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Healthcare Triage

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GOOD NEWS = We've listened to your comments and will be switching over to the ISO 8601 date system (YYYY-MM-DD) for both News and LIVE shows. Hopefully no more confusion!
BAD NEWS = We have to move the previously scheduled LIVE Show until NEXT Wednesday, April 15 (or 2015-04-15....see!)@2p because some of us are going to be out of town. Link is still the same though: https://www.youtube.com/watch?v=ON5Uoo91b88
GREAT NEWS = We've been short listed for the NIHCM Foundation Health Care Digital Media Award: http://www.nihcm.org/awards/digital-media

Now seems to be as good of a time as any to thank you for watching and supporting the show. We're very grateful :) -Aaron, Mark, and Stan
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We're doing a Live Show today at 9:30a EST: https://www.youtube.com/watch?v=qXNbQBMNSsw. Ask your questions in the comments section of the video! 
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As promised, I addressed a lot of your questions in a blog post this morning. Go here to read it:
http://theincidentaleconomist.com/wordpress/healthcare-triage-sometimes-not-always-faster-is-better-ctd/
Here is the text:

The video brought out a lot of great questions in the comments. Enough that I think it’s worth a follow-up post to address some of them. I’m paraphrasing them. Here we go:

1. There are studies showing that people who drive slower are less likely to die than people who drive faster. Doesn’t that bother you?
Well, sure. But a lot of those studies are showing that people who drive less than 30 mph are less likely to die than people going 40 mph. I’m sure people going less than 10 mph are going to die even more rarely. If we don’t drive at all, it will go down even further. I’m not disputing this fact. We accept a certain amount of risk when we drive.
But this video wasn’t about speed – it was about speed limits. The question is whether a 55 mph speed limit is always safer than a 60 or 65 mph speed limit. That’s not as clear.

2. How can you advocate for higher speed limits (of even 65 mph ) in a city?
I don’t!!! We’re talking about highways here. I said that I don’t think we should do away with regulation. Residential areas, school zones, those are a whole other story.

3. Aren’t you cherry picking by citing Lave? Doesn’t other research show that lower speed limits reduce fatalities?
I tried not to cherry pick. But you’re misinterpreting me. I take the fact that the literature is equivocal on this to mean that there are probably times when slower speed limits are better and times when faster speed limits are better. I’m not advocating for higher speed limits across the board. The point of the video was to push you to question your bias that slower is always better. Sometimes (not always), faster speed limits may be better.

4. Aren’t you advocating that people break the law here?
Nope. I’m advocating that we should sometimes change the law because people not following it is leading to a bad outcome.

4a. Isn’t that really saying that people shouldn’t be held accountable for breaking the law?
Nope. I think people should follow the law. But sometimes, in the real world, they don’t.

4b. Shouldn’t we just punish them?
This is a critical point, and worth of debate. I view this as the difference between efficacy and effectiveness. In an ideal world, everyone would do what we tell them perfectly, and we’d get the “efficacy” of speed limits. In the real world, lots of people don’t, and you see the “effectiveness” of speed limits. The effectiveness is often much less than the efficacy. If we can’t change the world to make efficacy work, we should deal with effectiveness. Sometimes, that means raising a speed limit. We’re not doing it to benefit lawbreakers. We’re doing it potentially to prevent accidents and save lives.

5. Shouldn’t we listen to engineers who tell us what the speed on a road should be?
YES! That’s exactly what I said in the Route 3 example, where engineers rated the road much higher than 55 mph. Looking back at effectiveness, it turns out that people may be, in general, pretty decent at figuring out intuitively what a safe speed on a road would be. If you set the speed limit near that number, more people drive the same speed. If you set the speed limit too far below that, you get a lot of people driving at different speeds. I’m advocating for listening to the engineers.

6. What about pedestrians?
Pedestrians shouldn’t be on highways!

7. What about animals?
I have no data on that. But I have to say that almost all highway laws are about protecting humans, not animals.

8. Why do you focus on the US?
I use the US as an example. I live there, and I know its policies best.

9. Traffic cameras could fix all this!
Maybe. But they’re not in use like that in the US, and if they were, maybe the evidence here would be different. They are, in their own way, an attempt to improve efficacy, by making more people follow the law. That’s another option, but perhaps expensive. And not everyone will tolerate monitoring.

