Health Insurance Trends in One Picture
Here is data from the CDC, on the percent of Americans without health insurance. It shows that Obamacare, for all its strengths and weaknesses, is definitely addressing one major problem in the US:
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A Self Control App?
The MacOS has a new self control app called, straightforwardly, SelfControl. The app has an ominous icon, which looks like a cross between a poker game gone wrong and the warning symbol on a bottle of poisonous chemicals: The app gives users the ability to temporarily block websites, which they know they are wasting too…
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My New JAMA Article, On Value Promotion in Healthcare
Here is the opening of an article I recently published in JAMA, available now online, in which I raise concerns about misguided congressional efforts to promote the use of high-value healthcare services, without doing anything to reduce the use of low value ones. Health care systems around the world are under pressure to restrain health…
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Finally: Something Republicans and Democrats Can Agree On
The United States Medicare program is forbidden, by law, from negotiating with pharmaceutical companies. This was part of a negotiation that was reached at the time that the government, under the leadership of George W. Bush, created Medicare Part D, to cover prescription benefits for Medicare recipients. The pharmaceutical industry was quite worried that government…
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Republicans Hate Obamacare so Much, They Refuse to Benefit from It?
Here is a chart from the Washington Post, showing the percent of people lacking health insurance over the last few years. For a long time now, a higher proportion of Democrats have been uninsured than Republicans, with low income and minority communities experiencing a disproportionately high uninsurance rate. But since Obamacare has come into effect,…
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Obamacare Going into a Death Spiral?
Folks around the country are signing up for health insurance right now on the Obamacare exchanges, and some are seeing a very confusing set of options, with price hikes, or maybe not price hikes, and with subsidies, or maybe not such generous subsidies. Here is a great take on what’s happening in NC: Obamacare Customers…
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Are Device Manufacturers Playing Bait-And-Switch with the FDA?
The problem with the FDA is that if often requires so much proof of safety and effectiveness that the time it takes to bring a new product to market can grow by 3, 4, or even more years. FDA delays into the time that companies have to exclusively produce and sell their products. In recognition…
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Graphs Made Easy, by Monty Python
I recently blogged about a study showing that the same information, when presented in a graph, is more credible to people. One of my friends pointed out that Monty Python figured this out a few decades ago. “In this graph, this column represents 23% of the population. This column represents 28% of the population, and…
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Why Are Investors Running Away from Medical Devices?
Sabin Russell wrote a great piece in Health Affairs recently, on the drought in investment to develop new medical devices. Read it if you have access. If you don’t, here are some of her main points. 1. Venture capital for device manufacturers has been drying up for a while: “‘For five years, this industry has…
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Want Credibility? Use a Chart!
If I told you there was a new medicine effective in treating a previously untreatable illness, you might be interested. If you have the illness, you might even read up and try to figure out whether the medicine would work for you. Ideally, you will evaluate the strength of evidence – was it a randomized…