Guest Post: PSA Screening Still a Bad Idea

One of the unsung heroes of modern medicine is Richard J. Ablin, professor in the Pathology Department of the University of Arizona. The discoverer of prostate-specific antigen (PSA), Dr. Ablin has spent decades warning doctors and the public that the PSA test is not only useless for population screening for prostate cancer, but is incredibly harmful. For every man whose life is saved via early detection of a deadly tumor, dozens are maimed by treatments for tumors that were never going to hurt them. Read more »

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When Change Feels Inauthentic

Someone who's taking the Big Change Program Test Drive commented that she dislikes having to use rules, lists, and checkboxes to manage her eating. It feels unnatural and inauthentic to her. Why can't healthy eating be natural and effortless, the way it seems to be for all the other animals? Why is it necessary to impose rigid structures on our dietary behaviors? Read more »

Thanksgiving and the Calculus of Integrity

The movie Airplane features a running joke in which air traffic controller Steve McCroskey (played by Lloyd Bridges) announces after each new catastrophe, “I guess I picked the wrong week to quit smoking… drinking… amphetamines… sniffing glue.” I woke up yesterday morning, watched a terrifying video of a white supremacist gathering in Washington, DC, and thought, “I guess I picked the wrong week to feel gratitude.” And some of my clients and students will look at all the turkeys, gravies, pies, turduckens, piecakens, and other festive dishes and tell themselves, “I’ll indulge just a little today, and tighten back up tomorrow. After all, progress, not perfection.” To all three examples, I say bullshit. Read more »