Military Tactics
WWII Gen. Terry de la Mesa Allen on military strategy: “Tactics are nine tenths audacity.”
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On Healthy Soldiers
In World War II, soldiers were reminded regularly to take their anti-malaria pills. One soldier summarized this practice as follows: “Like fat cattle who are pampered to the very doors of the slaughterhouse, it was important that if and when we died we should be in good health.” Gulp. (Click here to view comments)
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Why Poor People Like Hospitals
Healthcare markets are complex and confusing places. But one fact is simple and straightforward: all else equal, hospitals and emergency departments are a lot more expensive than outpatient clinics. Which makes it all the more bewildering that so many low income patients prefer hospitals over primary care clinics. Bewildering until now. Shreya Kangovi and colleagues…
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The Psychology of Entrepreneurial Success
In a recent post, I give you a flavor for Rich Cohen’s wonderful book The Fish That Ate the Whale. One of the things that struck me in reading his book was the psychology of entrepreneurial success. It is often difficult to be a superstar entrepreneur if you are realistic. Often the biggest successes in…
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The Critical Side Effect Doctors Aren't Discussing: Out-of-Pocket Costs
In this video, I talk about why doctors should talk to patients about out-of-pocket costs when evaluating treatment options.
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Medicaid Dragging Its Feet Over Generic Drugs
We have experienced an impressive slowdown in the growth of healthcare expenditures in recent years, a slowdown attributed in part to the plethora of important drugs which have gone generic in recent years. But state Medicaid programs, according to a recent study in Health Affairs, could have slowed healthcare costs even more, if they had been quicker to switch patients from trade to…
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George C. Marshall on Originality
Speaking of time of day, here is George C. Marshall opining on originality: “No one ever had an original idea after 3 o’clock in the afternoon.” A totally false statement, of course. But I don’t think that was his point!
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Let the Health Insurance Exchanges Begin!
Pretty soon, people will be able to start shopping for health insurance on the infamous Obamacare exchanges. In North Carolina, one of the states asking the feds to take the lead in this effort, only one insurer is offering insurance coverage in every county of the state. That is Blue Cross Blue Shield, and they…
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Is There a Difference Between Suicide and Ending One's Life?
The Centers for Disease Control and Prevention defines suicide as: “Death caused by self-directed injurious behavior with any intent to die as a result of the behavior .” The Merriam-Webster dictionary defines it as: “the act or an instance of taking one’s own life voluntarily and intentionally especially by a person of years of discretion and of…
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A Debate on Death with Dignity
The below post is a response to my article Death With Dignity Should Not Be Equated With Physician Assisted Suicide by Kathryn L. Tucker, JD. My own thoughts on her response are here. In a Forbes.com oped, “Death With Dignity Should Not Be Equated With Physician Assisted Suicide, Duke University physician Peter Ubel writes: “I think it is wrong-headed to…