Gerald Ashley (twitter handle @Gerald_Ashley) recently tweeted a photo of what was SUPPOSED to be a helpful nudge, reducing the odds that people would bump into each other going up and down the stairs. Can you see what might not be helpful here?
Recently, Dr. R. Adams Dudley, director of the UCSF Center for Healthcare Value, circulated a picture illustrating rapid growth in the use of tests and other imaging procedures between 2000 and 2013. I thought it deserved further circulation. It reveals 60-80% expansion of testing and imaging, with only – only? – a 40% increase in…
For decades, the pharmaceutical industry has been highly profitable. The recipe for such profits has been pretty simple for most of the last half-century–discover a chemical or molecule that treats a common problem, like hypertension or diabetes or erectile dysfunction, and make billions of dollars while that product is still under patent protection. But of…
Prince died of an opioid overdose. A tragic and avoidable fate but, even more tragically, one that is becoming increasingly common in the United States. Some people who overdose live on the edge of society – homeless and with no access to good medical care. Prince, by contrast, had several mansions and a number of physicians actively…
I had the great pleasure of talking about out-of-pocket healthcare costs at Periodic Tables: Durham’s Science Café, a speaker series run by The Program for Science and Society at Duke University. The crowd was absolutely awesome, and much larger than I expected, given that I was speaking at the same time that Duke’s number one…
Once again: correlation does not equal causation. And it is possible that companies give lunches to physicians who are already inclined to prescribe their products, or who are already high prescribers. But why should we leave any of this up to doubt?!? Physicians should not accept gifts from drug companies.
I recently wrote something in Forbes about all the mergers going on in the U.S. healthcare industry. Well here is a nice article about the growth of the healthcare system in Western North Carolina, that explores some of the same issues. Check it out: Mission Health Partners, the Accountable Care Organization of Mission Health System,…