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When Helpful Nudges Aren’t Helpful
ByadminGerald 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?
Is It Fair to Reward Medicaid Patients for Doing What They’re Supposed to Do?
ByadminMost conservatives agree that Medicaid costs are too high. Most liberals agree that Medicaid patients should receive necessary medical care for free. And both conservatives and liberals agree that we should embrace ways to encourage Medicaid patients to obtain important preventive care services, in hopes that such services will lower healthcare costs by promoting public…
Obamacare Going into a Death Spiral?
ByadminFolks around the country are signing up for health insurance right now on the Obamacare exchanges, and some are seeing a very confusing set of options, with price hikes, or maybe not price hikes, and with subsidies, or maybe not such generous subsidies. Here is a great take on what’s happening in NC: Obamacare Customers…
Is It Fair to Reward Medicaid Patients for Receiving Flu Shots?
ByadminMy son was underperforming at school, and I was gently encouraging him to try harder (if gesticulating like an over caffeinated Italian qualifies as gentle encouragement). He could not understand why I was upset: “Dad, most of my friends are doing drugs and engaging in unprotected sex. You should be rewarding me for being such…
Thoughts on Shared Decision Making
ByadminI recently gave a talk about shared decision making at the annual conference for the National Comprehensive Cancer Network. Here is a nice write-up of that talk. For those of you silly enough not to travel to Florida to hear me pontificate! After listening to the treatment alternatives—surveillance, or active treatment with surgery and radiation—a…
Here's Why Insulin Is So Expensive, And How To Reduce Its Price
ByadminShe drew the life-saving medication into the syringe, just 10cc of colorless fluid for the everyday low price of, gulp, several hundred dollars. Was that a new chemotherapy, specially designed for her tumor? Was it a “specialty drug,” to treat her multiple sclerosis? Nope. It was insulin, a drug that has been around for decades….

