US government’s WWII mobilization on penicillin is a road map to fighting the coronavirus
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My New JAMA Article, On Value Promotion in Healthcare
ByadminHere is the opening of an article I recently published in JAMA, available now online, in which I raise concerns about misguided congressional efforts to promote the use of high-value healthcare services, without doing anything to reduce the use of low value ones. Health care systems around the world are under pressure to restrain health…
Who’s Paying Out-of-Pocket for Medical Care
ByadminMany Americans are buying healthcare insurance that asks them to pay a lot, out-of-pocket, for the care they receive. It looks like that trend, towards higher expenses, is especially common among higher income folks, as shown by this picture courtesy of the Commonwealth Fund:
Is Your Company Using Health Insurance Premiums To Stigmatize Fat Employees?
ByadminMany companies spend lots of money providing health insurance coverage to their employees. And the costs of that coverage continue to rise, in part because the girth of the American public is also rising. Overweight and obese employees cost companies money, through increased sick leave, disability claims and, of course, healthcare expenses. As a result,…
How Doctors Turn Patients into Lobbyists
ByadminI recently spoke with a Washington Post reporter about a troubling practice. Physicians convince their patients to sign letters to influence public policies the patients often don’t understand. Here is the beginning of that piece. Check it out: A proposal to sharply cut a drug discount program that many hospitals rely on drew some 1,400…
HIV – The Epidemic Isn’t Over
ByadminWe have great medications to treat HIV infections today, but the best medicine is to not need medicine – to not get infected in the first place. But according to an article in JAMA, HIV transmission is rising among gay and bisexual men, compared to the rest of the population: …