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Supreme Court Should Be 'Reined In' To Return Power To Legislative Branch, NYT Columnist Writes
Although Supreme Court nominee Sonia Sotomayor"s confirmation hearings are more than a month away, "it"s easy to predict how they will go," New York Times columnist Ross Douthat writes. Douthat predicts that Senate Judiciary Committee members "will attempt to divine Sotomayor"s position on a variety of controversial topics," such as abortion rights, and in "a series of polite, evasive answers, the nominee will feign a studious neutrality on almost every issue that could come before her during what"s likely to be decades as one of the most powerful women in the world." According to Douthat, the "deeper stakes" that likely will be ignored are that "Sotomayor will be joining a high court that"s gradually become a kind of extra legislative body." He cites research from Harvard Law School professor Jed Shugerman showing that the court over roughly the past 50 years has invalidated both state and federal statutes at an unprecedented rate. Douthat also points to data from Evan Caminker of the University of Michigan showing that in one eight-year period, the court invalidated 16 federal laws in 5-4 votes, something that occurred only 25 times in the previous two centuries. Douthat writes that "settling so many vexing controversies with 5-to-4 votes -- effectively making Anthony Kennedy the nation"s philosopher king -- is an awfully poor way to run a republic."Douthat continues that the "modern court"s most enduringly controversial power grabs -- with Roe v. Wade leading the way -- were usually the work of liberal justices" but that "in practice, the main divide between liberal and conservative judges tends to be over the responsibilities of the federal government, not judicial activism per se." He writes, "There are bipartisan ways that the Court could be reined in, and the legislative branch reinvigorated," including the idea of a supermajority rule that would require a 6-3 vote to overturn federal legislation. This idea "might spur the court toward greater consensus, and perhaps greater modesty as well," according to Douthat. Another possibility would be to implement 12-year term limits, he says. Douthat concludes that these suggestions would not "reduce the Supreme Court"s power directly, but it would help us see the court for what it has become -- a deeply political institution, as fallible as any other, and answerable, when all is said and done, to us" (Douthat, New York Times, 6/2).
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Patient-Centered Research Report Sent To Congress Outlining Research Priorities
Recommendations for how the HHS Office of the Secretary will spend $400 million in funds for patient-centered research, also known as comparative effectiveness research, were released by Federal Coordinating Council for Comparative Effectiveness Research (CER). The report, mandated by the American Recovery and Reinvestment Act, is designed to help the HHS Secretary and lawmakers improve the quality of care for patients, and provide patients and doctors the best information possible to make decisions about health care.
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Report Highlights Importance Of GPs, Australian Medical Association
A new Australian Institute of Health and Welfare/University of Sydney report on General Practice highlights the critical role GPs play in keeping the Australian community healthy, AMA Federal President, Dr Andrew Pesce, said today.
Cardiovascular

Acute Stroke Centres Promise To 'revolutionise' Stroke Care Services

The growth of acute stroke care centres and systems of care could revolutionise clinicians" ability to treat patients with stroke, according to an analysis of services published ahead of print in the Journal of NeuroInterventional Surgery. The analysis looks at how specialised stroke services across the world have been effective in improving acute and long-term outcomes for patients. Stroke is the third largest cause of death in the US, Europe, Canada and Japan. In England, around 110,000 people experience a stroke every year and 795,000 in the US. Researchers from the University of Texas studied how stroke services are developing and looked in particular at current and emerging therapies in acute ischemic stroke, in which a patient experiences the death of an area of brain tissue resulting from an inadequate supply of blood and oxygen to the brain due to blockage of an artery. In ischemic stroke cases, between 50% and 70% of survivors regain functional independence, while 15-30% are permanently disabled and 20% need institutional care three months after the stroke. Early management of patients with this form of stroke is aimed at minimising disability and improving a person"s functioning, say the researchers. Over the past decade, new therapeutic options have become available for stroke patients, says the analysis, including organised stroke care and primary stroke centres - specialised facilities which coordinate and promote patient access to the full range of treatments and services associated with stroke prevention, treatment and rehabilitation. These centres (similar to specialist stroke centres in the UK) can provide emergency medical services for first-line response and initial stabilisation; emergency department for hyperacute stroke care; acute stroke team availability within 15 minutes; neuroimaging and laboratory services in-house; stroke unit with treatment and secondary prevention; neurointerventional and neurosurgical services available; rehabilitation; primary prevention; community education and continuing medical education; and outcome and quality improvement activities. The authors conclude: "The development of acute stroke centres and systems of care may revolutionise the medical community"s ability to treat patients with stroke. Specialised stroke services have been effective in improving acute and long-term care outcome measures. "Focusing clinical res in neurocritical care units and stroke units provides greater specialist care, enhances knowledge in the field, and may also facilitate data collection and enrollment in clinical trials." "Review of current and emerging therapies in acute ischemic stroke." J NeuroInterv Surg 2009; doi 10.1136/jnis.2009.000117 Journal of Neurointerventional Surgery


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