“Contracts With Patients in Clinical Practice” – The Lancet
When I think of the federal government, “efficiency” is rarely the first thing on my mind. But when it comes to controlling healthcare costs, we need to consider the possibility that the federal government is better at this job than anyone else. Consider the fact that the United States dwarfs other countries in healthcare spending,…
Shutterstock Knee replacements are booming. Between 2005 and 2015, the number of knee replacement procedures in the U.S. doubled, to more than one million. Experts think the figure might rise 6-fold more in the next couple decades, because of our aging population. Since many people receiving knee replacements are elderly, Medicare picks up most of…
There are promising ways to manage chronic pain so people, when they do feel pain, aren’t so bothered by it. In fact, a creative study led by a neuroscientist, Susanne Becker, uses insights from Ivan Pavlov to show the possibility of uncoupling the sensation of pain from the experience of pain. More here
For much of the history of U.S. medical care, hospitals and physicians have existed as separate financial entities. Physicians in the U.S. have typically been self-employed, as solo or group practitioners and not as hospital employees. An internist like me might have admitting privileges to several local hospitals. When we admit patients to one of…
I realize that I do not have the most focused blog in the world. Some people blog about nothing other than, say, capital punishment or new developments in whiskey. I write about psychology, behavioral economics, ethics, the doctor-patient relationship, health policy, political partisanship… a relatively wide range of things, but topics often linked by the…
We have great medications to treat HIV infections today, but the best medicine is to not need medicine – to not get infected in the first place. But according to an article in JAMA, HIV transmission is rising among gay and bisexual men, compared to the rest of the population: …