As we cannot afford to renounce to new generation echocardiography in systemic amyloidosis

Why epidemiologists cannot afford to ignore poverty.

Epidemiologists cannot afford to ignore poverty. To do so would, first, wrongly obscure the devastating impact of poverty on population health, and, second, undercut our commitment to scientific rigor. At issue is doing correct science, not "politically correct" science. Blot poverty and inequity from view, and not only will we contribute to making suffering invisible but our understanding of d...

Providing outpatient prescription drugs through Medicare: can we afford to? Can we afford not to?

HPV vaccine: Can we afford to hesitate?

To the Editor: Cervical cancer, caused by human papillomavirus (HPV) infection, is highly prevalent in sub-Saharan Africa. The estimated annual incidence of cervical cancer is 35/100 000 women, with 22.5/100 000 associated deaths. This is in stark contrast to the 6.6/100 000 cases and 2.7/100 000 deaths reported in developed countries such as the USA, where HPV vaccination has been available si...

Can we afford to eliminate restenosis?

Over the past decade, coronary stenting has emerged as the dominant form of percutaneous coronary revascularization. However, bare metal stents remain limited by a high incidence of restenosis, leading to frequent repeat revascularization procedures and substantial economic burden. Antiproliferative drug-eluting stents (DES) have recently demonstrated dramatic reductions in rates of restenosis,...

Pakistan cannot afford defensive medicine.

the first two-thirds of the 20th century, the most common basis on which malpractice lawsuits were lodged against physicians were allegations that the physicians did something wrong. 1,2 About three decades ago, physicians began to be sued for failing to do something right. 3 This was when defensive medicine came into being as a response to malpractice litigations and now it has become an undec...