Insights

Fifteen+ years of
Healthcare thinking.

Several hundred perspectives on the questions facing payers, providers, biopharma, medtech, and digital health — plus our running read on the clinical literature. Start with our sharpest work, or filter to your world.

The New England Journal of Medicine

An opinionated take on NEJM highlights for Q3 of 2026

  • NEJM
Payer studies of cheaper biologics, lentiviral in vivo CAR-Ts, new hope for COPD patients, base-editing PCSK-9, ADCs for SCLC, and the Rolls-Royce of data packages (or the holy grail?). Much to reflect on this quarter.

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The New England Journal of Medicine

An opinionated take on NEJM highlights for Q2 of 2026

  • NEJM
Peeved by AI A perspective on Utah’s much reported experiment allowing…

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The New England Journal of Medicine

An opinionated take on NEJM highlights for Q1 of 2026

  • NEJM
What to do with an astonishing finding? Once in a long while, a paper…

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The New England Journal of Medicine

An opinionated take on NEJM highlights for Q4 of 2025

  • NEJM
Looking for zebras “When you hear hoofbeats, think of horses, not zebr…

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The New England Journal of Medicine

An opinionated take on NEJM highlights for Q3 of 2025

  • NEJM
Exercise with cancer: it’s about more than fitness Retrospective obser…

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The New England Journal of Medicine

It was bioengineering at its best: An opinionated take on NEJM highlights for Q2 of 2025

  • NEJM
The first porcine kidney transplant (in a live recipient) It’s been a …

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The New England Journal of Medicine

An opinionated take on NEJM highlights for the first quarter of 2025

  • NEJM
Hematopoietic stem cell (HSC) gene therapy for hemophilia Roctavian an…

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The New England Journal of Medicine

An opinionated take on NEJM highlights for the fourth quarter of 2024

  • NEJM
Preempting severe genetic disease Around 2% of births come with a gene…

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The New England Journal of Medicine

An opinionated take on NEJM highlights for the third quarter of 2024

  • NEJM
The new Humira? It’s not that often that you see industry-sponsored h…

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The New England Journal of Medicine

An opinionated take on NEJM highlights for the second quarter of 2024

  • NEJM
The quest for solid tumor CAR-T For all their success in hematological…

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The New England Journal of Medicine

An opinionated take on NEJM highlights for the first quarter of 2024

  • NEJM
Hitting reset for the immune system Every time I get into a new issue …

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The New England Journal of Medicine

An opinionated take on NEJM highlights for the fourth quarter of 2023

  • NEJM
A Chinese study uncovers a new use for an old drug Bleeding in the sma…

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The New England Journal of Medicine

An opinionated take on NEJM highlights for the third quarter of 2023

  • NEJM
How the US taxpayer saved 25M+ people A short piece celebrating the 20…

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The New England Journal of Medicine

An opinionated take on NEJM highlights for the second quarter of 2023

  • NEJM
Preparing for the next pandemic: don’t waste the value of waste During…

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The New England Journal of Medicine

An opinionated take on NEJM highlights for the first quarter of 2023

  • NEJM
Hypertension?! Antihypertensive drugs are so 80s and 90s (well, except…

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The New England Journal of Medicine

An opinionated take on NEJM highlights for December 2022

  • NEJM
An unusual article on road safety Motor vehicle accidents are a major …

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The New England Journal of Medicine

Hearts and souls: An opinionated take on NEJM highlights for October and November 2022

  • NEJM
A psychedelic for refractory depression While major depression is awfu…

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The New England Journal of Medicine

Some very disappointing failures: An opinionated take on NEJM highlights for August and September 2022

  • NEJM
Is Parkinson’s α-synuclein going to be as elusive a target as β-amyloi…

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The New England Journal of Medicine

An excellent July vintage: an opinionated take on NEJM highlights for July 2022

  • NEJM
Tirzepatide in pole position As previously described in this blog, GLP…

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The New England Journal of Medicine

An opinionated take on NEJM highlights for June 2022

  • NEJM
A cell therapy success against a solid tumor In CAR-T therapies, T-cel…

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The New England Journal of Medicine

An opinionated take on NEJM highlights for May 2022

  • NEJM
A step forward for kidney xenotransplantation A report on the recent, …

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The New England Journal of Medicine

An opinionated take on NEJM highlights for March-April 2022

  • NEJM
The opioid crisis and patient abandonment A perspective from a Februar…

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The New England Journal of Medicine

