The war of 1812 was sometimes called “Madison’s war” by those who opposed the President’s call for military action against Great Britain. A whole slew of grievances was building up between the two countries, especially with Britain’s bullying behavior in the seas. But it was also clear that Pres. Madison was itching for war, and…
I was recently struck by two news headlines that hit my email inbox on the same day: “Most Doctors Don’t Meet U.S. Push for Electronic Records” and “Sebelius touts new emphasis on healthcare data“. Do you see the problem here? If we really want to leverage “big data” to improve health care, we need physicians…
On May 8th, the makers of the oncotype DX Prostate Cancer Test presented results of a large study demonstrating that their test can help men decide whether their prostate cancer carries a low enough risk of progression to forgo surgical or radiation therapy, two treatments that typically eradicate prostate cancers but also cause most men to…
I wrote not too long ago about a way to overcome the potential shortage of primary care physicians, the shortage some experts worry about because of the increased demand for primary care that will be created by Obamacare. I promoted the idea of primary care physicians teaming with allied healthcare professionals, so they can manage…
I recently quoted a couple sentences from Mann’s provocative article on the energy industry. Here is another gem I thought I’d pass on: To ask utilities to take in large amounts of solar power–electricity generated by hundreds or thousands of small installations, many on neighborhood roofs and lawns, whose output is affected by clouds–is like…
A recent survey described in the April issue of Health Affairs reveals widespread disenchantment with the US healthcare system, as compared to a number of other developed countries. Keep these results in mind the next time you hear someone raving about how the US healthcare system is the best one in the world. (Click here…
Health policy wonks have been pointing for a while now to large variations in Medicare spending across different parts of the country. Live in Miami, and the government is probably going to spend a heck of a lot more for you on Medicare than if you live in Minneapolis, even after accounting for how healthy or…
I have long been a fan of single sentence paragraphs. I really have. When used properly, an occasional one-off sentence can really stand out, amidst the tumble of longer paragraphs made up of complicated sentences. Here’s a good example from The Power Broker. In this part of the book, Robert Moses has spent an intense…
Imagine you are a small business owner deciding whether to hire two new employees, your 50th and 51st workers respectively. Would you hire them knowing that, by surpassing the magic number 50, you will now be obligated under Obamacare to pay a penalty unless you offer all your employees affordable healthcare insurance? Imagine you are owner of…
For most Medicare patients in United States right now, Medicare pays for hospital stays on the basis of what are called Diagnostic Related Groups or DRGs. You get diagnosed with pneumonia, and your hospital gets payment to treat a typical case of pneumonia. Name the diagnosis, and the hospital will know what it gets paid….