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Washington Post Opinion Piece Examines O'Reilly's Role In Tiller Murder
Fox News host Bill O"Reilly is "being incredibly disingenuous when he claims that he bears no responsibility for others" actions in the killing of Dr. George Tiller on Sunday," Mary Alice Carr, vice president of communications for NARAL Pro-Choice New York, writes in a Washington Post opinion piece. "When you tell an audience of millions over and over again that someone is an executioner, you cannot feign surprise when someone executes that person," she continues, adding that "O"Reilly knew that people wanted Tiller dead, and he knew full well that many of those people were avid viewers of his show. Still, he fanned the flames."Carr writes that she has pledged to no longer appear on O"Reilly"s show because she realized that her appearance "would only legitimize his speech and that no good would come of my efforts." She adds that when a producer called her to come on the show following Tiller"s murder, she responded that, among other things, the community of abortion-rights supporters "hold[s] O"Reilly responsible for helping to create a climate in which hate was allowed to fester."Carr notes that following Tiller"s death, "O"Reilly had the opportunity to apologize for his words" and "say that this tragic outcome was something about which he felt sorry," but "[h]e didn"t." She adds, "When restraint and perspective were called for, he fanned the flames higher." Carr concludes that she will not appear on O"Reilly"s show because "if the murder of a man in a house of worship wasn"t enough to make Bill O"Reilly repent, what hope d[o] I have?" (Carr, Washington Post, 6/4).
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The Evolution Of Migraine From Episodic Headache To Chronic Disorder
Patients living with migraine have strong reason for new optimism concerning a positive future. Two review articles and an accompanying editorial, "The Future of Migraine: Beyond Just Another Pill," in the current issue of Mayo Clinic Proceedings, are the basis for an ironic premise.
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Obama Open To Using MedPAC To Set Medicare Payment Rates
As the administration searches for ways to pay for health care reform and restrain medical costs, President Obama suggested Wednesday that he would consider transferring the power to set Medicare reimbursement rates from Congress to the independent advisory agency known as MedPAC, MedPage Today reports. The move reflects legislation introduced by Sen. Jay Rockefeller, D-W.Va., last month that would move MedPAC into the executive branch as "a regulatory board similar to the Federal Reserve ... The move would transfer the power to set reimbursement rates from Congress -- and perhaps the interest groups that lobby it -- to an agency that critics say is better equipped to make nuanced medical payment decisions" (Walker 3/09).
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Survey Finds Surgical Residents View Duty Hour Regulations As A Hindrance To Training

Results of a survey published in the July issue of the Journal of the American College of Surgeons show that a large subset of surgical residents consider duty hour regulations (DHR) a significant barrier to their surgical education and express a desire for flexibility to work longer hours than current restrictions allow. The implementation of DHR in 2003 was intended to address resident fatigue and improve patient safety. Prior to implementation, residents often worked 100 hours or more weekly; currently, residents are limited to an 80-hour work week. Although studies have shown that residents are getting more sleep and their personal lives are improved, the effect of DHR on case load, academic performance, and board examination performance is still poorly understood. The effect of DHR on patient care also remains uncertain, and there is evidence to suggest that there has been an increase in communication errors as a result of frequent patient handoffs. "We were surprised to find that nearly half of surgical residents believe work-hour restrictions are actually an impediment to their training," said Jacob Moalem, MD, Department of Surgery, University of Rochester (NY) Medical Center. "Our current system limits educational opportunities for surgeons who are expressing a desire and a need to learn more in a compact time frame. Senior surgery residents should be given the chance to control their own schedules as they continue to refine their technical skills and transition into independent practice." An Internet-based survey was electronically distributed to all resident and associate members of the American College of Surgeons. The first question asked respondents to rate the impact of DHR on their education as "no barrier," "minimal barrier," "moderate barrier" and "significant barrier." For analysis, the first two choices were grouped and retitled "no barrier," and the latter two choices were grouped and called "barrier." The second question asked respondents how many hours they considered ideal for their postgraduate year in their program. Choices provided were 100 hours per week. Of 599 respondents, 41 percent believed that DHR were a considerable or moderate barrier to their education. Less than one-third of residents reported that their education was not hindered by DHR. Another 27 percent stated that DHR were a minimal barrier to their education. A small majority of residents (52 percent) reported that the ideal number of hours for their training was 60 to 80, in line with the current DHR. Forty-three percent believed that 80 to 100 hours per week would be ideal. The belief that DHR represented a substantial or moderate barrier to education was correlated with the belief that the ideal DHR should be greater than 80 hours per week (p


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