What We Are Reading Today: Patient Care Under Uncertainty by Charles F. Manski

Updated 03 September 2019
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What We Are Reading Today: Patient Care Under Uncertainty by Charles F. Manski

  • Charles Manski shows how uncertainty influences every stage, from risk analysis to treatment

Although uncertainty is a common element of patient care, it has largely been overlooked in research on evidence-based medicine. 

Patient Care Under Uncertainty strives to correct this glaring omission, says a review on the Princeton University Press website. 

Applying the tools of economics to medical decision-making, Charles Manski shows how uncertainty influences every stage, from risk analysis to treatment, and how this can be reasonably confronted.

In the language of econometrics, uncertainty refers to the inadequacy of available evidence and knowledge to yield accurate information on outcomes. 

In the context of health care, a common example is a choice between periodic surveillance or aggressive treatment of patients at risk for a potential disease, such as women prone to breast cancer. While these choices make use of data analysis, Manski demonstrates how statistical imprecision and identification problems often undermine clinical research and practice.


Celine Dion returns to Canada to kick off world tour

Updated 19 September 2019

Celine Dion returns to Canada to kick off world tour

  • The Grammy winner also recently announced the release of a new album titled “Courage”
  • She said in April that she felt motivated to create new music and hit the road after the 2016 death of her husband and manager

QUEBEC CITY: After living and crooning for years in Las Vegas, French-Canadian superstar Celine Dion returned home to Quebec to kick off her first world tour in a decade on Wednesday.
At 51, the Grammy winner also recently announced the release of a new album titled “Courage,” which will be her 12th in English and is due out on November 15.
The first single “Flying On My Own,” featuring her powerful vocals backed by techno beats, has already hit the airwaves, while three more dropped Wednesday: “Courage,” “Lying Down” and “Imperfections.”
Known for her blockbuster ballads, Dion said in April that she felt motivated to create new music and hit the road after the 2016 death of her husband and manager Rene Angelil.
“When I lost Rene, he wanted me back on stage. He wanted to make sure I was still practicing my passion,” she said. “I wanted to prove to him that I’m fine, we’re fine, we’re going to be OK. I’ve got this.”
So, after more than 1,140 concerts for 4.5 million fans over 16 years in Sin City, she bid adieu to the Colosseum at Caesars Palace with a final two-hour show.
“Courage is exactly the way I feel,” she told public broadcaster CBC at the time, talking up the upcoming tour of the same name.
“In the past three years, it has been difficult for me to talk to my children, to raise them, to lose my husband, wondering am I going to sing again... so much has happened, but at the same time I feel that I’m in control of my life.”
Some 60 dates in North American have been confirmed so far, her label said, with two arena shows in Quebec City on Wednesday and Saturday kicking off the tour, which will run through April 2020, and will be her first world tour since 2008-2009.
Her show was almost two hours of mastery, as she performed some of her greatest hits — from “I’m Alive” to “My Heart Will Go On” — as well as new material to an ecstatic crowd of roughly 20,000.
“It was really impossible to miss Celine at home,” Nicolas Delivre, a French university exchange student in Montreal, told AFP.
Donald Berard, from Quebec City, said he had grown up listening to Dion. “We love her like a member of our family.”
“Courage” marks the first album and tour in Dion’s long career without Angelil, who steered her success beginning in 1981 when he mortgaged his house to finance the young teen’s debut album.
The pair began a personal relationship in 1988 when she was only 19 years old, and married in a lavish ceremony in 1994. Angelil died of throat cancer at age 73.
In an interview with NBC’s Today show, Dion revealed that she longs for the hugs and laughs that come with a relationship, but added, “I’m not ready to date.”
The youngest of a family of 14 children raised in the suburbs of Montreal, Dion has sold 250 million copies of 23 studio albums in English and French, including collaborations with French singer-songwriter Jean-Jacques Goldman, Barbra Streisand and Stevie Wonder.
Back in Canada, she told the Montreal Gazette that the tour schedule was “a little crazy,” but that she had found time in advance to take in life’s small pleasures.
At a press junket last Friday, Dion told Radio-Canada: “There are good wines that age well, and there are good wines that age badly. I hope to be a good bottle of wine.”
“I’m not a new Celine,” Dion added. “I’m a continuity of myself.”