzalavitz</media:title>
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		<title>The Kindest Cut: How One Hospital Lowered Costs by Making Doctors More Budget Conscious</title>
		<link>http://healthland.time.com/2013/02/20/the-kindest-cut-how-one-hospital-lowered-costs-by-making-doctors-more-budget-conscious/</link>
		<comments>http://healthland.time.com/2013/02/20/the-kindest-cut-how-one-hospital-lowered-costs-by-making-doctors-more-budget-conscious/#comments</comments>
		<pubDate>Thu, 21 Feb 2013 01:38:41 +0000</pubDate>
		<dc:creator>Dr. Toby Cosgrove</dc:creator>
				<category><![CDATA[Health Care]]></category>
		<category><![CDATA[Health Reform]]></category>
		<category><![CDATA[Policy & Industry]]></category>
		<category><![CDATA[Viewpoint]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=80461</guid>
		<description><![CDATA[Give a surgeon the choice between a $5 silk stitch and a $400 staple to close up an incision, and he’ll choose the $5 stitch, right? Not necessarily. The problem is, most surgeons never know that the stitch costs $5 and the staple costs $400. Traditionally, knowing the costs of a stitch or a catheter or a bone screw — or any of the thousands of other supplies used during surgeries — hasn’t been part of many doctors’ medical consciousness. Health care costs, however, have grown too massive — topping $2 trillion a year – to continue doing things the way we’ve always done them. Conscientious medical providers have no choice but to confront cost issues or become guilty bystanders to the slow deterioration of America’s health care system. (MORE: Why Medical Bills Are Killing Us) Meaningful change, however, can only come with knowledge. Believe it or not, most hospitals don’t know what it costs them to perform common procedures like removing a prostate. But at the Cleveland Clinic, we’ve made it a point to know, asking our physicians to deconstruct the costs of their top three procedures — to record the price of sutures, count how many instruments were on the table, tag the devices on the shelf and record how long patients spent in post-anesthesia care. Once the details are in, it’s easy to see where to cut costs. Three years ago, we challenged ourselves to save $100 million by focusing on how and what we buy to stock the hospital with needed equipment and supplies. The key was to meaningfully engage doctors. Now, as part of the purchasing process, dozens of doctors gather to discuss the merits of certain products: Which ones provide the best outcomes for patients? How many are needed? How much does it cost? (MORE: Least Healthy Employees? Hospital Workers) Take, for example, nitric oxide, a drug commonly used in heart, lung and chest surgeries to keep tissues well-supplied with oxygen during the operation. When it&#8217;s effective, it&#8217;s very effective, but it doesn&#8217;t help all<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=80461&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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	<primary_category>Health Reform</primary_category><primary_category_link>http://healthland.time.com/category/policy-industry/health-reform/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2013/02/31doctorbill1.jpg?w=240</featured_image>
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			<media:title type="html">Medical Cost</media:title>
		</media:content>

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			<media:title type="html">apark7</media:title>
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		<title>Just Say No to Facebook: A Dad Pays His Daughter to Stop the Social-Media Madness</title>
		<link>http://healthland.time.com/2013/02/11/just-say-no-to-facebook-a-dad-pays-his-daughter-to-stop-the-social-media-madness/</link>
		<comments>http://healthland.time.com/2013/02/11/just-say-no-to-facebook-a-dad-pays-his-daughter-to-stop-the-social-media-madness/#comments</comments>
		<pubDate>Mon, 11 Feb 2013 10:45:29 +0000</pubDate>
		<dc:creator>Bonnie Rochman</dc:creator>
				<category><![CDATA[Childhood]]></category>
		<category><![CDATA[Family & Parenting]]></category>
		<category><![CDATA[Parenting]]></category>
		<category><![CDATA[Viewpoint]]></category>
		<category><![CDATA[COPPA]]></category>
		<category><![CDATA[daughter]]></category>
		<category><![CDATA[Facebook]]></category>
		<category><![CDATA[money]]></category>
		<category><![CDATA[Paul Baier]]></category>
		<category><![CDATA[paying]]></category>
		<category><![CDATA[Pew Research Center]]></category>
		<category><![CDATA[social media]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=79913</guid>
