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When it comes to climate change, the most important impacts of the emissions from our cars, power plants and factories are likely to be broad and indirect. Global warming needs to be examined not just from the perspective of medicine, but from public health.

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Pia Christensen of the Association of Health Care Journalists responded to an earlier blog post that I had essentially ignored some good reporting on the Public Citizen report about how hospitals are failing in a very big way to report bad doctors to the National Practitioner Data Bank. She cited three stories, saying:

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By the time you read about the case of 9-year-old Caitlin Greenwell, unable to talk because her brain was starved of oxygen during a botched birth, you are convinced: the oversight of nurses in California is abysmal.

Her story is deep inside "When Caregivers Harm," an investigative collaboration between ProPublica and the Los Angeles Times published Sunday.

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Within hours of the news breaking about Michael Jackson's death, attention started to turn toward one of the only eyewitnesses to the event: his personal physician.

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Those of us lucky enough to attend New York Medicaid Inspector General Jim Sheehan's talk Saturday at the Association of Health Care Journalists conference in Seattle heard him make reference to Dr. Jayam Krishna-Iyer. I was curious about the back story. Here it is:

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John Golenski is executive director of the George Mark Children's House, a children's respite and end-of-life care facility in San Leandro, Calif., for children with life-limiting or terminal illnesses. All care is informed by the principles of palliative care. Additional support services are available to all family members, and services are provided regardless of a family's ability to pay. Golenski joined the George Mark Children's House after a long career in clinical services, health care ethics and health policy. From 1978 to 1979, he was executive director of the Shanti Project.

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With 10 years of administration and operations experience, Grace Li joined On Lok in 2001 as the director of program operations. On Lok SeniorHealth is a comprehensive health plan that provides long-term care for eligible seniors living in San Francisco and Fremont. The program offers full medical care and support services with the goal of helping seniors live at home and in the community for as long as possible. Ms. Li brings expertise in orchestrating new site openings, managing the integration of software applications, and overseeing complex systems and health care programs.

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As the fastest growing ethnic population in the United States, Latinos have a major impact on the health care system. Nearly one in three Americans will be Latino by 2050, according to an August 2008 estimate by the U.S. Census Bureau. The Latino population is expected to nearly triple from 46.7 million in 2008 to 132.8 million in 2050. As a percentage of the overall U.S. population, Latinos will more than double from 15 to 30 percent.

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