Irving ABELLA et Harold TROPER, None is Too Many

How many "me-too" drugs is too many?

ON AUGUST 3, 2009, THE US FOOD AND DRUG ADministration (FDA) approved pitavastatin (Livalo), making it the eighth statin approved for use in the United States and seventh currently available for sale. This approval comes almost a quarter century after that for the first member of the class, lovastatin, 8 years after generic lovastatin was approved and 4 years after 2 additional statins, pravast...

Therapeutic cytapheresis: too many platelets, too many white blood cells.

Myeloproliferative disorders may present with thrombocytosis and/or leukocytosis with symptoms ranging from minor to life-threatening. Therapeutic cytapheresis (TC), the removal of excess and/or abnormal cells such as platelets and white blood cells, can be used to rapidly reduce cells in the symptomatic patient. The patient's clinical status determines the need for TC as symptoms may not corre...

Too few physicians, or too many?

Rate Changes – Too many or too few ?

Too few doctors--or too many?

THIS conclusion has led the Royal Commission to recommend doubling the existing numbers of doctors within the next 30 years. This is an expensive proposal that is likely to add many millions of pounds to the annual budget of the nation. It requires careful examination. Estimates of medical manpower requirements are fraught with difficulties and hazards. The proposals of the Willink Committee (1...