Myths debunked: Physicians’ incomes are too high and they are the cause of rising health costs

The deeply respected and revered Pulitzer Prize-winning columnist, Mike Royko, who wrote for the Chicago Sun-Times and the Chicago Tribune is remembered as a no-nonsense, tough but fair and probing reporter. Politicians cringed at the very mention of his name, especially if he was doing a story on them. When asked about a poll critical of physician earnings in April of 1993, he did not mince any words – in typical Royko style. In a column entitled, “Doctors’ Pay Poll Reflects a Whiny and Stupid Society,” he addressed those who felt that physicians were being paid too much. “Maybe the poll questions should have been phrased this way,” he began: “How much should a person earn if he or she must, (a) get excellent grades and a fine educational foundation in high school in order to, (b) be accepted by a good college and spend four years taking courses heavy in math, physics, chemistry and other lab work and maintain a 3.5 average or better, and, (c) spend four more years in grinding study in medical school, with the 3rd and 4th years in clinical training, working 80 to 100 hours a week and, (d) put in another three to ten years of post-graduate training, depending on your specialty and, (e) maybe wind up $ 100,000 in debt (editor’s note-more than $166,000 today) and, (f) then work an average of 60 hours a week, with many family doctors putting in 70 hours or more until they retire or fall over?”

He closed with one other pertinent comment: “Let us talk about medical care and one of the biggest problems we have. That problem is you, my fellow Americans. Yes, you, eating too much and eating the wrong foods; many of you guzzling too much hooch; still puffing away; getting your daily exercise by lumbering from the fridge to the microwave to the couch; doing dope; filling the big-city emergency rooms with gunshot victims; engaging in unsafe sex and catching a deadly disease while blaming the world for not finding a cure. You and your habits, not the doctors, are the single biggest health problem in the country. If anything, it is amazing that the docs keep you alive as long as they do.” Harsh words perhaps, but he uttered them 24 years ago, and there is still some truth in them.

Emphasis mine.  I try not to get into this debate with anyone.  But when I do, I don’t lose.

Source article here.

Protein Ingestion before Sleep Increases Overnight Muscle Protein Synthesis Rates in Healthy Older Men: A Randomized Controlled Trial

Conclusions: Protein ingested before sleep is properly digested and absorbed throughout the night, providing precursors for myofibrillar protein synthesis during sleep in healthy older men. Ingestion of 40 g protein before sleep increases myofibrillar protein synthesis rates during overnight sleep. These findings provide the scientific basis for a novel nutritional strategy to support muscle mass preservation in aging and disease. This trial was registered at www.trialregister.nl as NTR3885.

WOW.  Small study size but if these findings hold up in future studies…

Diet Success may Depend on Your DNA

Perhaps as could be expected, both in earlier research and in anecdotal evidence in humans, the animal models tended not to do great on the American-style diet. A couple of the strains became very obese and had signs of metabolic syndrome. Other strains showed fewer negative effects, with one showing few changes except for having somewhat more fat in the liver. With the Mediterranean diet, there was a mix of effects. Some groups were healthy, while others experienced weight gain, although it was less severe than in the American diet. Interestingly, these effects held, even though the quantity of consumption was unlimited.

The results demonstrated that a diet that makes one individual lean and healthy might have the complete opposite effect on another. “My goal going into this study was to find the optimal diet,” Barrington said. “But really what we’re finding is that it depends very much on the genetics of the individual and there isn’t one diet that is best for everyone.”

Read the source article here.

This is the first research study I’ve come across exploring genetics and diet.  This supports a belief I have about diet.  Eat what your ancestors ate.

Dogs Are Smarter Than Cats

The number of cortical neurons is a hallmark of intelligence, the Vanderbilt University team said. They found that dogs have about 530 million cortical neurons while cats have about 250 million. Humans have about 16 billion.

Source article here.

I’ve had cats and dogs as pets.  My cats did awful things when my first child was born.

My Australian Shepherd grand dog told me my dishwasher was on fire.

Case closed.

Linking Sucrose to Hyperlipidemia and Cancer

In rats.  But it’s the behavior of the sugar industry rats that is more disturbing.

Read the entire study here.

Our study contributes to a wider body of literature documenting industry manipulation of science. Industries seeking to influence regulation have a history of funding research resulting in industry-favorable interpretations of controversial evidence related to health effects of smoking [15,16], therapeutic effects of pharmaceutical drugs [17,18], the relationship between sugar-sweetened beverage consumption and weight gain or obesity [5], and the causes of climate change, [19] among other issues. The tobacco industry also has a long history of conducting research on the health effects of its products that is often decades ahead of the general scientific community and not publishing results that do not support its agenda [2023]. This paper provides empirical data suggesting that the sugar industry has a similar history of conducting, but not publishing studies with results that are counter to its commercial interests.

Do You Live to Work?

It’s just a job. Grass grows, birds fly, waves pound the sand. I beat people up.

Muhammad Ali

It is a mistake to measure an individual’s value solely in terms of what the marketplace will pay that individual. Unfortunately, it is the way our society and culture measures its people.

I choose to be measured by the value I provide to my family and friends, economic and otherwise. I choose to avoid abusive relationships, especially in the corporate world. I am reminded of the work of Paul Hwoschinsky who influenced me many years ago in his book  True Wealth. Do you live to work? Or do you work to live? The answer for me has always been I work to live. It can be no other way for me. It has been no other way for me.

Over the years I’ve posed this simple question to my offspring and to others struggling with the concept of balance in their lives. The offspring have learned the lesson and learned it well. But there are many others with whom I’ve crossed paths that unfortunately never learn nor understand what is truly important.

Do you live to work? Or do you work to live? Think deeply. Choose well.