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Don't Let Your Physician Tell You What To Do Without Finding Out Your Goals
A recent study of men with early-stage prostate cancer found no difference in 10-year death rates, regardless of whether their doctors actively monitored the cancers for signs of growth or eradicated the men’s cancers with surgery or radiation. What does this study mean for patients? Based on research we have conducted on prostate cancer decision-making,…
Outrageous Hospital Expenses
Getting relatively simple procedures is much more expensive in the US than elsewhere. Take the cost of an appendectomy: Or having a baby: Or having a baby by C-section, a more invasive procedure that is not only more expensive in the US than elsewhere, but is often more common: These prices beg for government regulation!

Puccini Was Dying Of Cancer—Hiding His Diagnosis Was A Grave Mistake
It would have been a difficult ending under the best of circumstances. Composing what would be his last opera, Giacomo Puccini was struggling to humanize Turandot, daughter of the Emperor and a woman of mesmerizing beauty. Early in the opera, she had cruelly disposed of a series of want-to-be suitors, beheading some and torturing others,…
What Physicians Could Learn from Accountants and Veterinarians
Rebecca Plevin, from KPCC public radio in California, is quickly becoming one of my favorite health reporters. She is really digging in to the strange world of health economics. Here’s a nice piece she did, comparing how people talk about costs when meeting with financial counselors versus veterinarians versus, of course, going to see their…
Why I’m Not Sad That I Can’t Fly
I remember one time having a conversation with Daniel Kahneman, one of the founders of behavioral economics, about the topic of happiness and emotional adaptation, in the context of chronic disability. We were discussing emotional impact of experiencing a limb amputation. Kahneman pointed out that it is the loss of the limb that is really…
How to Stop Breast Cancer Surgeons from Overtreating Their Patients
A study shows that a medication causes more harms than benefits, and physicians like me keep prescribing the pill anyway, either because we don’t learn about the study, don’t believe the study or are simply stuck in our ways. Even professionals have a hard time breaking bad habits. So what do you think happened when…