There are lots of things we need to do to get healthcare costs under control in the United States. Critical to most of our efforts, however, is to get physicians to practice cost-conscious care. Here is a nice story on this topic, from Rebecca Plevin at KPCC public radio in California: As regular readers of…
If you were a cancer center trying to get patients to come to receive care at your facility, what message would you send them? In other words, what would you as a cancer center director think people would value in choosing a place to receive cancer care? One way to answer this would be to…
Recently, Dr. R. Adams Dudley, director of the UCSF Center for Healthcare Value, circulated a picture illustrating rapid growth in the use of tests and other imaging procedures between 2000 and 2013. I thought it deserved further circulation. It reveals 60-80% expansion of testing and imaging, with only – only? – a 40% increase in…
The other day I posted a picture on job growth in the United States, in healthcare versus other parts of the economy. It showed that most growth was healthcare related. Well here is another picture, from the Wall Street Journal, showing just how the U.S. economy has changed, and how much healthcare has come to…
Here is a quick review from the Commonwealth Fund showing what happened to jobs in the United States since 2000. A dramatic growth in healthcare jobs, and almost no growth in the rest of the economy: Something to keep in mind, because if we ever get healthcare costs under control, we had better hope to…
Here is a well done story out of a public radio station on the new movement to get physicians to discuss out of pocket costs with patients. Warning– I’m a serious proponent of this practice. Dear Impatient readers, you may have noticed that we’re writing a lot about the importance of asking about the cost…
Can beliefs make you fat? The answer to this question might seem pretty obvious. If I believe that the best way to lose weight is to super-size five meals a day at McDonald’s, while consuming bags of Doritos to tide me over between meals, that belief is probably going to make me fat. If I…
I have two reasons for showing you this picture, illustrating the decline in cigarette sales in Germany, France, Japan, Switzerland and the US over the past few decades. First, to show you the decline in cigarette sales in Germany, France, Japan, Switzerland and the US over the past few decades. Second, to encourage those of…
Sometimes when I disagree with friends or family about contentious issues, and they accuse me of being partisan, I try to defend myself by explaining that I am basing my position on science, not politics. According to a recent poll, my defense is flawed, because it seems that science itself is partisan. Across a relatively…
This study came out a while ago, from ICYMI. The research team called up primary care practices and tried to make appointments for Medicaid patients. When states raised reimbursement rates, it became easier: Health insurance doesn’t do much good when patients can’t find doctors willing to accept crappy reimbursement.