CASES: When Bad Advice Is the Best Advice
“CASES: When Bad Advice Is the Best Advice” – The New York Times
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The Hepatitis C Epidemic in One Picture
ByadminHepatitis C has been in the news lately, because of amazing (and amazingly expensive) new treatments that promise to cure their life-threatening illness. While we ought to debate the expense of these treatments, we should also remind ourselves of how much we’ve been spending caring for patients with advanced disease. Here’s a picture showing the…
Nice Coverage of Our Robot Study
ByadminMy student and colleague, Karen Scherr, recently published an excellent article showing that physicians don’t always describe robotic surgery in an unbiased manner. Here is a nice write up of that work: Author Peter Ubel referred to a study done at four Veterans Affairs medical centers of men making decisions on how best to treat…
Have Reimbursement Rules Taken the Joy Out of Being A Physician?
ByadminShe came to the urgent care center with a sprained ankle. The primary care provider gave her excellent care, expertly applying evidence-based evaluation guidelines to her situation, and, thereby, avoiding unnecessary x-rays. By all measures, the provider’s care was excellent, but the interaction still ended up reducing his salary. You see, that patient’s only medical…
What's a Fair Price for a Medication?
ByadminGreedy pharma execs have been in the news of late. Here is a story on the topic, from Wired. The reporter misquotes me. I never said Apple could make profits selling iPhones for $10. I said that even if they could profit at that price, they’d be crazy to do so if people would…
Promoting Population Health through Financial Stewardship
Byadmin“Promoting Population Health through Financial Stewardship” – The New England Journal of Medicine
My New JAMA Article, On Value Promotion in Healthcare
ByadminHere is the opening of an article I recently published in JAMA, available now online, in which I raise concerns about misguided congressional efforts to promote the use of high-value healthcare services, without doing anything to reduce the use of low value ones. Health care systems around the world are under pressure to restrain health…