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Christmas shopping got in the way of Twitter? Here’s our summary of what you might have missed from the world of health in the last week.

  • Much has been written about how competition law might obstruct service change. This by @DavidWilliamsHSJ is a reminder that clinical obstruction can still be biggest block.
  • A plague on both their houses? An interesting ComRes poll finds neither party leader is trusted to protect the #NHS.
  • Why is there a 170-fold variation in the usage of rheumatoid factor testing? A useful new resource from @PHE_uk  & @qipprightcare.  
  • We liked the infographics by @CareQualityComm in the State of Care 2012/13 report.
  • Via @Samfr, a fascinating chart depicting the waning rate of deaths in war worldwide.

And from America:

  • Opposition to hospital closures doesn’t just happen in England. Here’s an example from the USA.
  • Obamacare continues to experience mixed fortunes, but the pace of enrolment is picking up in some states as reported here.
  • Legendary economist @NYTimeskrugman highlights promising early signs in Obamacare's ability to control costs. 
  • The US Supreme Court is to hear a case about whether contraceptive care must be included in health plans. Here’s a quick guide to what the case is about.

And finally…

Incisive Health is the new force in health policy and communications. In an NHS environment that is noisy, changing rapidly and where decision-makers are under intense pressure, policy communications need to be incisive to make an impact. We know how to cut through the noise and competing priorities to deliver results that enhance our clients' businesses and reputations and – ultimately – improve healthcare for patients.