Beyond Costs and Benefits
“Beyond Costs and Benefits” – The Oncologist
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Promoting Population Health through Financial Stewardship
“Promoting Population Health through Financial Stewardship” – The New England Journal of Medicine
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Avoiding the “R” Word in Health Policy Debates
A couple of years ago I was invited to speak at the annual meeting of the American Medical Association in Chicago, to discuss the morality of whether physicians should ration care from their patients.
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Paying an Arm and a Leg for a Month of Life?
Imagine for a moment that you are an oncologist caring for a 53-year-old man with metastatic cancer, a person whose tumor has spread to lung and liver. With standard chemotherapy, this man can expect to live around 12 months. That standard treatment isn’t all that expensive in today’s terms, only $25,000 and his insurance company will pick up the entire tab since he is already maxed out on his yearly deductible and co-pays.
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Does Anybody Want to Pay for Depression Treatment?
Imagine for a moment you are suffering from an illness that makes you feel like your soul has been run over by an angry defensive lineman, a disease that interferes with your desire to sleep, eat and make love. Oh, and this illness will continue to make you feel this way for the rest of your life. How much would you be willing to pay for a treatment makes you feel normal again?
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What is depression treatment worth?
Here is a news story on a new study I collaborated on with Dylan Smith, which shows that even when people realize how terribly awful it can be to suffer from depression, they don’t want to spend much money on treatments that would rid them of depression. A strange and disturbing finding!
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Revolutionary Thought
Bike riding is a lot like life. You spend a lot more time pulling yourself up hill than coasting down hill. So the key to happiness? Enjoy the climb!
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Revolutionary Thought
I am on vacation in the warm April sun in southern Florida this week. Time to reflect on one of the best things about exercising on a bicycle.
You create your own breeze! -
Gorillacillin and the Tragedy of the Commons
Was I right to prescribe an inferior medication to my patient?
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Should Her Doctor Consider the Cost of Her Care?
Carol Jefferson’s right lung x-ray looked the color of a February storm in Northern Minnesota—a blizzard of white making bone and lung invisible. Her lung was “whited out” because she was experiencing a dangerous combination of tumor and infection.
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