		<description><![CDATA[As a mom, controlling how much presence my kids have online is a daily concern — and challenge. When he was 8 years old, I didn’t want my son on Facebook, didn’t want him to have his own cell phone — the most popular age at which U.S. kids get one is 12 — and didn’t want him to have his own e-mail address. I realize it’s inevitable, but as the mom, I get to control when it happens. Two years later, he’s just as cut off from the digital world as he was. I simply can’t see how spending more time in a virtual world instead of exploring the real one around him will contribute positively to his childhood. Apparently, I’m not the only parent who feels like that — although I’m not certain I’m willing to pay cash for my convictions as Paul Baier, a father in Boston, intends to do. Baier and his 14-year-old daughter inked a deal that calls on her to abstain from Facebook from Feb. 4 to June 26. In return, he’ll pay her $50 if she can stay off through April 15 and $150 more if she makes it to the end of June. Nor is this a simple time-out: Dad, who describes himself as vice president of sustainability consulting and research at Groom Energy Solutions, plans to deactivate Rachel’s account. In the contract, Baier’s daughter is delightfully vague in her description of how she’ll use her riches. The document posted on her father’s blog states: “I plan to use the money for the following purpose: stuff.” What’s more, the impetus behind their daddy-daughter contract is the daughter, who apparently came up with the idea. (MORE: Should Kids Under 13 Be on Facebook?) Reaction on Baier’s blog has been mixed. Some accuse him of poor parenting, others praise him and hope that other moms and dads will follow suit. One person, Alisha Burkett, wondered: “What’s stopping her from opening another account in a different name and still getting the money? Just curious &#8230;” Good point. The<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=79913&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/viewpoint-viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2013/02/153406005-resize.jpg?w=240</featured_image>
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			<media:title type="html">brochman</media:title>
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		<title>FDA Action on Vicodin May Mean More Pain, Not Less Addiction or Overdose</title>
		<link>http://healthland.time.com/2013/01/31/fda-action-on-vicodin-may-mean-more-pain-not-less-addiction-or-overdose/</link>
		<comments>http://healthland.time.com/2013/01/31/fda-action-on-vicodin-may-mean-more-pain-not-less-addiction-or-overdose/#comments</comments>
		<pubDate>Thu, 31 Jan 2013 16:42:22 +0000</pubDate>
		<dc:creator>Maia Szalavitz</dc:creator>
				<category><![CDATA[Viewpoint]]></category>
		<category><![CDATA[chronic pain]]></category>
		<category><![CDATA[hydocodone]]></category>
		<category><![CDATA[hydrocodone]]></category>
		<category><![CDATA[opiate]]></category>
		<category><![CDATA[opioid]]></category>
		<category><![CDATA[overdose]]></category>
		<category><![CDATA[oxycodone]]></category>
		<category><![CDATA[oxycontin]]></category>
		<category><![CDATA[Pain]]></category>
		<category><![CDATA[pain relief]]></category>
		<category><![CDATA[pain relievers]]></category>
		<category><![CDATA[pain treatment]]></category>
		<category><![CDATA[vicodin]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=79086</guid>
		<description><![CDATA[(UPDATED) Last week, a Food and Drug Administration (FDA) advisory panel voted to impose stricter controls on prescriptions for drugs like Vicodin, which contain the opioid pain reliever hydrocodone.  The new rules would ban prescribing of more than a month’s supply of hydrocodone-containing drugs and prevent refills without a new doctor visit. Prescriptions would not be allowed to be phoned, faxed or emailed and physician’s assistants and nurse practitioners wouldn&#8217;t be permitted to prescribe the medications in the states in which they have limited prescribing powers. Citing growing concern about prescription drug misuse and the potential for addiction to painkillers — overdoses lead to 15,000 deaths annually — the Drug Enforcement Administration (DEA) has long pushed for the stringent rules, which would reclassify opioid pain relievers as Schedule II drugs, the most restricted category short of being prohibited. The FDA is likely to accept the panel’s decision, changing the rules for some 47 million patients who receive prescriptions for hydrocodone-containing products annually. &#8220;I believe that this change will mark a turning point in the epidemic,&#8221; Dr. Andrew Kolodny, the founder of a group called Physicians for Responsible Opioid Prescribing (PROP), told NPR. &#8220;It will lead to less people becoming addicted, which is the most important thing that needs to happen to bring this crisis under control.&#8221;  PROP has petitioned the FDA to tighten the official labeling on opioids, which critics say would result in even more severe restrictions.  But Kolodny says that their intent has been &#8220;misinterpreted&#8221; and they do not want to see legitimate access reduced.* However, according to numerous studies and government statistics the majority of those who become addicted to opioids don&#8217;t get hooked after receiving legitimate prescriptions from doctors for pain treatment. More than two-thirds of people who used opioids  recreationally in 2010-2011 obtained the medications from friends or relatives for free, mostly with their permission.  And, of people in treatment for chronic pain without a prior history of drug problems, a Cochrane review found that less than 1% became addicted to the medication, with 44% dropping<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=79086&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/viewpoint-viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2013/01/128544860.jpg?w=240</featured_image>
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			<media:title type="html">128544860</media:title>
