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Who Provides More Unnecessary Care: Physicians or Nurse Practitioners? (The Answer Is Surprising)
ByadminImagine you have been struggling for eight days with a bad cough, with what feels like a lifetime’s worth of secretions in your upper airways. When you called your primary care physician’s office, she wasn’t available, so you got an appointment with a nurse practitioner, who prescribed a course of antibiotics. Would you fill the…
Cost of Treating Hepatitis C Is Soaring
ByadminHere is a fascinating picture from the Wall Street Journal, showing how much Medicare has been spending on hepatitis C treatments lately. You can see that the cost is rising dramatically: Keep in mind, however, that the new and expensive hepatitis C treatments currently on the market will dramatically reduce costs in the future, because…
Have Reimbursement Rules Taken the Joy Out of Being A Physician?
ByadminShe came to the urgent care center with a sprained ankle. The primary care provider gave her excellent care, expertly applying evidence-based evaluation guidelines to her situation, and, thereby, avoiding unnecessary x-rays. By all measures, the provider’s care was excellent, but the interaction still ended up reducing his salary. You see, that patient’s only medical…
Have I Officially Become an Economist Now?
ByadminIn a recent Huffington Post article, I was described as a Duke University economist. I’m sure the economic community would like to make very clear that I am not one of its members. The same goes for most communities, as far as I can tell. Nevertheless, despite that glaring error, much of the content of…
Are Medicare Prescription Benefits Too Stingy?
ByadminThe bill she received in the mail revealed a staggering figure — $9,225 for one infusion of Avastin, a chemotherapy drug. And she would need many more such infusions. Fortunately, the dollar amount is what medical experts call a “charge,” which in normal marketplaces refers to the amount a provider expects for the good or…

