As readers of this blog know, Medicare costs loom large in our nation’s future. If we do not find a way to control Medicare spending, it’s hard to imagine any way to remain a solvent nation. As we continue to explore ways of controlling these costs, it is important to remember that a great deal…
Andrew Solomon wrote a wonderful article in the New Yorker recently about Adam Lanza’s father and his search for answers to his son’s awful behavior. The piece included a quote I thought I would share with you today: All parenting involves choosing between the day (why have another argument at dinner?) and the years (the…
And if that isn’t good enough? End of topic! Click to view comments
Politics in the US is discouragingly partisan. National politics has become increasingly partisan since at least the late ’60s, when the passage of civil rights legislation influenced many conservative southern Democrats to join the Republican Party. Even state politics has become more partisan, where even famously nice people in Wisconsin have found themselves battling their neighbors across…
I recently reread a very informative New Yorker article by Ryan Lizza, called the Obama memos. I have assigned the article to my undergraduate health policy class, to help them understand the political climate surrounding the passage of The Affordable Care Act. And that climate was one of severe polarization, which cut against Obama’s naïve…
Just came across an interesting way to try to motivate people to exert themselves: post calories-burned-counts on the stairs. Would that work for you? For me, it would probably make me look down while walking up, only to trip, fall backwards, crack my head, all the while asking myself: “What the heck is a kcal…
I think this picture just about covers it: Click to view comments
This week, my good friend Reshma Jagsi and I published an article in the New England Journal of Medicine, in which we explain why physicians are doing their job, as physicians, when they pay attention to healthcare costs. Here is a snippet from that article, and a link to find the full version. Health care costs…
A new study asks Orthopedic surgeons to guess the price of the devices they implant – “the amount your institution currently pays the vendor for the implant.” Despite a lenient grading system, in which the researchers counted as correct any guess within 20% of the actual price, surgeons estimated costs correctly only 1 in 5…
A very disturbing new study was just published, in which physicians viewed a video of a patient with back pain asking for OxyContin. Twenty percent of docs said they would prescribe that med under that circumstance: …Too often, doctors prescribe potentially dangerous medications to patients who shouldn’t be getting them, and what they prescribe is…