Cholesterol pills are one of the great medical advances I’ve witnessed during my professional career. I am talking specifically about a category of medications called statins, drugs like Lipitor and Pravachol. These drugs have prevented probably hundreds of thousands of heart attacks and strokes. Only one problem with these drugs, however: statins won’t help people…
David Asch and I recently published an article in Health Affairs on the challenge of getting healthcare practitioners to stop doing things they are accustomed to doing, even when the evidence that those things are harmful becomes overwhelming. Here is a teaser from that article, and a link to the full piece: As hard as…
In an earlier post, I wrote about the dietary supplements industry, which is largely unregulated by the FDA, to the detriment of the American consumer. Well here is a recent news story showing how a company is looking to take advantage of this lack of regulation: An anti-aging pill that is backed by five Nobel…
Bend a resilient object and it will spring back with a vengeance once released from your grip. Is that what is about to happen to healthcare spending? For years now, experts have been debating ways to “bend the cost curve ” – take the sharp rise in healthcare costs, picture a rapidly ascending line on…
Atul Gawande has received appropriate praise for his new book. Read it if you haven’t. Meanwhile, here is one of my favorite paragraphs from the book, to whet your appetites: Even as our bones and teeth soften, the rest of our body hardens. Blood vessels, joints, the muscle and valves of the heart, and even…
A while ago, I wrote a post on how hard it can be for Medicaid recipients to get medical appointments, because so many physicians limit the number of Medicaid patients they see. They limit the number because Medicaid reimbursement is often, well, crappy! Here is a picture from a recent NEJM piece showing just how…
Two problems loom large over the American medical care system. First, we spend outrageous amounts of money on healthcare, with too many patients receiving too many services at too high a price. Second, our malpractice system is an international embarrassment, with too many healthcare providers sued by too many patients for too little reason. Many…
Hepatitis C has been in the news lately, because of amazing (and amazingly expensive) new treatments that promise to cure their life-threatening illness. While we ought to debate the expense of these treatments, we should also remind ourselves of how much we’ve been spending caring for patients with advanced disease. Here’s a picture showing the…
Every once in a while on my blog, I like to highlight great writing. In part, I guess, because my own writing has yet to rise to such a level. Anyways, here’s Robert Ballard in the Smithsonian trying to help readers understand why the topography of the ocean simply can’t be appreciated if you rely…
The Atlantic recently reproduced a figure showing just how much people like things when they are free. Specifically, they looked at health interventions and show that people are more likely to take up these interventions, or products, when they don’t cost anything. And certainly, free is better than expensive, but free is also a whole…