Notice anything unusual about this CT scan? On the upper right side is an image of a gorilla. According to a new study, 83% of radiologists missed this image. They had been looking through a series of scans, looking for “pulmonary nodules”—growths in the lung, in other words. The early scans included such nodes, and…
See this Fayetteville Observer story about a disturbing new type of doctor’s office, called an express care center. And in the process of reading the article, you’ll see my take on the relevance of gas stations for understanding our insane health care system. (Click here to view comments)
Here is a link to a podcast of my recent appearance on People’s Pharmacy, an NPR show that hopefully reaches you where you live. (If it doesn’t, you should ask your radio station to pick it up. It is a great show.) In this podcast, Joe and Terry lead me on a wide ranging conversation,…
Are there really too few primary care physicians? And if so, what can we do to solve the PCP shortage? The standard answer to the first question is “yes, we have too few PCPs.” And the standard solution is to train more such docs, or allow more foreign-trained primary care docs into the country or,…
Since the recession hit hard a few years ago, health care expenditures have slowed dramatically. It now looks like, at least for medications, cost increases are making a comeback. For instance: Nexium, a heartburn drug, had a 7.8% price hike to a $262 average prescription in the first nine months of 2012. Enough to make…
States face a tough choice right now, of whether to expand their Medicaid roles with 90% of the costs being borne by the government. (Medicaid is a combined Federal/State program to pay for healthcare of low income individuals and families.) Why is taking money from the Feds a tough decision? For starters, it means supporting,…
You may have heard this week about a new study, led by my friend and colleague Pete Cram, which revealed astonishing variation in prices for hip replacement surgery. Staggering, actually—ranging from a bit over $10,000 to over $125,000. I have blogged a bit about hospital prices, and doctor fees, even a recent post on orthopedic…
Interesting take on the Bay of Pigs thinking in the Kennedy administration, as summarized in Jim Newton’s book on the Eisenhower Presidency: “The entire enterprise depended on an intelligence assumption that proved false, namely, that the Cuban people would greet the invasion force as liberators and turn against Castro.” Sounds eerily familiar to the Bush…
In September of 2011, Laugesen and colleagues looked at why health care in the US costs so much. Part of their analysis explored primary care physician fees. It showed that primary care docs in the US make a bit more, per office visit, than their colleagues in 5 other countries. But Americans are much less…
Andrews was easily the most anxious patient I took care of that month, a gray Michigan February (is there any other kind?) which I spent in the hospital caring for patients admitted to the general medical ward at the Ann Arbor Veterans Affairs Medical Center. (Andrews is a pseudonym, as are all the patients I blog about, unless…