Hello, From Michigan!


Here is a well done story out of a public radio station on the new movement to get physicians to discuss out of pocket costs with patients. Warning– I’m a serious proponent of this practice. Dear Impatient readers, you may have noticed that we’re writing a lot about the importance of asking about the cost…
The COVID-19 virus is wreaking havoc on healthcare providers. Hospitals and outpatient practices are struggling from a combination of lost revenue, from people delaying or canceling appointments, and increased expenses, related to the measures they are taking to reduce the spread of the virus within healthcare settings. As always, when American healthcare providers are in…
Shutterstock As a primary care physician, I have counseled thousands of patients to get cancer screening—blood tests to look for prostate cancer, mammograms to detect impalpable breast cancers, and colonoscopies to find precancerous colon lesions. I’ve even tried to find cancers on physical exam, palpating people’s necks for thyroid growths, for example. The goal of…
The U.S. healthcare system has an unsung hero – community health centers, which provide basic medical care for under-served communities. Even dental care! Right now 1 in 6 Medicaid enrollees receives care at one of these centers, a proportion that has been growing for decades: In some states, 1 in 3 enrollees use community health…
Shutterstock A baby is born. The delivery was rocky, with the infant’s heart rate showing occasional signs of distress. Later, the parents learn that their child has cerebral palsy, and may never walk normally. Was the obstetrician to blame and, if so, should the parents sue? American medical care is burdened by a flawed and…
Greedy 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…