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			<media:title type="html">MaiaSzalavitz</media:title>
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		<title>The End of an Epithet: How Hate Speech Dies</title>
		<link>http://healthland.time.com/2013/01/25/the-end-of-an-epithet-how-hate-speech-dies/</link>
		<comments>http://healthland.time.com/2013/01/25/the-end-of-an-epithet-how-hate-speech-dies/#comments</comments>
		<pubDate>Fri, 25 Jan 2013 21:00:05 +0000</pubDate>
		<dc:creator>Jeffrey Kluger</dc:creator>
				<category><![CDATA[Culture]]></category>
		<category><![CDATA[Viewpoint]]></category>
		<category><![CDATA[faggot]]></category>
		<category><![CDATA[hate speech]]></category>
		<category><![CDATA[Language]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=78286</guid>
		<description><![CDATA[A long time ago, I didn&#8217;t know I was a hebe. I was born Jewish and raised Jewish, but hebe? Never heard of it. That was mostly a function of geography. I grew up in a suburb of Baltimore with an extremely high concentration of Jewish families—where the Levys and Cohens in the high school yearbook went on for pages, where I could count far more temples than I ever could churches. Antisemitism, in our cultural biodome, was mostly an abstract concept. One afternoon, however, I was standing in front of our synagogue with books in my arm, waiting to be picked up from a bar mitzvah lesson. Two boys a couple years older than me walked by and scanned me up and down. Then one shouted, &#8220;Hey! Are you a hebe?&#8221; Under the circumstances, I could make a pretty fair guess what he meant, but I couldn&#8217;t be sure. So I looked back at him and offered only a shrug that said, in effect, &#8220;dunno&#8217;.&#8221; And with that, the word hebe died a little death. I thought about that moment last weekend, when my 12-year-old daughter was having a Harry Potter-themed sleepover with a few of her friends. One of the girls was recalling a moment in a Potter book and came up short as she groped for a word. She was looking for ferret, but what came out was faggot. Another girl immediately jumped. &#8220;That&#8217;s a bad word,&#8221; she said. The first girl asked what it meant and after she was told, simply nodded her head at the nastiness of the thing. The girls, in effect, had gang-tackled the word, first by opprobrium, then by indifference—and then they went back to their playing. (More: The Problem With the &#8220;We Are All&#8230;&#8221; Trope) The slow, inexorable sunset of this most-used and most-loathed gay slur is by no means complete. It still burns brightly and horribly in far too many places and far too many lives, but its day is undeniably passing — a process only hastened by President Obama&#8217;s inaugural<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=78286&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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		<slash:comments>0</slash:comments>
	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/viewpoint-viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2013/01/hea-hate-speech-0117.jpg?w=240</featured_image>
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			<media:title type="html">image: Obamacare supporters react to the U.S. Supreme Court decision to uphold President Obama&#039;s health care law in Washington, June 28, 2012.</media:title>
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			<media:title type="html">jkluger</media:title>
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		<title>Viewpoint: Why America Won&#8217;t Forgive Lance Armstrong (for Now)</title>
		<link>http://healthland.time.com/2013/01/17/lance-armstrong-forgive-oprah/</link>
		<comments>http://healthland.time.com/2013/01/17/lance-armstrong-forgive-oprah/#comments</comments>
		<pubDate>Thu, 17 Jan 2013 10:45:41 +0000</pubDate>
		<dc:creator>Jeffrey Kluger</dc:creator>
				<category><![CDATA[Sport]]></category>
		<category><![CDATA[Viewpoint]]></category>
		<category><![CDATA[lance armstrong]]></category>
		<category><![CDATA[livestrong]]></category>
		<category><![CDATA[sports doping]]></category>
		<category><![CDATA[steroids]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=78131</guid>
		<description><![CDATA[There are popular celebrities, there are unpopular celebrities and then there are the walking dead. You know the walking dead when you see them: they look like Mel Gibson, still striving for drunken charm in an L.A. County mug shot, after getting picked up on a DWI charge that included anti-semitic slurs directed at the police. They look like Seinfeld&#8217;s Michael Richards, caught in a racist, career-wrecking rant during a stand-up performance in 2007. They look like John Edwards—whose name alone still makes half the country want to throw crockery while the other half just never, ever wants to have to think about him again. (I&#8217;ve written about Edwards before: &#8216;Why We Love to Loathe John Edwards&#8216;) There is no end to the number of American celebrities who have found themselves in this netherworld, brought low by crime, sex scandal, Wall Street finagling or just plain nuttiness (we&#8217;re looking at you, Charlie Sheen). Now, Lance Armstrong has landed in that same  low place. The seven-time Tour de France winner—stripped of his titles for using performance-enhancing drugs and exposed as having apparently