An opinionated take on NEJM highlights for January-February 2021

  • NEJM
Gene therapy in beta-thalassemia and sickle cell anemia Beta-thalassem…

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The New England Journal of Medicine

Wrapping up 2021: An opinionated take on NEJM highlights for November-December 2021

  • NEJM
In search of a diagnosis: deploying genomics at scale A substantial nu…

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The New England Journal of Medicine

Taking on tough indications: An opinionated take on NEJM highlights for October 2021

  • NEJM
What makes an indication especially tough? The combination of a lack o…

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The New England Journal of Medicine

From bleeding edge to basics: an opinionated take on NEJM highlights for August and September 2021

  • NEJM
The weird world of synthetic biology In biology 101, one learns about …

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Summer catch-up: an opinionated take on NEJM highlights for May-July 2021

  • NEJM
Cancer and mutational complexity Probably the biggest news in cancer t…

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Remodel, rewire, repopulate: an opinionated take on NEJM highlights for April 2021

  • NEJM
Remodeling to health? Chronic disease progression is often due to a ma…

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Balancing the humors: an opinionated take on NEJM highlights for March 2021

  • NEJM
A new approach to schizophrenia Antipsychotic agents treat schizophren…

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All immunity: an opinionated take on NEJM highlights for February 2021

  • NEJM
We can cure Hep C but not immunize against it Sovaldi and other drugs …

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While we wait for our shot(s); an opinionated take on NEJM highlights for January 2021

  • NEJM
Incremental progress in the fight to treat heart failure After a decad…

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Closing a tough year: An opinionated take on NEJM highlights for December 2020

  • NEJM
Cardiovascular health – go big or go narrow? A follow up on the devel…

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We are back and catching-up: An opinionated take on NEJM highlights for Sep, Oct, and Nov 2020

  • NEJM
Small but real progress in ALS: Despite enormous public attention and …

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A slow summer: An opinionated take on NEJM highlights for August 2020

  • NEJM
A cheap, low tech intervention for a common Achilles’ heel When I am o…

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An opinionated take on NEJM highlights for July 2020

  • NEJM
Stunting and the microbiome Stunting (low growth for age) affects >…

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Covid, medical education, and a bit of RNAi: An opinionated take on NEJM highlights for June 2020

  • NEJM
What’s your blood type? The first report of a genome wide association…

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Covid, iPSCs, and ADCs: An opinionated take on NEJM highlights for May 2020

  • NEJM
Remdesivir works… but not enough to change the public health perspecti…

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Covid and the rest: An opinionated take on NEJM highlights for April 2020

  • NEJM
Hydroxychloroquine does not seem to help much in Covid-19 (with caveat…

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The infectiologists have the floor: An opinionated take on NEJM highlights for March 2020

  • NEJM
A first Covid-19 interventional study – unfortunately negative The fir…

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Coronavirus and more: An opinionated take on NEJM highlights for January/February 2020

  • NEJM
Keeping up with COVID-19 It’s not easy for a refereed weekly print per…

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Tax dollars doing good work: An opinionated take on NEJM highlights for December 2019

  • NEJM
The loneliness of the patent-less drug Colchicine is a very old drug c…

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An opinionated take on NEJM highlights for November 2019

  • NEJM
A triumph for cystic fibrosis patients (and for Vertex) Phase 3 confir…

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An opinionated take on NEJM highlights for October 2019

  • NEJM
Genomic applications and scalability Two very different papers about a…

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An opinionated take on NEJM highlights for September 2019

  • NEJM
Best care vs. good care In wealthy countries, the recommended standard…

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Busy summer: An opinionated take on NEJM highlights for July/August 2019

  • NEJM
Is the lack of new (non-viral) antibiotics a market failure? A lament…

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Fishing for nucleic acids: An opinionated take on NEJM highlights for June 2019

  • NEJM
Huntington’s disease: light at the end of the tunnel? The awful thing…

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An opinionated take on NEJM highlights for May 2019

  • NEJM
TAVR for all? TAVR has become the standard of care for patients who ne…

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It’s in the brain: An opinionated take on NEJM highlights for April 2019

  • NEJM
He’s dead, Jim As previously widely advertised, the BACE-1 inhibitor v…

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An opinionated take on NEJM highlights for March 2019

  • NEJM
Target assessment with genetic polymorphisms Please bear with me for a…

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February was short and cold: An opinionated take on NEJM highlights for February 2019

