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My New JAMA Article, On Value Promotion in Healthcare
ByadminHere is the opening of an article I recently published in JAMA, available now online, in which I raise concerns about misguided congressional efforts to promote the use of high-value healthcare services, without doing anything to reduce the use of low value ones. Health care systems around the world are under pressure to restrain health…
Q & A With Richard Thaler On What It Really Means To Be A "Nudge"
ByadminNudge is one of the most important and influential books on behavioral science and public policy I’ve ever read. Co-authored by economist Richard Thaler and lawyer Cass Sunstein, the book lays out the rationale for adopting policies designed to make it more likely that people will act in their own best interests rather than, say,…
Beyond Costs and Benefits
Byadmin“Beyond Costs and Benefits” – The Oncologist
The Wrong Way To React When Terminally Ill Patients Cry
ByadminJust three weeks earlier, she had noticed something strange about one of her breasts. An irregular shape. Her daughter brought her to the doctor, and soon the patient, I’ll call her Amanda, was diagnosed with breast cancer, stage “to be determined.” In fact, she was now in an oncologist’s office, learning what tests she would…
When It Comes to Controlling Healthcare Costs, the Government Outperforms Private Industry
ByadminWhen I think of the federal government, “efficiency” is rarely the first thing on my mind. But when it comes to controlling healthcare costs, we need to consider the possibility that the federal government is better at this job than anyone else. Consider the fact that the United States dwarfs other countries in healthcare spending,…
Good and Bad News about Physician Pay
ByadminI’ve got some good news for all of you: there’s no racial disparity in pay among female physicians. African-American physicians in the United States make just as much money as Caucasian women. Unfortunately, this good news is largely a result of dismal news – neither group of women make as much as white male physicians….

