The U.S. isn’t exactly overflowing with primary care physicians. The job pays poorly compared to most medical specialties, while often requiring mastery of a fraud range of material. In fact, with expansion of insurance coverage through the Affordable Care Act, many experts worried that it would become increasingly difficult for people to gain access to…
Sometimes it is hard for hospitals to provide expensive care to poor patients. When a low-income patient needs $20,000 of chemotherapy, a hospital loses money if that patient cannot pay for the medicine, or pays through Medicaid, with its relatively stingy reimbursement. Fortunately, the federal government created a program for hospitals that care for a…
A song comes through your earbuds: good rhythm, clever lyrics, pleasing melody. You know whether you like the song, right? Maybe not. A series of studies using brain imaging raise the possibility that sometimes we think we like or dislike things, but our brains know better. I will explain what I mean, by describing one of…
Healthcare reimbursement in the U.S. is frighteningly complex. We have federal payers, like Medicare; state/federal payers, like Medicaid; private, for-profit insurance companies, like Aetna; private, not for profit insurers, like many local Blue Cross Blue Shield networks. Oh yes, and we have private insurance companies managing reimbursement for many Medicare and Medicaid recipients. This complexity…
I am not one of those parents who believes kids should win trophies just for showing up for their t-ball games. But I’m also not stingy in praising my children when they do well. When my kids got hundreds on their grade school spelling tests, I told them how proud I was of their accomplishment….
Americans are not fans of socialized medicine. Sure, some people want socialized healthcare payment, including many people who are fans of Medicare for All. But even most Bernie Sanders supporters probably aren’t in favor of socializing the entire U.S. healthcare system, thereby making hospitals and medical clinics into government property. Americans are proud of the…
About one in fifty people reading this essay will be diagnosed with kidney cancer at some time in their life. In fact, one out of one people writing this essay has already been diagnosed with kidney cancer. (I had a small tumor removed from my left kidney not long after I turned 50.) But how many people…
Rural hospitals have been closing at alarming rates, no longer able to bring in enough revenue to serve their communities. Fortunately, there is something both state and federal legislators can do to keep local hospitals open. State governments: if you haven’t expanded Medicaid, do it now. Under the Affordable Care Act, most of the cost of that…
Quick quiz question: two people are diagnosed with melanoma – Sarah Sunburn, an adamant sun-worshipper, and Paula Pale-All-The-Time, a fanatical sun-avoider. Who is more likely to die of the disease? The answer is pale-faced Paula. Surprised? Let me unpack this mystery and explain why sun exposure simultaneously kills people, while making the cancers they are…
“Healthcare.gov 3.0 — Behavioral Economics and Insurance Exchanges” – The New England Journal of Medicine