  • NEJM
Targeted conjugated cancer therapeutics – so few, but may be more soon…

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Methods towards better care: An opinionated take on NEJM highlights for January 2019

  • NEJM
The bundle Unlike many other CMMI experiments, the Comprehensive Care …

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On the uses of genetic information in disease: An opinionated take on NEJM highlights for December 2018

  • NEJM
Genetic trade secrets In 2012, the US Supreme Court decided a case kno…

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Eating your way out of disease: An opinionated take on NEJM highlights for November 2018

  • NEJM
Peanut medicine that won’t cost peanuts Allergy to peanuts is a major …

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T-cells are everywhere: An opinionated take on NEJM highlights for October 2018

  • NEJM
One century after the use of convalescent serum, convalescent T-cells …

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An opinionated take on NEJM highlights for September 2018

  • NEJM
Primary care organizations are better ACOs when it comes to achieving …

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An opinionated take on NEJM highlights for August 2018

  • NEJM
Transthyretin heats up Last month saw a couple landmark papers about t…

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What’s harder, making new drugs or improving care delivery at scale? An opinionated take on NEJM highlights for July 2018

  • NEJM
RNA drugs coming of age Hereditary Transthyretin Amyloidosis (ATTR) is…

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An opinionated take on NEJM highlights for June 2018

  • NEJM
It’s hard to quit (and E-cigs don’t help) A large trial (6000 particip…

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Struggling: An opinionated take on NEJM highlights for May 2018

  • NEJM
One more on the chin for Alzheimer’s A report of a large phase 3 study…

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An opinionated take on NEJM highlights for April 2018

  • NEJM
Are we nearing an asymptote with implantable cardiac pumps? Severe hea…

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EHRs + Genomics = Drugs? – An opinionated take on NEJM highlights for March 2018

  • NEJM
GWAS, Regeneron and Geisinger, and liver disease Genome wide associati…

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An opinionated take on NEJM highlights for February 2018

  • NEJM
A-fib in heart failure – time to be aggressive Over the last 15 years,…

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Two steps forward, one step back: an opinionated take on NEJM highlights for January 2018

  • NEJM
Playing chess against cancer Tumors are not intelligent, but, because …

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A golden age for gene therapy: an opinionated take on NEJM highlights for December 2017

  • Biopharma , 
  • NEJM
Successes in gene therapy for hemophilia B and A Hemophilia A and B ar…

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Gene therapy, headaches, and tattoos: an opinionated take on NEJM highlights for November 2017

  • NEJM
Two new therapies against a horrible congenital disease – but trouble …

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Between the very common and the very rare – An opinionated take on NEJM highlights for October 2017

  • NEJM
Between the very common and the very rare – An opinionated take on NEJ…

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An opinionated take on NEJM highlights for September 2017

  • NEJM
A new drug to address hard-to-treat severe asthma In ~10% of people wi…

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Price, costs, value, and rules: An opinionated take on NEJM highlights for August 2017

  • NEJM
At last, drug prices influence physician usage patterns Association of…

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An opinionated take on NEJM highlights for July 2017

  • NEJM
Taking stock: two decades of progress in heart failure: Here comes a c…

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June was negative-to-ambiguous: an opinionated take on NEJM highlights for June 2017

  • NEJM
Stent news First there was angioplasty, then bare stents, then drug-e…

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An opinionated take on NEJM highlights for May 2017

  • NEJM
A hammer finds new nails (which happen to be eyeballs) The insulin gro…

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April was a light month: an opinionated take on NEJM highlights for April 2017

  • NEJM
Calendaring care The length of our sidereal year is an accident – we h…

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Regeneration and mitigation: an opinionated take on NEJM highlights for March 2017

  • NEJM
Gene therapy for sickle cell disease Typical diseases targeted by gene…

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It’s in the blood: an opinionated take on NEJM highlights for February 2017

  • NEJM
A knock at the door of a monster franchise Adalimumab (Humira, Abbvie)…

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Keeping the pipes clean and the wires intact: an opinionated take on NEJM highlights for January 2017

  • NEJM
An innovative modality to suppress PCSK9 Antisense technology relies o…

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A strong close to a banner year for progress against cancer: an opinionated take on NEJM highlights for December 2016

  • NEJM
Successful use of CAR-T therapy in a solid tumor Chimeric Antigen Rece…

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We may figure out cancer before we figure out the healthcare system: an opinionated take on NEJM highlights for November 2016