lied and intimidated others into keeping his secrets—is about to do what so many disgraced figures do, which is to seek redemption through the TV confessional. And Armstrong—who has never done anything by halves—is going straight to the high priestess: Oprah. Armstrong&#8217;s goal, of course, is forgiveness, a public absolution that will allow him to resume his career as a competitive athlete—this time in triathlons—and regain some tarnished measure of his lost  good will. Sometimes it works: Bill Clinton, Martha Stewart, Michael Vick—who ran a dog-fighting ring—managed to bounce back. Eliot Spitzer got a TV gig after frolicking with prostitutes and resigning as governor of New York, and is said to be flirting with a run for public office again. Mark Sanford, who stepped down as South Carolina governor after disappearing to hike the Appalachian Trail in his Argentine mistress&#8217;s bed, just announced his candidacy to reclaim the seat he once held in Congress.  Even Richards has earned a<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=78131&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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		<slash:comments>0</slash:comments>
	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/viewpoint-viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2013/01/lance_story.jpg?w=240</featured_image>
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			<media:title type="html">lance_story</media:title>
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			<media:title type="html">jkluger</media:title>
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		<title>Rulings Threaten FDA and States&#8217; Ability to Regulate Drugs and Therapy</title>
		<link>http://healthland.time.com/2013/01/04/rulings-threaten-fda-and-states-ability-to-regulate-drugs-and-therapy/</link>
		<comments>http://healthland.time.com/2013/01/04/rulings-threaten-fda-and-states-ability-to-regulate-drugs-and-therapy/#comments</comments>
		<pubDate>Fri, 04 Jan 2013 20:00:55 +0000</pubDate>
		<dc:creator>Maia Szalavitz</dc:creator>
				<category><![CDATA[Pharmaceuticals]]></category>
		<category><![CDATA[Regulation]]></category>
		<category><![CDATA[Viewpoint]]></category>
		<category><![CDATA[California]]></category>
		<category><![CDATA[drug regulation]]></category>
		<category><![CDATA[FDA]]></category>
		<category><![CDATA[gay conversion therapy]]></category>
		<category><![CDATA[new york]]></category>
		<category><![CDATA[off label drug marketing]]></category>
		<category><![CDATA[pharma]]></category>
		<category><![CDATA[pharmaceutical industry]]></category>
		<category><![CDATA[regulation]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=75800</guid>
		<description><![CDATA[Two cases could trigger dramatic changes in the way medications and therapies are regulated. The legal arguments now wending their way through the courts could either seriously undermine— or dramatically boost—the ability of regulators to protect the public from dangerous medications and therapies. On their face, the cases seem to share little in common.  In one, a panel of federal judges in New York overturned the conviction of a drug company representative for illegal sales practices.  In the other, a federal court in California issued an injunction against a new law that bans “gay conversion” therapy for teens, scheduled to go into effect in January. Both cases raise critical, and unresolved questions about the tension between free speech and health claims that are regulated by the federal Food, Drug and Cosmetic Act (FDCA). In the New York case, Alfred Caronia, then employed by Orphan Medical, was caught on tape promoting one of his company’s drugs to doctors for uses for which it had not been approved by the FDA.  Known as Xyrem, the medication is approved to treat narcolepsy, a condition involving extreme daytime sleepiness that can put patients in potentially dangerous situations.  Caronia, however, touted its usefulness in treating insomnia and to address sleepiness related to the pain disorder fibromyalgia. While it is legal for doctors to use medications “off label” if they believe it is in their patients’ interest, it is not legal for pharmaceutical companies to promote such use because the FDA has not evaluated such practices for efficacy and safety. But citing free speech concerns, two of the three appeals court judges in the Second Circuit quashed Caronia’s conviction.  They wrote that he had clearly been targeted for his speech, saying, “[T]he government cannot prosecute pharmaceutical manufacturers and their representatives under the F.D.C.A. for speech promoting the lawful, off-label use of an F.D.A.-approved drug.” The Second Circuit was the first court to interpret the First Amendment in this way; previous courts had ruled in favor of the FDA and its legal right to prohibit such &#8220;misbranding&#8221;<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=75800&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/viewpoint-viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2013/01/109439712.jpg?w=240</featured_image>
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			<media:title type="html">109439712</media:title>
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			<media:title type="html">MaiaSzalavitz</media:title>
