Je vous conseille de lire cet interview de Mario Draghi...

Ce mâtin sur BFM business nous avons assisté à un tour de magie noire. Le journaliste de service invite X Timbeau de l'OFCE... Et ils se mettent à parler de l'interview de Draghi, de l'Europe.
Je n'ai jamais rien entendu d'aussi imbécile et mensonger. Du Keynésianisme en pleine crises des dettes publiques il faut oser...Disciple de Goebbels nos deux comparses plus c'est gros plus ça passe...
Et bien sur pas de contradicteur dans la grande tradition du journalisme franchouillard.
Alors lisez ce que dit Draghi cela vaut son pesant d'euro.
"l'état providence est bien mort car il conduit à une dette excessive..."
"les euro-obligations sont un mauvais coup pour le contribuable européen"

http://www.ecb.int/press/key/date/2012/html/sp120323.en.html

When placebos are also efficient when the patient knows about them...

http://apps.facebook.com/theguardian/science/2012/mar/23/pavlov-placebos-side-effects-drug

http://ajp.psychiatryonline.org/data/Journals/AJP/3736/728.pdf

When more drugs or more potent ones is harmful also on the long term!

Long-term Analgesic Use After Low-Risk Surgery

A Retrospective Cohort Study

Asim Alam, MD; Tara Gomes, MHSc; Hong Zheng, MSc; Muhammad M. Mamdani, PharmD, MA, MPH; David N. Juurlink, MD, PhD; Chaim M. Bell, MD, PhD 

Arch Intern Med. 2012;172(5):425-430. doi:10.1001/archinternmed.2011.1827

Background  This study evaluated the risk of long-term analgesic use after low-risk surgery in older adults not previously prescribed analgesics.

Methods  We conducted a retrospective cohort study using linked, population-based administrative data in Ontario, Canada, from April 1, 1997, through December 31, 2008. We identified Ontario residents 66 years and older who were dispensed an opioid within 7 days of a short-stay surgery (cataract surgery, laparoscopic cholecystectomy, transurethral resection of the prostate, or varicose vein stripping) and assessed the risk of long-term opioid use, defined as a prescription for an opioid within 60 days of the 1-year anniversary of the surgery. In a secondary analysis, we examined the risk of long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs). We used multivariate logistic regression to examine the association between postsurgical use of analgesics and long-term use.

Results  Among 391 139 opioid-naive patients undergoing short-stay surgery, opioids were newly prescribed to 27 636 patients (7.1%) within 7 days of being discharged from the hospital, and opioids were prescribed to 30 145 patients (7.7%) at 1 year from surgery. An increase in the use of oxycodone was found during this time (from 5.4% within 7 days to 15.9% at 1 year). In our primary analysis, patients receiving an opioid prescription within 7 days of surgery were 44% more likely to become long-term opioid users within 1 year compared with those who received no such prescription (adjusted odds ratio, 1.44; 95% CI, 1.39-1.50). In a secondary analysis, among 383 780 NSAID-naive patients undergoing short-stay surgery, NSAIDs were prescribed to 1169 patients (0.3%) within 7 days of discharge and to 30 080 patients (7.8%) at 1 year from surgery. Patients who began taking NSAIDs within 7 days of surgery were almost 4 times more likely to become long-term NSAID users compared with patients with no such prescription (adjusted odds ratio, 3.74; 95% CI, 3.27-4.28).

Conclusion  Prescription of analgesics immediately after ambulatory surgery occurs frequently in older adults and is associated with long-term use.

Les réalités économiques: quand la gratuité conduit au gaspillage

Pour la CNAM aucune justification médicale à ces déficits... Si nous choisissons de consacrer les moyens disponibles aux maladies graves le déficit disparait. Il pourrait même se produire une amélioration de la santé car les effets secondaires des traitements inutiles sont supérieurs aux effets bénéfiques dans la catégorie des soins sans effet scientifiquement prouvé ou bien franchement inefficaces.