  • NEJM
“My name is T-Cell…, James T-Cell” Immune T-cells are licensed to kill…

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An ad page in the NEJM and the future of cancer care

  • Providers , 
  • NEJM
I am not sure how many docs continue to do this, but I still read the …

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An opinionated take on NEJM highlights for October 2016

  • NEJM
Continued progress in multiple myeloma About 25,000 patients are diagn…

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An opinionated take on NEJM highlights for September 2016

  • NEJM
Taking a page from HIV to build a response to opioid abuse A couple of…

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An opinionated take on NEJM highlights for August 2016: cleanliness is not next to healthiness, testing before thinking, a long slog for precision medicine

  • NEJM
There is such a thing as too much hygiene The prevalence of asthma in …

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NEJM Highlights for July 2016: Bayesians vs. frequentists, PCPs vs. specialists, SGLT-2 vs. GFR

  • NEJM
Adaptive clinical trials slowly coming of age In an adaptive clinical …

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NEJM Highlights for June 2016: Improving care delivery is just plain #%^*! hard

  • NEJM
Disappointing interim results from two ACA experiments Two papers repo…

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NEJM Highlights for May 2016: Referral for surgery, and a miscellany of interesting biochemistry

  • NEJM
Surgical volume and referral for surgery: The impact of surgical volum…

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NEJM Highlights April 2016: Value and values: RBRVS, ACA and readmissions, E-cigs

  • NEJM
RBRVS: an acronym we ought to think more about RBRVS stands for the Re…

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NEJM Highlights March 2016: Getting value for money in healthcare, Zika bad news, linking the microbiome to the metabolic syndrome

  • NEJM
Could Uber happen to healthcare? A Perspective article that points ou…

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NEJM Highlights Feb 2016: metrics for all, ROI perversion, less memory loss, the value of a kinder gentler residency

  • NEJM
Defining success in health care A perspective advertising yeoman’s wor…

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NEJM Highlights January 2016: a medley of social service, OB, data mining, obesity, and ESRD

  • NEJM
Leveraging community services for health In poor individuals, a lot of…

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NEJM Highlights December 2015: providing effective healthcare is hard and expensive – but ineffective care can be even more expensive – and defining what expensive means in healthcare is hard

  • NEJM
A new focus on the diagnostic reliability of clinicians Two perspectiv…

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NEJM Highlights November 2015: systems biology, RSV progress, a first in diabetes, hypertension goals, the case of Maryland

  • NEJM
Systems biology finally gets real: an unexpected use for a diabetes dr…

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NEJM Highlights October 2015: what to do, how to do it, and to whom

  • NEJM
What are annual physicals for? Annual physicals are costly (~$10 billi…

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NEJM Highlights September 2015: cells, cells, cells

  • NEJM
Promise for systemic amyloidosis (and beyond?) Systemic amyloidosis is…

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NEJM Highlights August 2015: cancer and joints

  • NEJM
The emergence of a new approach to drug development in cancer Cancers…

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NEJM Highlights July 2015: a first in class drug for cancer, Sovaldi cures renal failure too (sometimes), convenient primary care

  • NEJM
Palbociclib – first to target cyclin dependent kinases – breast cancer…

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NEJM Highlights for June 2015: the flavor of the month is distinctly cardiovascular

  • NEJM
Interventionalist treatment for stroke: In the 80s and 90s, treatment …

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NEJM Highlights May 2015: a read on ACO performance, progress in cystic fibrosis treatment, yes developing new drugs is expensive, rethinking industry-medicine relationships, CVS Caremark and smoking cessation

  • NEJM
Early results of the ACO experiment: directionally right, but impact i…

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NEJM Highlights April 2015

  • NEJM
The rise, fall, and rebirth of the Chinese healthcare system A fascina…

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NEJM Highlights March 2015: Progress against Crohn’s, PCSK9 inhibitors coming through, comparative effectiveness for diabetic macular edema, Eric Lander encourages the FDA on genomic testing regulation

  • NEJM
A promising agent for Crohn’s Disease, a miserable illness Crohn’s is …

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NEJM Highlights February 2015: the most boring month in my NEJM reading memory

  • NEJM
Our selection from a month with relatively few exciting articles - per…

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NEJM Highlights January 2015: Dengue vaccine, Informed consent, Cancer drugs and Tiering for selection

  • NEJM
A vaccine for dengue finally nears the market Dengue is a mosquito tra…

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