The urologist broke the news: “Out of 12 cores, three were positive for cancer, so you have a small amount of cancer.” He would soon explain the treatment choices—surgery, radiation, or active surveillance (watching the cancer closely with blood tests and biopsies). He described each option in elaborate detail, because he knew that the “right…
I don’t read much war history. I’m fascinated by what causes humans to end up in a state of war, but not so interested in the bloody details of how they fight their battles. Nevertheless, I thoroughly enjoyed The Day of Battle, a book by Pulitzer Prize winner Rick Atkinson. The book covers the war…
I know, I know: I usually write about health and healthcare; why should anyone care about my opinion on whether Larry Summers should be Federal Reserve Chair? As it turns out, my work on doctor/patient communication has given me insight into the danger of judging job candidates—be they physicians or Federal Reserve chairs—based purely on…
The Surgery Center of Oklahoma’s decision to publicly post prices for common procedures could prompt other hospitals and medical facilities to follow suit. Want to know how much it will cost to repair your torn Achilles tendon? At the Surgery Center of Oklahoma, you won’t run into a wall of bureaucracy trying to find out: The…
Physicians have been, at best, slow to adopt electronic medical records. But who can blame them? These computerized systems often cost lots of money, and force physicians to spend gobs of valuable time learning a new way to track how they care for patients. On the other hand, we would all be better off if…
My former employer, the University of Pennsylvania Health System, no longer hires tobacco users. It has joined a growing group of employers, including many health systems, that discriminate against smokers on the grounds that such employees cost the employer money (through loss in productivity) or, in the case of medical institutions, act against the health promoting…
A July article from Health Affairs published just how many parks and beaches in United States have banned smoking, since 1993. The picture for US parks is below: These bans have grown in popularity even though the risk of secondhand smoke is dramatically reduced outdoors. In fact, many US parks are quite large, from what…
In a recent post, I wrote about the fact that many physicians in the US do not accept new appointments with Medicaid enrollees. I was surprised to see it quickly garnered over 25,000 views. I guess it’s good to write posts that people read. But I fear that many people read it because it was…
In 2008, the state legislature of Washington passed what was called the Death with Dignity Act, a law that legalized physician assisted suicide. Under the law, terminally ill patients (predicted to have less than six months to live) can request prescriptions for lethal medications from their physicians, under a series of safeguards: multiple requests for example,…
In his wonderful 1992 book – Lincoln at Gettysburg – Gary Wills explains that one of the reasons the Gettysburg address was so powerful is that Lincoln did not use any proper names – that’s right any – in the entire address. Consider this portion of the speech: Now we are engaged in a great…