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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…
The Healthcare Efficiency Myth – What Really Happens When Doctors And Hospitals Join Forces
ByadminFor 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…
Tobacco is Taking Over the World!
ByadminWe’ve done a lot of things in the United States over the last few decades to curb tobacco consumption. We’ve warned people cigarettes will kill them, created persuasive ad campaigns to scare people away from cigarettes, and added a hefty tax to the product. As a result, cigarette use in United States is lower than…
Why The Government Tried To Fix Primary Care And Failed
ByadminAmericans spend more per-capita on medical care than just about any other country and, yet, they often have little to show for it. Americans have worse access to care than people in other countries, and are often less likely to receive primary care services, like preventive therapies and screening tests. Determined to address these problems,…
Has Mammography Created an Epidemic of Pseudo-Survivorship?
ByadminKaren Vogt’s breast cancer journey began like many others, with her breasts painfully squeezed into a mammography machine. At age 52, it was far from her first mammogram, but this scan would be the most consequential by far. It revealed microcalcifications, little areas of breast tissue speckled with deposits of calcium that her radiologist worried…
Warning: Bicycle Helmets Could Be Hazardous for Your Health
ByadminA bicycle helmet prevented me from experiencing a major head injury. But did it promote the very behavior that caused me to crash my bike? It was autumn in Michigan, and I was riding my mountain bike along a lakeside pathway. I was heading towards a twisty boardwalk that led up to a bridge arching…