What do people want Trump to do with our healthcare system?
Here’s a picture from the Kaiser Family Foundation from late last year, showing what people want done to improve the US healthcare system: Plenty of work to do!
-
-
Medical Malpractice – Who's Being Sued and What Is It Costing
Shutterstock A baby is born. The delivery was rocky, with the infant’s heart rate showing occasional signs of distress. Later, the parents learn that their child has cerebral palsy, and may never walk normally. Was the obstetrician to blame and, if so, should the parents sue? American medical care is burdened by a flawed and…
-
HIV – The Epidemic Isn’t Over
We have great medications to treat HIV infections today, but the best medicine is to not need medicine – to not get infected in the first place. But according to an article in JAMA, HIV transmission is rising among gay and bisexual men, compared to the rest of the population: …
-
Is Peer Pressure to Increase Physician Performance Overrated?
Shutterstock It has become trendy in health policy circles to believe that behavioral economic interventions are the key to health system improvement. After all, traditional economic interventions like pay per performance have generated underwhelming results, with little or no change in physician behavior. Why not try a non-financial, psychological intervention—like performance feedback! Well, a study…
-
Not the Media Coverage I Expected
I was recently quoted in an article about opioid addiction in what looks like a far-right website. Not surprisingly, they took my quote out of context. They quote me, quoting some other people I disagree with, and then use that as evidence for the thing I quote. Here’s an excerpt of the article in case…
-
The Primary Care Doctor Is Not In
In a clever study, secret shoppers called primary care offices in an attempt to make a new patient appointment. People with Obamacare insurance, or “marketplace plans” in the below figure, had a hard time finding appointments. But so did people with traditional insurance. But there’s a bigger takeaway, one slightly obscured by the misleading y-axis,…
-
More Medical Marijuana, Less Narcotics
Shutterstock Legalizing medical marijuana is controversial. Physicians have not always prescribed controlled substances wisely, as a look at our narcotic epidemic confirms. But marijuana is much safer than narcotics and, according to a recent study, might even save us money, by reducing people’s need for other, often more expensive medications. Most notably, marijuana can be…
-
Doctors with Strong Financial Ties to Pharma Are Found More Likely to Prescribe Brand-Name Drugs
Shutterstock Generic cholesterol pills are probably better for most patients than brand-name medications because the lower cost of generics increases the chance the patients will take the pills every day. Yet some physicians primarily prescribe expensive brand-name drugs like Lipitor and Crestor. According to a recent study of physicians in Massachusetts, about a quarter of…
-
Outrageous Hospital Expenses
Getting relatively simple procedures is much more expensive in the US than elsewhere. Take the cost of an appendectomy: Or having a baby: Or having a baby by C-section, a more invasive procedure that is not only more expensive in the US than elsewhere, but is often more common: These prices beg for government regulation!
-
Imagine the Cost of Imaging
Keeping with my recent theme on US healthcare prices, from the people at Vox media, here’s an illustration of how expensive it is to get an MRI in the United States versus other countries: And the cost of a day in the hospital: Sigh…