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Say Goodbye to Erectile Dysfunction with Tadalafil

Erectile dysfunction, abbreviated ED, and otherwise known as impotence in men, is the failure of a man to obtain and maintain an erection which is direly needed for engaging in sexual intercourse.

Erectile dysfunction is a condition that is very common in much older men.  It has been estimated that about half of all men who are within the bracket age of 40 to 70 may have ED at a certain degree.  Depending on the circumstances and on the individual himself, erectile dysfunction can also affect those who are younger, even if they are just around the age of 25 or more.

Why does ED Occur in some Men?  Erectile dysfunction causes actually vary, and they can be physically related or psychologically related.  Physical causes of ED may include hormonal issues, surgery or injury, tightening of the blood vessels that lead towards the penis which is usually linked to high cholesterol, hypertension, or diabetes.  Psychological (mental) causes of ED may include depression, anxiety or problems with relationships. Read more…

David Caplan aims for better, cheapter healthcare

It's been said that the Canadian model of healthcare insurance promises three things: high-quality care, for everyone, quickly. Reality falls short of the promise, of course. As the saying goes: pick two.

But David Caplan (left), the man selected to follow the controversial George Smitherman as health minister of Ontario a year ago this month, intends to make good on that promise. Universal coverage is a given, of course, but as for quality and efficiency -- well, let's just say that Canada is no Andorra. Maintaining a high level of quality has in some cases meant reduced access and longer wait times, and it's likewise assumed that providing all patients with family physicians (and the enviable same-day access patients in some other countries get) would compromise doctors' ability to give patients sufficient attention and deliver appropriate care.

Complicating matters is the fact that the rate at which governments' health spending has been increasing has outstripped growth in GDP for years, and seems likely to do so for years to come.

Mr Caplan's ambitious goal as health minister is to turn that move beyond the quality/wait-times binary and to save money in the process.

He explained his thinking to me in a long interview for the June issue of Parkhurst Exchange magazine:

"What I want to do is raise the quality of the healthcare experience, of healthcare service, because all of the literature I've read says that when you increase quality you increase efficiency and you increase sustainability and cost-effectiveness. That's the real way. The mistake I think governments have made in the past is they've tried to contain costs first and what you've seen is a degradation of quality. If you raise quality, and that's the goal, almost by definition it will logically follow that cost-effectiveness will result."
Read the full Q&A on the Parkhurst Exchange website, for more on health policy as well as a discussion of following in his mother's footsteps as health minister of Ontario, the decline and future of solo practice, Mr Caplan's struggles with his weight and smoking addiction, and more.

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1 comments:

  1. Rositta6 July, 2009 10:01 PM

    David Caplan is the most inept minister of health ever and I doubt he got the position based on ability.

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