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The U.S. Healthcare System Is Back to Its High-Spending Ways
ByadminShutterstock For a few years, U.S. healthcare spending seemed to be under control, rising no faster than the economy as a whole. The proportion of our GDP spent on healthcare was flatter than a Nebraska cornfield in November. Here’s how much we spent on healthcare, relative to the economy as a whole, between 2009 and…
Rare Diseases Are Becoming Too Common. Sound Impossible? Here's Why It's Not
ByadminIt is hard to make money treating rare diseases. There simply aren’t enough customers to generate many profits. That’s why the U.S. government passed the Orphan Drug Act in 1983, a law which created a series of incentives to encourage drug companies to develop treatments for rare or “orphan” diseases – conditions affecting less than…
Reducing Healthcare Waste: Don’t Expect Patients To Take The Lead
ByadminLena Wright’s best friend was hunched over like a character from a French novel, with spinal bones so thin they would fracture with a fit of sneezing. Determined to avoid that fate, Wright (a pseudonym) asked her primary care doctor to test her for osteoporosis with a DEXA scan, also known as Dual Energy X-ray…
Copay Assistance Controversy Continues
ByadminMy article with Peter Bach of Memorial Sloan Kettering continues to generate debate. The two of us argues that copay assistance programs from pharmaceutical companies help specific patients in the short run, but make it easier for drug companies to demand high prices for their products. Here is one take on the topic, spurred on…
Using Behavioral Economics to Design Smarter Physician Incentives
ByadminLast year, I joined Zeke Emanuel and some other great people in publishing an article on how to use the insights of behavioral economics to nudge physicians towards providing high-value care. Here is a link to that article. To give you a teaser, here are some of the principles we drew upon: And here are…
Obamacare Is Experimenting on Us (Does That Make Us Frankenstein or Fusilli?)
Byadmin(Photo by Joe Raedle/Getty Images) Obamacare is a large, unwieldy law. Despite its complexity, most people are familiar with its most important elements. They know it created a marketplace where people can shop for healthcare insurance; many are even aware that the cost of that insurance is subsidized for people with lower incomes. Others realize…

