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What Behavioral Economics Get Wrong About Improving Healthcare
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It is notoriously difficult to change physician behavior. When it’s discovered that primary care physicians are, say, prescribing too few cholesterol pills or too many antibiotics, it will not be easy to change those behaviors. Physicians are strong-willed people, with lots of things competing for their attention and with many well ingrained habits. That’s why…
The Hepatitis C Epidemic in One Picture
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Hepatitis C has been in the news lately, because of amazing (and amazingly expensive) new treatments that promise to cure their life-threatening illness. While we ought to debate the expense of these treatments, we should also remind ourselves of how much we’ve been spending caring for patients with advanced disease. Here’s a picture showing the…
Thyroid Cancer Rates Are Rising for an Infuriating Reason
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Shutterstock The last four decades have witnessed an explosion of thyroid cancer diagnoses in the U.S. People are three times more likely to receive cancer diagnoses now than they were in 1975. Why? Is it chemicals in the water supply? A side effect of all those childhood vaccines? Or is it because a TV ad…
The Bills People Struggle to Pay
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I post pretty regularly on out-of-pocket medical expenses, a topic I’ve been conducting research on, and one that will fit centrally into the new book I’m writing. Most often when people think about paying for medical care, they think about medications. But as this figure from the Kaiser Family Foundation shows, don’t forget about the…
Influencing Young Minds
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I really like teaching Duke undergraduates. They are an ambitious and intelligent group. But sometimes their ambition and intelligence get in the way of creative thinking, especially in regards to careers. They all want to remain high achievers, so they know they must either become doctors, lawyers, investment bankers or business consultants. Not infrequently I…
Who’s Paying Out-of-Pocket for Medical Care
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Many Americans are buying healthcare insurance that asks them to pay a lot, out-of-pocket, for the care they receive. It looks like that trend, towards higher expenses, is especially common among higher income folks, as shown by this picture courtesy of the Commonwealth Fund: