We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
One of our many brilliant readers came up with a theory about the terrifying and unsightly "obesity crisis." People aren't smoking tobacco enough, anymore. That's the real cause. People used to have an enjoyable, relaxing smoke in the office instead of a donut or two.
Where's the graph that demonstrates the correlation between overweight and not smoking?
Tobacco satisfies oral greed, suppresses appetite, produces serenity, conveys an air of edgy sophistication, brings big bucks to greedy governments and tobacco farmers like Al Gore - and we must always remember that "A woman is only a woman, but a good cigar is a smoke."
Now I'm sure I am in big trouble with the nannies...
My fat arse agrees. I have been clean since '99 and I would dearly love a lovely mentholated Salem or Merit Menthol. I would like to suck that cool smoke deep into my lungs, hold it for a second and exhale contentedly. Over and over. No cigars for me; except in the direst of emergencies. Ah, sweet nicotine. Tobacco free is me.
There is a place for you at the table with the United States Protective Services Task Force http://www.uspreventiveservicestaskforce.org/uspstf/uspstbac.htmThe USPSTF concludes that the evidence is insufficient to recommend for or against routine screening for tobacco use or interventions to prevent and treat tobacco use and dependence among children or adolescents.
Grade: I Statement.
Yup. They're funded indirectly by the gummint, and use another gummint agency, AHRQ, as their "contractor." http://www.ahrq.gov/
Your "health care provider" uses recommendations from various agencies for prevention, screening and treatment (Along with their own judgement, when they can). Many of the agencies are specialty physician groups, such as the American Urological Association http://www.auanet.org/content/clinical-practice-guidelines/clinical-guidelines.cfm, which issues guidelines on such matters as screening for prostrate cancer. Since insurance companies, like Medicare and TriCare (the two largest) don't like to pay more (or more often) for your healthcare than they can get away with, physicians and other providers need to pay attention to them, or THEY won't get paid! What better recommendation agency could an insurance company hope for to help lower costs than one they control? You guessed it, USPSTF.
Some of their recommendations are useful, some are good counterpoises against other agency's guidelines, and some cause an outcry, such as the changed recommendations for breast cancer screening.
They cite nice references within their decisions, but I've found at least one instance where it appears they didn't consider studies that other agencies used; or the studies were considered low quality. USPSTF will make note of the low quality of the studies, but they use them anyway.
Maybe one of my fellow farmers, here at Maggies, can explain a little about how this works.
Remember, school is in every single day for us while the ObamaCare crowd is still in power.