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First Opinion

What could be better than a week (okay, eight days) that starts with the return of Daylight Saving Time, ends with St. Patrick's Day, and includes Pi Day, the ides of March, and Match Day? Reading the First Opinions that appeared during that span. Topics include health hype with the new Apple Watch, GoFundMe and dubious medical research, making it easier for doctors to prescribe anti-addiction medicine, a not-for-profit company that will shake up the generic drug industry, and more. Follow First Opinion editor Pat Skerrett on Twitter: @PJSkerrett

Beware the hype over the Apple Watch heart app. The device could do more harm than good

By Larry Husten

Adobe

The Apple Watch can detect atrial fibrillation. But it's even more likely to raise false alarms, which can have harmful consequences.

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How the not-for-profit Civica Rx will disrupt the generic drug industry

By Marc Harrison

George Frey/Getty Images

Civica Rx, a not-for-profit company formed by three philanthropies and numerous health care organizations, will shake up the marketplace for generic drugs.

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Deregulating buprenophine prescribing for opioid use disorder will save lives

By Kevin Fiscella and Sarah E. Wakeman

Kristoffer Tripplaar/Sipa USA/AP

Clinicians need a special license to prescribe buprenorphine for opioid use disorder. In the midst of an opioid overdose epidemic, that doesn't make sense.

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Biomarkup: creating or promoting medical tests to drive revenue

By Kenneth D. Mandl and Arjun K. Manrai

Alissa Ambrose/STAT

Frequent checks to spot disease early can be helpful. They can also drive "biomarkup" — testing driven in part by economics or, put more bluntly, revenue.

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GoFundMe should stop embracing and promoting unproven clinical research

By Jeremy Snyder

LOIC VENANCE/AFP/Getty Images

Crowdfunding is being used to finance and promote unproven medical treatments and clinical research. GoFundMe should stop being complicit in this.

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What using animals for scientific research taught me about myself

By Justin Chen

Science Source

In the lab, life and death were demythologized. Instead of some immense, cosmic force, they shrank into something that could be contained and studied.

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Ideas for easing medical students’ Match Day ‘frenzy’

By Alison Volpe Holmes and Mona M. Abaza

John Tlumacki/The Boston Globe

The Match, which places half of U.S. medical school graduates in their first-choice programs, is being threatened by the flood of residency applications.

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HIPAA proposal would move us closer to coordinated care

By David Friend

Adobe

Proposed changes to HIPAA that would redefine "covered entities" could help people get mental health care, food, secure housing, and other needed services.

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Value extends beyond the cost of drugs and health care

By Jennifer Bright and Mark Linthicum

Adobe

In the conversation about the value of drugs and health care, the focus is usually on cost. We need to look beyond cost to other things that patients value.

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Biotech execs need to create an environment that fosters a truly scientific culture

By David Johnson

Adobe

The scientific culture in biotech companies should be built out of three major components — respect, openness, and integrity. The acronym (ROI) fits.

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Sunday, March 17, 2019

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