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Using More and More Medical Care
ByadminRecently, 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…
Critical Decisions is Finally Available for Public Consumption!
ByadminAt long last, my new book Critical Decisions is out there, ready to reach (fingers crossed!) a wide and appreciative audience. I’m really excited about this book. It pulls together ideas that have been smoldering in my brain for two decades — research, reflections and experiences (AKA “stories”). In the book, I relate the fascinating…
Obesity Nation!
ByadminHere is a picture, courtesy of the Financial Times, showing obesity rates among OECD nations. Only 5% of people living in Korea and Japan qualify as obese. Yet obesity rates are drastically higher in the United States; if someone’s in American, there is practically a 4 in 10 chance they are obese. Not something to…
When It Comes to Cancer Screening, Are We All Nuts?
ByadminIn a recent Health Affairs article, David Asch and I wrote about how hard it can be to stop screening aggressively for things like breast and prostate cancer even when the evidence suggests we are doing more harm than good. Well, journalist Steven Petrow has a nice piece in the Washington Post looking at the…
Why Trumpcare Is DOA: It Doesn't Address Outrageous Healthcare Prices
ByadminPaul Ryan is “excited” that the American Health Care Act, as Republicans call their bill, will trim the federal budget by several hundred billion dollars over the next decade. The 24 million people who are expected to lose insurance under the AHCA aren’t excited about the bill, which will cut government spending at their expense,…
Think Fast and You'll Lose Money Quickly (A Behavioral Economics Explanation of Irrational Gambling)
ByadminShutterstock I have just given you $78. (I’m a generous guy.) Now I’m giving you a choice: you can enter a lottery where you have a 75% chance of losing that $78 and a 25% of keeping it, or you can hold on to $20 and avoid the lottery all together. Quick—tell me what you…