10. Don’t improvements in cars reduce fatalities and accidents? How do you know it’s not that, but instead speed limits?
We don’t. I think they’re absolutely reducing fatalities. Accidents, to a lesser extent. But these are responsible for both better outcomes with lower and higher speed limits, and people on both sides use them to bolster their claims.

Let me finish by repeating what I said in the video. Sometimes we have to question our biases for the real world. There are times when lower speed limits are better. But there may be times when higher speed limits are better. NOT ALWAYS. But sometimes.
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+adder2204
That's not always possible. You see, to factor crumble zone and breaks as mediator variable (that is a variable that influence the result between two variables), well you start to need thing longitudinal studies. Longitudinal studies are often a pain in the arse: it's not a bad design, as long as the research team is able to stick around for 30 years or so...
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Everyone, this is about highways, not cities or residential roads...
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terralynn9's profile photoJason Fifi's profile photoAnna Collis's profile photojmwild1's profile photo
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+Anna Collis This is stated early on, multiple times.  The entire discussion revolves around the national speed limit of 55 that was later repealed, and states moving the limit to 65 (or higher).  The Federal Highway Administration is mentioned multiple times, as is Congress threatening to withhold federal highway money from states that tried to ignore the nationally imposed limit.  This is the context of the remainder of the video, and even with this context the word "highway" is used multiple times throughout the remainder of the video.  I don't think it's the fault of Healthcare Triage that some people have issues following context, or that they believe that a speed limit of 55 or 65 might have anything to do with city roads.
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Many of you asked for references. I put some links in the doobly-doo that go to stuff I've written on this that have plenty of links to the actual data and studies behind this video.
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+Healthcare Triage I just dont know anymore...any possible options have been erased from my brain because of Greenawesomeness
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Healthcare Triage

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The description has been updated with time stamps and links to relevant videos.

Join us for the next Live Show on April 8, 2015, 10:30EST at: https://www.youtube.com/watch?v=ON5Uoo91b88. Leave questions on that page and we'll try to get to them during the show. 
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Could you do an episode about food dyes and adhd. Is it all just a ruse? Or is there actual evidence? Is there an actual causal link between the 2. Greets from Belgium
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Hello! Now that winter is coming up, I had a question concerning baby coats in car seats. There is a flood of indignant moms out there saying that you "may as well not put them in a carseat at all" if you leave their coat on for the ride. Is there any research supporting this claim? Should we be worried?
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Lots of great questions here. Worthy of a follow-up answer post on my blog. Will post a link in the morning!
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Martin Thurau's profile phototreymedley's profile photoMa Ko's profile photoRyan Harger's profile photo
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+Ma Ko The US may not be the best at civil engineering, but that has nothing to do with taxes; the US is actually one of the higher taxed countries. It's what the government does with tax money, and in the US doing things that would help the working people does nothing to further their agenda.

I'm very glad you don't need a cup holder in your car in Munich, but the US is not Munich and there are very good reasons here to have one.
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Hey everyone. As always, love the comments, but there are some points that I'd add here:

1) This is a video about the safety of artificial sweeteners. This is not a video proving that artificial sweeteners make you lose weight. 
2) Some people are getting caught up in the whole "will artificial sweeteners satisfy my cravings" thing. Again, not the point here. I do not advocate that you spend your day drinking diet soda to keep from eating. I'm advocating that you replace a sugared beverage with a meal with a calorie-free beverage. It's the meal that will satiate you. You don't need the sugared beverage, and it shouldn't matter if it's sweet or not if you're eating.
3) I'd go further and point out that I acknowledge that diet beverages have been shown in studies to be associated with weight gain. Again, I think that's mostly behavioral, but it misses the point. I'm not promoting them as diet tools. I'm saying that artificial sweeteners are not dangerous. I also think that if you use them in moderation as part of a healthy diet, you're eliminating added sugar from what you eat. And that's a good thing.
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Per many of your requests, I added a link in the doobly doo to a JAMA meta-analysis that reviews many of the studies discussed here.
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+Kyle Morrissey just watch the david pakman show he covered this stuff
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