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		<title>Raising Hispanic Kids in a &#8216;Build a Fence&#8217; World</title>
		<link>http://healthland.time.com/2012/11/29/raising-hispanic-kids-in-a-build-a-fence-world/</link>
		<comments>http://healthland.time.com/2012/11/29/raising-hispanic-kids-in-a-build-a-fence-world/#comments</comments>
		<pubDate>Thu, 29 Nov 2012 19:00:17 +0000</pubDate>
		<dc:creator>Jeffrey Kluger</dc:creator>
				<category><![CDATA[Parenting]]></category>
		<category><![CDATA[Viewpoint]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=73601</guid>
		<description><![CDATA[My daughters have never met Arizona Governor Jan Brewer — and it&#8217;s likely they have never even heard her name. That makes sense since they&#8217;re only 9 and 11. But even at their age, they&#8217;ve become familiar with Brewer&#8217;s — and her state&#8217;s — handiwork. I was born in the U.S., my wife was born in Mexico and emigrated here when she was in college, and my daughters were born in New York City. That makes them passport-carrying, natural-born, eligible-to-run-for-President Americans. But they’re also Mexicans and they like that just fine. From the time they were pre-schoolers, they’ve seen themselves as a happy mix of the red, white and blue and the red, white and green — but the happy part hasn’t always been so easy. They were not old enough to notice when I would leap up to mute the TV whenever the seemingly ubiquitous Lou Dobbs would appear, going on about this or that imminent threat looming just south of the border. They were surely too young to appreciate what was going on when hardliners on Capitol Hill blocked George W. Bush’s plan for legalizing America’s 11 million undocumented aliens. (More: How the Gay Marriage Victories Are Slowly Transforming the Nation) But they definitely understood only a few years later when their Mami watched the news, learned about Arizona&#8217;s show-your-papers law and worried aloud whether it would ever be safe for her to travel there again. They surely understood when other legal-alien relatives wondered if they’d better hurry up and sit for their citizenship tests, since a green card and decades of productive residency suddenly seemed like flimsy protection. In the weeks since the just-passed election, there&#8217;s been no shortage of hand-wringing on the right — and not-entirely seemly gloating on the left — about the demographic suicide the Republican party seems to be committing. In 2004, Bush won a respectable 44% of the Hispanic vote. This year, 44% represented the margin between Mitt Romney’s 27% and Barack Obama’s 71%. In fairness, it&#8217;s the shrillest voices in the GOP that are mostly responsible for that<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=73601&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/viewpoint-viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2012/11/nyc107966.jpg?w=240</featured_image>
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			<media:title type="html">nyc107966</media:title>
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			<media:title type="html">jkluger</media:title>
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		<title>Reality Strikes: A Doctor-In-Training Encounters Her First Patient</title>
		<link>http://healthland.time.com/2012/10/26/reality-strikes-a-doctor-in-training-encounters-her-first-patient/</link>
		<comments>http://healthland.time.com/2012/10/26/reality-strikes-a-doctor-in-training-encounters-her-first-patient/#comments</comments>
		<pubDate>Fri, 26 Oct 2012 19:30:30 +0000</pubDate>
		<dc:creator>Laura Fitzpatrick</dc:creator>
				<category><![CDATA[Doctor in Training]]></category>
		<category><![CDATA[Viewpoint]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=72610</guid>
		<description><![CDATA[Being a first-semester medical student feels a little like playing a doctor on TV. There are lines to memorize: we say “axillae” instead of “armpits” now, and “epistaxis” instead of “bloody nose.” There are props: the stethoscopes, engraved with our names, that we tote around but have yet to use to examine a patient. And of course, wardrobe: the short white coat that to me still feels a bit like a costume. Some of the first “patients” we see are, in fact, professional actors, trained to mimic the symptoms of a seizure disorder or the aftermath of a suicide attempt. And we do some acting of our own, particularly when patients know more about their symptoms than we have yet to learn: “My IgE is off the charts,” one man told me as I shadowed his doctor during his visit. I frowned and nodded, showing no sign that the clinical significance of this fact was a mystery to me. (I looked it up later.) So I was eager to move on to the real thing. I took a medical history recently for the first time&#8211;from a young Indian-American woman just a few years older than I am&#8211;and a real patient. But the fact that I was no longer playing a part didn&#8217;t hit me until later. “What brings you here today?” I asked. A painful lump in her armpit, she said. Two weeks earlier, the doctor had examined it and determined that it was probably nothing to worry about, but had asked her to return for followup. Running through a mnemonic in my head, I walked the woman through the major questions necessary to flesh out the chief complaint and history of present illness, the components our professors had tasked us with eliciting that week. (OPQRST, the memory trick for pain goes: Onset. Provocation/Palliation. Quality. Radiation. Severity/Symptoms. Time.) I didn’t interrupt the patient; I spent time with her; I even made her chuckle. I listened to what she said and wrote it down. Afterwards, my supervising doctor took over, asking<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=72610&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/viewpoint-viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2012/10/doctors.jpg?w=240</featured_image>
