I. The Past Decade
I'm still wrapping my mind around the following - but perhaps it plays a part in what's to come. In regard to *
more-recent evidence * mentioned above [Emphasis below added]:
" Neuroplasticity, Psychosocial Genomics, and the Biopsychosocial Paradigm in the 21st Century" (2009/10)
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2933650/
"The biopsychosocial perspective is a foundation of social work theory and practice. Recent research on neuroplasticity and psychosocial genomics lends compelling support to this perspective by elucidating mechanisms through which psychosocial forces shape neurobiology..."
"...These findings are complemented by the contributions of psychosocial genomics, a field of scientific inquiry that explores the modulating effects of experience on gene expression. Findings from these new sciences provide external validation for the biopsychosocial perspective..."
"At its inception, there was scant evidence to support Engel's biopsychosocial perspective; however, scientific discoveries
of the past decade have provided important new findings validating and elaborating the biopsychosocial paradigm."
"
Over the past decade, two fields of empirical investigation, neuroplasticity and psychosocial genomics, have offered important findings that may lead to a
paradigm shift in our conceptions of psyche and soma and the modes of their interrelationships."
"The notion that social experience can lead to changes in gene expression was voiced most prominently by Nobel laureate, Eric Kandel*, who regarded this observation as the core component of a new paradigm for psychiatry (1998)... This powerful claim, while supported by
over a decade of rigorous research, has rarely been directly tested. However, advances in psychoendoneuroimmunology, the study of how mental processes affect the immune system, have clearly shown the effects of psychological and social factors on human physiological functions..."
[*Kandel did post-doc work, at least, at NIH. He became a member of the National Academy of Sciences in 1974.]
"The social work profession's historical emphasis on the social environment as the context for individual well-being is supported by research
over the past decade. Neuroplasticity and psychosocial genomic research indicate that socioenvironmental forces have the potency to alter human well-being through their effects on neurobiology."
"
Over the past decade neuroplasticity research has enriched the biopsychosocial perspective..."
"While tentative at present, empirical investigations of the psychosocial genomic hypothesis will likely proliferate
over the next decade..."
"ELG was supported by Grant Number T32AT003378 from the
National Center for Complementary and Alternative Medicine."
II. Wayne Jonas - NIH Complementary and Alternative Medicine
And from earlier notes* from the most-recent Gulf War & Health report - Treatment for CMI (2013):
"Several of the above-mentioned interventions are in the area of
complementary and alternative medicine and the VA should consider coordinating future research efforts with the
National Institutes of Health’s National Center for Complementary and Alternative Medicine." (p.191)
As posted earlier elsewhere, the
Gulf-War-and-Health Treatment for Chronic Multisymptom Illness (2013)
committee included
Wayne Jonas (
http://www.samueliinstitute.org/about-us/wayne-b-jonas-md) who "served as the
director of the Office of Alternative Medicine at the National Institutes of Health from 1995 to 1999; before that, he was the director of the Medical Research Fellowship of the Walter Reed Army Institute of Research. He served for 24 years as an Army medical officer..." (p.199).
*
http://forums.phoenixrising.me/inde...g-the-first-gulf-war.26486/page-3#post-406434
III. "The Medicine we do: Real Reform of Healthcare"*
"In February 2009, The Institute of Medicine held a summit on Integrative Medicine and the Health of the Public at the National Academy of Sciences. Six hundred key leaders and stakeholders in healthcare, including educators, scientists, community leaders, practitioners, lawmakers, policy makers, and insurance leaders, attended it. It was a broad coalition that came together with a common purpose: to
change not only the way we do
medicine but also the medicine we do."
"Key models advanced included implementation of healthcare teams for chronic disease..."
"Dr
Wayne Jonas of the Samueli Institute presented his model for a national wellness initiative
(WIN) that provides a framework for creating a culture of health and wellness through public and private efforts across diverse sectors and industries of our society."
"The same week, Senator Kennedy’s (D-Massachusetts) Senate working group on healthcare reform held hearings on integrative and functional medicine... A number of us met afterward with Senators Harkin (D-Iowa) and Mikulski (D-Maryland) and their key healthcare advisors, who are allies in
moving this agenda forward. I also met with key
policy makers in the White House."
"Government agencies and departments with domains that impact health, such as... Health and Human Services..., etc, must be coordinated to create a culture of health and wellness."
"...none of our efforts will matter unless we address the true drivers of
cost and chronic disease.
This is a national security issue that threatens our standing in the world. As President Obama stated, 'Fixing healthcare is no longer only a moral imperative but a
fiscal imperative.'"
"Focus specifi cally on developing policies and programs for lifestyle-based
chronic disease prevention and
management, integrative healthcare practices, and health promotion. Real healthcare reform is now possible in a perfect storm where alignment of economic, scientific, and
moral imperatives provides an opportunity for us as a nation to do well by doing good through
fundamentally changing the medicine we do."
-----------
For those interested, there is also a small critique of EBM - "A recent
JAMA review that examined the basis for clinical practice guidelines for evidence-based medicine (EBM) found that only 11% of guidelines are based on fi rm clinical evidence (level of evidence A); most are based on "expert" opinion (level of evidence C).6 Of guidelines with good evidence (level A), only 19% are Class I recommendations (general agreement among experts that treatment is useful or effective).
*
http://drhyman.com/downloads/MedicineWeDo.pdf
------------
[Edit:]
IV. "Obama to Unveil Initiative to Map the Human Brain"*
"Three government agencies will be involved: the National Institues of Health, the Defense Advanced Research Projects Agency and the National Science Foundation."
"The initiative exists as part of a vast landscape of neuroscience research supported by billions of dollars in federal money... 'The goal here is a whole new playing field, whole new ways of thinking," he said. "We are really out to catalyze a
paradigm shift.'"
"The project grew out of an interdisciplinary meeting of neuroscientists and nanoscientists in London in September 2011."
*
http://www.nytimes.com/2013/04/02/s...l-initiative-to-map-the-human-brain.html?_r=0
Also, and I don't have a reference on hand, but I believe Obama - of all candidates - received by far the largest donations from the insurance industry.
