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Hurrah for Community Health Centers
ByadminThe 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…
Are Some Life Saving Treatments Overkill?
ByadminThanks to the popularity of medical television shows, most people have witnessed hundreds of fictional cardiac arrests in their lifetime. In most of these scenes, the patient loses consciousness, and the medical team rushes to the bedside: “He’s in V-fib.” “Get me the paddles.” The team performs urgent chest compressions for a few seconds. Then…
Obamacare Insurance Premiums – Not Growing Too Fast
ByadminHere’s a picture from a New England Journal of Medicine article showing that in 2015 and 2016, Obamacare premiums grew more slowly than private insurance premiums rose before the law came into effect: The Obamacare markets are new and unsettled. But so far they aren’t leading to runaway inflation. But what will happen to these…
Is The Golden Era of Pharmaceutical Profits Over?
ByadminFor decades, the pharmaceutical industry has been highly profitable. The recipe for such profits has been pretty simple for most of the last half-century–discover a chemical or molecule that treats a common problem, like hypertension or diabetes or erectile dysfunction, and make billions of dollars while that product is still under patent protection. But of…
Using More and More Medical Care
ByadminRecently, Dr. R. Adams Dudley, director of the UCSF Center for Healthcare Value, circulated a picture illustrating rapid growth in the use of tests and other imaging procedures between 2000 and 2013. I thought it deserved further circulation. It reveals 60-80% expansion of testing and imaging, with only – only? – a 40% increase in…
How a Leading Medical Journal Helped a Pharmaceutical Company Exaggerate Medication Benefits
ByadminShutterstock How excited would you be about a medication that lowered your risk of cardiovascular death, heart attack, or stroke by 1.5%? Excited enough to spend a few thousand dollars a year on the drug? I expect not. What if, instead, the drug reduced those same terrible outcomes by 20%? That’s probably enough benefit to…