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			<media:title type="html">doctors</media:title>
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			<media:title type="html">apark7</media:title>
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		<title>Naomi Wolf&#8217;s Vagina Aside, What Neuroscience Really Says About Female Desire</title>
		<link>http://healthland.time.com/2012/09/18/what-neuroscience-really-says-about-the-vagina-and-female-desire/</link>
		<comments>http://healthland.time.com/2012/09/18/what-neuroscience-really-says-about-the-vagina-and-female-desire/#comments</comments>
		<pubDate>Tue, 18 Sep 2012 13:00:09 +0000</pubDate>
		<dc:creator>Maia Szalavitz</dc:creator>
				<category><![CDATA[Viewpoint]]></category>
		<category><![CDATA[Addiction]]></category>
		<category><![CDATA[clitoris]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[dopamine]]></category>
		<category><![CDATA[female sexuality]]></category>
		<category><![CDATA[Naomi Wolf]]></category>
		<category><![CDATA[Naomi Wolf's Vagina]]></category>
		<category><![CDATA[neuroscience]]></category>
		<category><![CDATA[oxytocin]]></category>
		<category><![CDATA[Parenting]]></category>
		<category><![CDATA[serotonin]]></category>
		<category><![CDATA[sexuality]]></category>
		<category><![CDATA[vagina]]></category>
		<category><![CDATA[women's sexuality]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=69076</guid>
		<description><![CDATA[Wolf's oversimplification of neuroscience threatens to perpetuate a psychological myth: that human beings — especially women — are automatons, enslaved by brain chemicals we cannot control<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=69076&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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		<slash:comments>1</slash:comments>
	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/viewpoint-viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2012/09/600_science_0918.jpg?w=240</featured_image>
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			<media:title type="html">600_science_0918</media:title>
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			<media:title type="html">MaiaSzalavitz</media:title>
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		<title>Should the FDA Regulate Recreational Drugs?</title>
		<link>http://healthland.time.com/2012/07/27/should-the-fda-regulate-recreational-drugs/</link>
		<comments>http://healthland.time.com/2012/07/27/should-the-fda-regulate-recreational-drugs/#comments</comments>
		<pubDate>Fri, 27 Jul 2012 19:08:35 +0000</pubDate>
		<dc:creator>Maia Szalavitz</dc:creator>
				<category><![CDATA[Viewpoint]]></category>
		<category><![CDATA[bath salts]]></category>
		<category><![CDATA[DEA]]></category>
		<category><![CDATA[Drugs]]></category>
		<category><![CDATA[fake marijuana]]></category>
		<category><![CDATA[fake pot]]></category>
		<category><![CDATA[FDA]]></category>
		<category><![CDATA[illegal drugs]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=64905</guid>
		<description><![CDATA[On Thursday, in its first major bust of synthetic designer drugs, the Drug Enforcement Administration (DEA) arrested 90 people around the country for the alleged sales, importation and distribution of substances including “bath salts” and various types of “fake marijuana.” “[T]his enforcement action has disrupted the entire illegal industry, from manufacturers to retailers,” said DEA Administrator Michele Leonhart in a statement, noting the seizure of nearly 5 million packets of marijuana-like drugs and 167,000 packs of bath salts (amphetamine-like substances called cathinones) as well as precursors that could have produced roughly 300,000 more such packs. The Feds also seized $36 million in cash. These synthetic drugs are typically sold over-the-counter as &#8220;legal highs&#8221; in head shops, convenience stores and gas stations in packets with various brands, including Ivory Wave and Vanilla Sky. Each specific product is sold until their particular ingredients are banned; to get around bans, sometimes new ingredients are simply introduced under the same brand name. Earlier this month, President Barack Obama signed a law banning two dozen of the most common bath salt drugs, but experts estimate that there are at least 100 different bath salt chemicals currently in circulation. Trying to ban them all has become a giant game of whack-a-mole. As the director of the National Institute on Drug Abuse, Dr. Nora Volkow, told the Associated Press, “The moment you start to regulate one of them, they&#8217;ll come out with a variant that sometimes is even more potent.” (MORE: The Cannabis Cannibal? Miami Face-Eater Didn&#8217;t Take &#8216;Bath Salts&#8217;) Unlike other substances that people use recreationally, little is known about the effects of the new synthetic drugs, not even in the short term. Drugs like alcohol, marijuana, heroin, amphetamine and cocaine have been studied for decades, and we know a great deal about how to treat medical problems associated with them. Some have lengthy histories of medical use, and alcohol and marijuana specifically are known to have been taken by humans for thousands of years. But none of the synthetics on the market have ever been<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=64905&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/viewpoint-viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2012/07/88621312.jpg?w=240</featured_image>
