Gorillacillin and the Tragedy of the Commons
Was I right to prescribe an inferior medication to my patient?
(Read the rest and view comments at Critical Decisions)
Was I right to prescribe an inferior medication to my patient?
(Read the rest and view comments at Critical Decisions)
Imagine picking up a telephone and hearing your doctor tell you there is a “999 out of 1,000 chance that you’ll be dead within a decade.” That’s what Leonard Mlodinow experienced in 1989, when his routine HIV test didn’t turn out the way he expected. Mlodinow tells this story in his 2008 book, The Drunkard’s Walk,…
Many companies are large enough they self-insure—they take on the financial risk of paying for their employees’ health expenses. In these cases, there is no insurance company around to negotiate prices. Instead, your employer must bring itself to the negotiating table (or maybe, these days, to the negotiation-Zoom-room?). That might mean that your costs, including…
In a recent blog post, David Berreby writes about some work that George Loewenstein and I have done on people’s inability to predict how illness or disability will make them feel, and what this inability means for things like “pain and suffering” awards from juries. Thought you might find the blog interesting. Here is the…
Not long ago, the Joint Commission (a healthcare quality organization) established that patients with pneumonia should receive antibiotics within four hours of diagnosis. Timely diagnosis and treatment can be the difference between life and death in patients with this illness. In fact, some people believe this kind of quality measure should play a large role…
Yes, I’ve ranted about healthcare prices before. On more than one occasion. But I have a new rant for you. It’s not about the high price of new drugs It’s not about a couple pharmo-bro CEOs hiking prices of generic medications by 4 or 5,000% It’s about brand name drugs already on the market, that,…
The patient arrived in my clinic, their right big toe the color of a spring strawberry. The lightest touch caused exquisite pain. Fortunately, I was able to prescribe a pill (an ancient medicine, actually) and the patient was better by the next day.
Too bad that simple treatment is becoming unaffordable, through a maddening combination of greed and regulatory failure.