It is well known that Medicare expenditures threaten the financial solvency of the U.S. government. And it is pretty well agreed upon that some of our Medicare spending goes towards wasteful medical care. But which medical care is wasteful and how much is such care costing us? A study in JAMA Internal Medicine provides a…
Here is the opening of a recent media story, reporting on a noble attempt researchers made to promote colon cancer screening by telling people when their genetic risk of such cancer was elevated: People at average-risk for colorectal cancer (CRC) who underwent genetic and environmental risk assessment (GERA) to evaluate their risk for CRC were…
In collaboration with Peggy Liu and Jim Bettman, I’ve had fun doing some research on just how hard it is for people to guess how many calories they are consuming, at restaurants like Chipotle where everyone puts different ingredients on their burrito. Here is the beginning of an absolutely excellent journalist’s take on the topic:…
For decades now, policymakers have been trying to slow down the growth of healthcare costs. For much of this time, a large part of that effort was directed at hospital spending. American hospitals are extremely expensive, and take care of patients with the most severe illnesses. So if we’re going to control costs, it seems…
Clearly we in the United States are not taking the obesity epidemic as seriously as the Russian government. We debate whether it is appropriate for the government to require restaurants to inform their customers about how many calories they are consuming. Whereas in Moscow, sit at a park bench, and it will tell you how…
An article in the New England Journal of Medicine in June (no one accused me of being a timely blogger!) shows that academic medical centers often provide poorly-reimbursed services that other healthcare institutions avoid. Where more general hospitals might avoid having psychiatric emergencies available, 90% of academic medical centers offer such services: Whereas only 4%…
There was a very nice piece in the Washington Post recently, exploring the relationship between life satisfaction and the minimum wage. They summarize their findings in the following figure: I suggest you read the piece, to see what they make of this connection. Importantly, they explicitly mentioned that correlation does not prove causation. Unfortunately they…
Such a no-brainer: If patients who receive care at Hospital A are more likely to get readmitted to the hospital 10, 20 or 30 days after discharge than patients in Hospital B, then Hospital A must be doing something wrong. Perhaps clinicians at that hospital are less adept at diagnosing and managing patients’ problems. Perhaps…
Biologic drugs are a big deal for the pharmaceutical industry right now. Blockbuster chemicals for common conditions like diabetes and hypertension are largely things of the past. We’re getting pretty good at controlling those conditions, and few people expect a slew of major scientific breakthroughs that will lead to many more multibillion dollar treatments for…
High costs make it hard for many patients to afford their medications. That’s why some medical experts believe we should give important medications to patients for free, to see if that improves their health outcomes. One famous example of this approach is the MI FREEE Trial, which offered free cardiovascular medication to patients who would…