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    Your Body, Your Health Care: A Conversation with Dr. Jeffrey Singer

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    Unlocking the Secrets of GLP-1 Medications

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    Your Body, Your Health Care: A Conversation with Dr. Jeffrey Singer

    Your Body, Your Health Care: A Conversation with Dr. Jeffrey Singer

    July 1, 2025
    Unlocking the Secrets of GLP-1 Medications

    The cost structure of hospitals nearly doubles

    July 1, 2025
    Navigating the Medical Licensing Maze

    The Fight Against Healthcare Fraud: Dr. Rafai’s Story

    April 8, 2025
    Navigating the Medical Licensing Maze

    Navigating the Medical Licensing Maze

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    The Alarming Truth About Health Insurance Denials

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    The Importance of NIH Grants

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    What concerns you most about your healthcare?

    What concerns you most about your healthcare?

    July 1, 2025
    Perception vs. Comprehension: Public Understanding of the 2025 MAHA Report

    Perception vs. Comprehension: Public Understanding of the 2025 MAHA Report

    June 4, 2025

    Survey Results

    Do you believe national polls on health issues are accurate

    National health polls: trust in healthcare system accuracy?

    May 8, 2024
    Which health policy issues matter the most to Republican voters in the primaries?

    Which health policy issues matter the most to Republican voters in the primaries?

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What is Data, Really?

Daily Remedy by Daily Remedy
May 8, 2024
in Innovations & Investing
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There is pain, and there is pain’s shadow, a demarcation defined by philosopher C.S. Lewis when describing the impact pain has upon a person afflicted.

In this context, we explore the nuances of healthcare policy and modern medical practices that govern the treatment of diseases such as Alzheimer’s, revealing the complexities of medical regulations and patient care.

In much the same vein, we must look at disease and the presentation of disease as its shadow – as we would treatment and the presentation of treatment as its shadow. The two are inextricably linked, and the interaction between the two – disease and disease presentation, treatment and treatment effectiveness – defines the quality of care, as experienced by the patient.

When the FDA recently approved a drug to treat Alzheimer’s disease, the medical community reacted in outrage. The data evaluating the effectiveness of the drug never focused on any of the symptoms of the disease, which is diagnosed through the clinical presentation of the symptoms. Instead, the drug was approved based on its ability to reduce the concentration of a protein found in the brain of those afflicted with the condition, a decision that raised healthcare policy issues and questions about the policy & politics in nursing and healthcare.

Even the study never defined a direct relationship between protein concentration and symptomatic presentation. In fact, most Neurologists specializing in neurodegenerative, age-related disorders emphasize the clinical presentation over any test or lab – advocating for the use of testing and lab work only to confirm what is suspected upon clinical presentation.

This approach underscores the innovations in healthcare that respect both the empirical and experiential aspects of medical care, aiming towards an ideal healthcare system.

So then, what are we truly treating with this new drug?

Alzheimer’s is a clinical condition, defined symptomatically, diagnosed based upon the symptoms presented.

We do not diagnose nor treat a complex neurodegenerative disease through the imaging of a protein biomarker. We diagnose and treat through the clinical presentation of symptoms.

A disease is a disease based upon how it presents. And a treatment is a treatment based upon how it treats the presentation of the disease.

The relationship is fundamentally experiential. To discern the relationship through imaging or by any other means to violate the fundamental relationship between disease and treatment, and the respective shadows.

The FDA’s decision to approve the drug based upon imaging data demonstrates a staunch movement towards analytics and data driven medicine. The reaction by the medical community demonstrates that no matter how analytical or data driven healthcare becomes, it will always remain a fundamentally subjective discipline – as much art as science.

Data can glean relationships, reveal what is related, symptom to disease or disease to treatment. But data cannot understand the nuances of these relationships.

How things relate in healthcare is far more complicated than the information provided by data. If we presume data is the answer to the questions in medicine, then we will quickly realize that the answers cannot encapsulate the full scope of the questions.

The data behind the drug’s approval focused primarily on the concentration of the protein associated with Alzheimer’s disease and secondarily on the clinical presentation of the disease itself.

Reflect upon that – in a clinical study evaluating whether a drug should be approved for the treatment of a disease, the defining symptoms were not the primary endpoints of the study.

Instead the data simply assumed that by lowering the concentration of the protein, we automatically treat the condition, a gross simplification that conflates correlation with causation – in other words, an error of logic.

Yet this was the data that the FDA evaluated and based its approval upon.

A disturbing trend towards utilizing data as the primary means of diagnosis and treatment that the pandemic should have curbed, as it was a time when we recognized that the perception of the data matters more than the data itself.

That for patients, the perceptions of fear mattered more than the rationality of clinical care.

The data is only the data. The perceptions of care and the treatment of the patient are so much more.

To distill the effectiveness of treatment for a drug – the first to be approved for Alzheimer’s disease in twenty years – down to imaging data disregards the subtle nuances of clinical presentation that initially defined the disease and its treatment.

Medicine was an art before it was a science. Then it became both an art and science.

We should not let the science overwhelm the art. For without the art, we are left with only the science, the empty data.

What is data, really?

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Daily Remedy

Dr. Jay K Joshi serves as the editor-in-chief of Daily Remedy. He is a serial entrepreneur and sought after thought-leader for matters related to healthcare innovation and medical jurisprudence. He has published articles on a variety of healthcare topics in both peer-reviewed journals and trade publications. His legal writings include amicus curiae briefs prepared for prominent federal healthcare cases.

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Videos

In this episode of the Daily Remedy Podcast, Dr. Jeffrey Singer discusses his book 'Your Body, Your Health Care,' emphasizing the importance of patient autonomy in healthcare decisions. He explores historical cases that shaped medical ethics, the contradictions in harm reduction policies, and the role of the FDA in drug approval processes. Dr. Singer critiques government regulations that infringe on individual autonomy and advocates for a healthcare system that respects patients as autonomous adults. The conversation highlights the need for a shift in how healthcare policies are formulated, focusing on individual rights and self-medication.

Chapters

00:00 Introduction to Dr. Jeffrey Singer and His Book
01:11 The Importance of Patient Autonomy
10:29 Contradictions in Harm Reduction Policies
20:48 The Role of the FDA in Drug Approval
30:21 Certificate of Need Laws and Their Impact
39:59 The Legacy of Patient Autonomy and the Hippocratic Oath
Your Body, Your Health Care: A Conversation with Dr. Jeffrey Singer
YouTube Video _IWv1EYeJYQ
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Official MAHA Report

Official MAHA Report

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May 31, 2025
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Explore the official MAHA Report released by the White House in May 2025.

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