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			<media:title type="html">88621312</media:title>
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			<media:title type="html">MaiaSzalavitz</media:title>
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		<title>Does the Internet Really Make Everyone Crazy?</title>
		<link>http://healthland.time.com/2012/07/13/does-the-internet-make-everyone-or-just-journalists-crazy/</link>
		<comments>http://healthland.time.com/2012/07/13/does-the-internet-make-everyone-or-just-journalists-crazy/#comments</comments>
		<pubDate>Fri, 13 Jul 2012 18:35:47 +0000</pubDate>
		<dc:creator>Maia Szalavitz</dc:creator>
				<category><![CDATA[Viewpoint]]></category>
		<category><![CDATA[internet addiction]]></category>
		<category><![CDATA[internet insanity]]></category>
		<category><![CDATA[internet makes you crazy]]></category>
		<category><![CDATA[moral panic]]></category>
		<category><![CDATA[newsweek]]></category>
		<category><![CDATA[problematic internet use]]></category>
		<category><![CDATA[Tony Dokoupil]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=63685</guid>
		<description><![CDATA[Sociologists call them moral panics — when a population pins its unanchored fear in uncertain times on a selected demon, whether or not the target is really a threat to society. Drugs are a frequent focus of these societal anxiety attacks, but this week, Newsweek tries to foment a classic panic against a more universal foe: the Internet. Headlined online “Is the Web Driving Us Mad?” the article begins with the story of Jason Russell, the filmmaker behind the &#8220;Kony2012&#8243; video about the African cult-leader and warlord Joseph Kony. After the video went viral and suddenly brought Russell international fame, he wound up naked and ranting on a San Diego street corner. To make the case that the Internet caused Russell&#8217;s psychotic break, the Newsweek article rapidly generalizes from rare, extreme experiences like Russell&#8217;s and wends through a selective reading of the research to argue, in the words of one quoted source, that the Net, “encourages — and even promotes — insanity.” (MORE: The Internet Knows You’re Depressed, but Can It Help You?) According to senior writer Tony Dokoupil: The first good, peer-reviewed research is emerging, and the picture is much gloomier than the trumpet blasts of Web utopians have allowed. The current incarnation of the Internet—portable, social, accelerated, and all-pervasive—may be making us not just dumber or lonelier but more depressed and anxious, prone to obsessive-compulsive and attention-deficit disorders, even outright psychotic. Our digitized minds can scan like those of drug addicts, and normal people are breaking down in sad and seemingly new ways. The problem is, this conclusion runs counter to what the research data actually show. Dokoupil makes much of brain scan studies suggesting that Internet use “rewires” the brain in ways that look similar to changes seen in drug addiction. The reality is that any enjoyable activity leads to changes in the brain&#8217;s pleasure regions if a person engages in it frequently enough. Indeed, any activity we perform repeatedly will lead to brain changes: that’s known as learning. Riding a bicycle and playing the violin also rewire<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=63685&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/viewpoint-viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2012/07/ec3323-001a.jpg?w=240</featured_image>
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			<media:title type="html">MaiaSzalavitz</media:title>
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		<title>The Case of Cameron Douglas: Prison Is Not Rehab, Say Addiction Experts</title>
		<link>http://healthland.time.com/2012/05/21/the-case-of-cameron-douglas-prison-is-not-rehab-say-addiction-experts/</link>
		<comments>http://healthland.time.com/2012/05/21/the-case-of-cameron-douglas-prison-is-not-rehab-say-addiction-experts/#comments</comments>
		<pubDate>Mon, 21 May 2012 18:30:47 +0000</pubDate>
		<dc:creator>Maia Szalavitz</dc:creator>
				<category><![CDATA[Addiction]]></category>
		<category><![CDATA[Drugs]]></category>
		<category><![CDATA[Mental Health]]></category>
		<category><![CDATA[Viewpoint]]></category>
		<category><![CDATA[buprenorphine]]></category>
		<category><![CDATA[cameron douglas]]></category>
		<category><![CDATA[jail]]></category>
		<category><![CDATA[maintenance]]></category>
		<category><![CDATA[methadone]]></category>
		<category><![CDATA[methamphetamine]]></category>
		<category><![CDATA[Michael Douglas]]></category>
