New York may be the town that never sleeps, but Washington is the town that never fails to amaze. We currently have a sex scandal seeming to rival the Bill Clinton-Monica Lewinsky detonation, but the current scandal has more in common with the Profumo affair because a secretary of defense was involved. Obviously the President has a number of distractions. One of those is Benghazi, a story seeming to grow more convoluted every day. Somewhat linked to all that – more or less immediately – are Gen. David...

The Agency for Healthcare Research and Quality (AHRQ) posted a technology report on decision support tools for cardiac electrophysiology devices, but the effort yielded little evidentiary fruit to support the evaluation. The dearth of data suggests the impact of these tools on clinical decision-making could combine with cost pressures to suppress use of pacemakers and implantable cardioverter defibrillators in patients who are legitimate candidates. However, informed consent issues and questions of device de-activation are likewise conspicuous in the report, leaving researchers with a large set of poorly described variables to be explored in future studies.