Better Off Not Knowing
“Better Off Not Knowing” – Archives of Internal Medicine
“Better Off Not Knowing” – Archives of Internal Medicine
Just 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…
The world is complicated. It’s hard to know what the federal government should do about a whole range of problems. That’s why most people take a shortcut, and judge policies based on their opinion of the people who support or oppose those policies. If you like someone, and he supports a policy, then you are…
None of us view our children objectively. To a parent, Junior is always smarter, more talented and more attractive than objective evidence would indicate. But look at just how skewed parents’ views of their children are, when it comes to deciding whether their children are overweight. Not until a child gets near the top three…
For more than half a century now, the United States has stood out among its peers in the developed world for having the largest percent of its citizens living without health insurance. But once you turn 65-years-old in America, the government has you covered. Right? Maybe not so much. Because even after people enroll in,…
There are lots of things we need to do to get healthcare costs under control in the United States. Critical to most of our efforts, however, is to get physicians to practice cost-conscious care. Here is a nice story on this topic, from Rebecca Plevin at KPCC public radio in California: As regular readers of…
Recently, 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…