		<category><![CDATA[prison]]></category>
		<category><![CDATA[suboxone]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=60005</guid>
		<description><![CDATA[The case of Cameron Douglas could be an unlikely turning point in this country&#8217;s endless war on drugs. Douglas, the 33-year-old son of actor Michael Douglas who is currently serving a five-year sentence for possessing and distributing drugs, was slammed in December with an additional 4.5-year term for possession of heroin and Suboxone, a drug used to treat opioid addiction, while imprisoned. Although Douglas had not received any treatment for his heroin addiction during his incarceration, a federal district court judge saw his continued drug use as defiance. Judge Richard Berman called Douglas, “continuously reckless, disruptive and noncompliant, notwithstanding [his] co-occurring addictions and mental health issues, which are no doubt serious.” To anyone who understands addiction, which is often made more severe by mental health problems — and which cannot be treated with punishment or imprisonment — the judge&#8217;s “notwithstanding” makes no sense. Addiction involves inability to respond to punishment: it is defined medically as the compulsive use of a substance despite ongoing negative consequences. Since negative consequences and punishment are synonymous, if punishment cured addiction, addiction wouldn&#8217;t occur at all. (MORE: DSM-5 Could Categorize 40% of College Students as Alcoholics) Moreover, to further imprison a drug-addicted inmate because of his addictive behavior is to ignore his medical needs. That&#8217;s why a group of leading addiction experts has filed an amicus brief in support of Douglas’ appeal of the sentence, hoping to get the justice system to recognize this medical reality. The brief was signed by the addiction medicine societies of New York and California, the American Academy of Addiction Psychiatry and 13 top addiction experts, mainly physicians. Typically, inmates who are caught with drugs in prison are penalized with the loss of prison privileges, such as visits and phone calls, but those sanctions had not stopped Douglas from using, which angered the judge. The New York Times described the content of the brief this way: Their argument is that Mr. Douglas, who began injecting heroin daily in his mid-20s, is a textbook example “of someone suffering from untreated opioid dependence”<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=60005&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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	<primary_category>Viewpoint</primary_category><primary_category_link>http://healthland.time.com/category/viewpoint/viewpoint-viewpoint/</primary_category_link><featured_image>http://timewellness.files.wordpress.com/2012/05/camerondouglas.jpg?w=240</featured_image>
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			<media:title type="html">cameron douglas</media:title>
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		<title>Why Cell Phones Are Bad for Parenting</title>
		<link>http://ideas.time.com/2012/05/17/why-cell-phones-are-bad-for-parenting/</link>
		<comments>http://ideas.time.com/2012/05/17/why-cell-phones-are-bad-for-parenting/#comments</comments>
		<pubDate>Fri, 18 May 2012 19:00:36 +0000</pubDate>
		<dc:creator>Dominique Browning</dc:creator>
				<category><![CDATA[Viewpoint]]></category>
		<category><![CDATA[cell phones]]></category>
		<category><![CDATA[children]]></category>
		<category><![CDATA[Parenting]]></category>
		<category><![CDATA[parents]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=59827</guid>
		<description><![CDATA[Kids can tell when they don&#8217;t have their parents&#8217; full attention. Dominique Browning argues it&#8217;s time for parents to put down their cell phones before it&#8217;s too late. Read her full opinion piece on our companion blog Ideas.<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=59827&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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		<title>Do Black Women Really Want to Be Fat?</title>
		<link>http://ideas.time.com/2012/05/14/do-black-women-really-want-to-be-fat/?iid=op-main-lede</link>
		<comments>http://ideas.time.com/2012/05/14/do-black-women-really-want-to-be-fat/?iid=op-main-lede#comments</comments>
		<pubDate>Mon, 14 May 2012 17:30:43 +0000</pubDate>
		<dc:creator>Noliwe M. Rooks</dc:creator>
				<category><![CDATA[Viewpoint]]></category>

		<guid isPermaLink="false">http://healthland.time.com/?p=59465</guid>
		<description><![CDATA[Novelist Alice Randall says black women make the choice to remain overweight, but other research shows social and environmental factors can also play a huge role. Read Noliwe M. Rook&#8217;s full opinion piece on our companion blog Ideas.<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=healthland.time.com&#038;blog=8684427&#038;post=59465&#038;subd=timewellness&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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		<slash:comments>0</slash:comments>
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			<media:title type="html">88583262</media:title>
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			<media:title type="html">asifferlin</media:title>
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