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The Massachusetts health reform experience is often cited as a model for key aspects of the federal health reform law - the Affordable Care Act.  To gain some insight into the origins of the Massachusetts health reform law, and to explore current experience with implementation, I spoke with Rep. Ruth Balser, a legislative leader and supporter of the health reform laws in Massachusetts.   There is no migraine cure. However, Migraine diet advice, and migraine headache treatment information is available. ??????,????????? – jin tian shi guo qing jie, suo yi wo zai tian an men guang chang Purpose – - The purpose of this paper is to examine the case for using subject (medical) wikis as a reference tool.Design/methodology/approach – The paper summarises content of ganfyd and WikiMD, comparing their ethos and approach to information. It describes some other medical and health wikis in brief.Findings – As their audience is somewhat more specialised, medical wikis, currently in their infancy, cover topics in more depth than Wikipedia but coverage remains patchy. They may be of particular use for those without access to expensive resources such as UpToDate requiring a short literature review or overview of a topic. Wikis at present are best used as a signpost to other resources with tighter editorial control.Research limitations/implications – The assessment of the subject wikis is brief and the analysis of wikis as a reference tool is largely drawn from general literature, not medical.Practical implications – This assessment provides exposure of subject wikis as a potential reference tool.Originality/value – The paper highlights the existence of subject wikis as a potential more in-depth tool than Wikipedia.

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