In 2006, health-care expenditures in the U.S. rose 6%, a rate of growth significantly higher than inflation and one that, if sustained, would lead to a doubling in health-care spending in a mere dozen years. Some of that extra spending was a function of more doctors doing more things to more people—an increasing number of…
“We need to be screwed!” Not altogether surprising words to spill out of a college student’s mouth. But this particular student was not talking about sex. She was discussing the U.S. health-care system–more specifically what she thought it would take for our two political parties to come together to find a … (Read the rest…
“What Should I Do, Doc?” – Archives of Internal Medicine
I felt a woman’s uterus without her permission. How this happened, and why I thought I had done the right thing at the time, tells us something important about medical education and shows us why doctor/patient interactions often play out like conversations between earthlings and aliens… (Read the rest and view comments at Critical Decisions)
See this nice article on high deductible health insurance, by a reporter I spoke to, if I remember correctly, while walking my dog in one of Chapel Hill’s nicest parks.
Making important decisions in the dark can be stressful. But a recent study suggests that shining a light on decisions can make decision makers even more anxious. The question remains: Is this anxiety a good thing or a bad …. (Read the rest and view comments at Critical Decisions)
Recently my employer, Duke University, announced it would be charging $10 more per month to offer health insurance to smokers (see story here). Duke’s policy has a couple motivations. Smokers get sick you see, and those smoking related illnesses cost Duke money. So it’s only fair to pass some of those expenses… (Read the rest and view…
Facing advanced cancer, who among us wouldn’t look to our oncologist for expert advice on whether another round of chemotherapy makes sense? But do you know what your oncologist cares about, and can you be sure her recommendations map onto your own treatment preferences? … (Read the rest and view comments at Critical Decisions)
In Singapore, rush hour at the Mass Rapid Transit trains can involve more body contact than a full on TSA pat down, the train so packed you will know whether the guy next to you had garlic toast for breakfast. Because of this crowding, someone in the Transit office decided to give people a 10%…
See a video where I talk to my twelve year old son about health insurance, unrehearsed, and try to see whether he will be able to figure out the importance of the health insurance mandate. I think you will agree that this is an idea even a sixth grader can understand. Which is sad, because most people hold a strong opinion about this topic without grasping even it’s most basic strengths and weaknesses.
Now if the Obama team will work on helping American adults understand the benefits of getting everyone to get insurance!