More Debate on the Future of Primary Care
Recently, I posted in Forbes about our need to rethink primary care, to avoid a physician shortage. The debate continues, as seen in this interesting post from Dan Diamond. (Click here to view comments)
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Helping Your Doctor Help You: An Interview with Project Millennial (Part 2)
KARAN: You referred to patient education earlier, not just in terms of treatment information but also the types of questions to be asking. But what about the former? Our generation is definitely comfortable using technology to look up health information, and we get a ton of information through news, magazines, and the general media. But…
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Robots Taking Over the Surgical World?
In a recent Atlantic post, James Hamblin reports on the increasing frequency with which surgeons perform hysterectomies with the assistance of robots. Here is a picture from that post: To be clear: robotic surgery doesn’t mean a robot performs the operation. Instead, the surgeon uses a laparoscope, usually, and the surgeon controls the tools at…
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Great Writing from Chip Brown in the New York Times Magazine
Back in early February, Brown authored an article on the North Dakota oil boom. It is a great piece of reporting. Also, a fine bit of writing, as captured by this sentence: In a way, of course, this kind of frontier is as much a state of mind as an actual place, a melancholy mood…
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Helping Your Doctor Help You: An Interview with Project Millennial
KARAN: Though I hope our readers all read your book, for those who haven’t just yet, I want to start with an example that touches on the issues it discusses. I recently got a bad ankle sprain. The following week, I went to a local orthopedic surgeon for it. He was a very old-school doctor; before…
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Are Doctors Afraid to Talk Math with Their Patients?
Before patients can become savvy consumers of healthcare, they need information about their healthcare choices. Too often, such information is nearly impossible to get, especially when it requires doctors to give patients useful statistics about things like treatment side effects. Since publishing Critical Decisions this fall, I have received a number of emails from readers who…
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Behavioral Economics in the Bathroom?
One of the dangers of studying behavioral economics and psychology is that the ideas follow you around pretty much everywhere you go. I was reminded of that when some of my students came back from a mid-class bathroom break to tell me they thought the toilet levers were not well designed, environmentally speaking. At Duke,…
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Why I Feel Like a Teddy Roosevelt Republican
I do not pretend to have consistent, easily categorized political views. That’s why I call myself a “flaming moderate.” But one attitude I hold pretty consistently is suspicion of concentrated power—in government, in industry, and especially in government and industry! That’s why I felt a kindred spirit in Teddy Roosevelt, as quoted in Morris’s amazing…
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Post-Insurance Costs Aren't the Only Things Rising
In the previous two posts, I show that out of pocket costs are rising given the increasing prevalence of high deductible insurance plans. That means that even though you have insurance, you are going to be paying for your own care until you reach the deductible. Here is a picture showing that out-of-pocket costs are…
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More on High Deductible Insurance Plans
In my previous post, I showed a powerful picture (from the Kaiser Family Foundation) of the growth in high deductible insurance plans. Here is another picture from that same report, showing that the high end of these high ends is getting really high. (Click here to view comments)