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…
My home state of North Carolina is one of a number of states that refused to expand Medicaid, even though the Affordable Care Act stipulates that the federal government will cover the majority of expenses associated with such expansion. Here is an excellent story in the Fayetteville Observer laying out the issues: Denise Johnson works…
Do you eat when you’re bored? So do I. Then again, I eat when I’m not bored, too. So the real question is: do we all eat more when we’re bored than, say, when we’re highly entertained? The answer, according to a clever study by Aner Tal and colleagues, is no. In fact, sometimes being…
Mammograms have long been touted as a life-saving preventive test. But recently, people have been re-examining the relative harms and benefits of mammography. This re-examination became quite earnest when the United States Preventive Services Task Force recommended against beginning routine mammography before age 50. Even at later ages, experts are beginning to more thoroughly recognize…
The Affordable Care Act, a.k.a. Obamacare, encourages healthcare providers to join together in what are called Accountable Care Organizations. Prior to the passage of Obamacare, hospitals were already pursuing mergers, in an effort to gain market share and have better negotiating ability with insurance companies. That trend looks like it has accelerated since the passage…