Insurance Woes
A great cartoon from the Kaiser Health News website that pithily captures the “wonders” of the American health insurance system.
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Debating New Ways to Pay
ByadminOne of my favorite reporters, Dan Gorenstein from NPR’s Marketplace, interviewed me and a few other people recently, to discuss challenges of trying to pay physicians, reward them essentially, for providing high-quality care. It turns out to be a much more complicated topic than you might think at first glance. Thought you might enjoy the…
How Generously Does Your State Reimburse for Medicaid?
ByadminA while ago, I wrote a post on how hard it can be for Medicaid recipients to get medical appointments, because so many physicians limit the number of Medicaid patients they see. They limit the number because Medicaid reimbursement is often, well, crappy! Here is a picture from a recent NEJM piece showing just how…
Where Your Paycheck Is Going
ByadminIf you are wondering why your hourly wage or your salary aren’t rising as quickly as you like, or why your bank account at the end of the year hasn’t grown as much as you intended, don’t forget to take into account just how much more you are probably paying out-of-pocket for the medical care…
Most provocative sentence of the week?
ByadminWhatever you think of Plan B, the emergency contraceptive pill that the Obama administration decided to keep behind pharmacy counters rather than let women and girls buy it OTC, you have to admit that the New England Journal authors wrote a heck of a provocative sentence, after reviewing the number of scientific committees that had deemed the medication safe. (The article is by Wood, Drazen and Greene, from January 12.) After pointing out that adolescent girls can already buy lethal doses of Tylenol OTC without any questions asked, and after explaining that the only known risks of Plan B are nausea and delayed menses, they land a hard punch right on the jaw of the Obama administration:
“Any objective review makes it clear that Plan B is more dangerous to politicians than to adolescent girls.”
Ouch!Death Panels and Out-of-Pocket Health Care Costs
ByadminRecently, I wrote an Op-Ed in the New York Timescalling upon physicians to discuss out-of-pocket costs with their patients before making medical decisions, and urging patients to take matters into their own hands if their physicians fail to initiate such conversations. This Op-Ed closely mirrored an argument I made in the New England Journal of Medicine with my colleagues Yousuf Zafar and Amy…
Your Physician Can't See You Yet – She's Busy Filling Out Paperwork!
ByadminLeft to our own devices, most of us physicians try our best to provide high quality care to our patients. But almost none of us provide perfect care to all of our patients all of the time. In fact, many of us get so caught up in our busy clinic schedules we occasionally forget to,…