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Already under siege by the Obama administration for flouting state laws, payday lenders now face a more subtle but potentially devastating assault from banks threatening to cut off their access to the financial system unless they stop offering the high interest, small dollar loans.Republicans in Congress say the administration is abusing its regulatory powers to shut down legitimate businesses.

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The most recent example: former Chicago Bear safety David Duerson, who killed himself this month after leaving a message asking that his brain be studied for signs of damage.. Improved regulation and professional society oversight are necessary to prevent patients from being further exposed to these and future innovations introduced without proper evidence of improved clinical efficacy and safety.IntroductionThe introduction of new orthopaedic implants and related technologies has been the focus of major scientific and policy discussions since the failures of articular surface replacement and large head size metal on metal articulations in total hip replacement were brought to light.1 2 3 4 5 6 7 Scientists, clinicians, journalists, and policy professionals highlighted the need for a more thorough and evidence based introduction of devices and for development of an infrastructure for timely evaluation of these devices.3 4 5 6 7 8 9 The scientific community recognised the differences between medical devices (orthopaedic implants) and pharmaceutical products,5 9 10 and important guidance was issued by the US regulator.11However, the consequences of uncontrolled device introduction worldwide may not be fully recognised and there is a high likelihood that current practice regarding evaluation of device innovations will not change.
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