Brand-name chemotherapy is often incredibly expensive, in excess of $100,000 per patient. Sometimes there are excellent generic alternatives, but many oncologists are hesitant to prescribe generics because such prescriptions cost them money. For many medicines, you see, oncologists receive a 6% markup, meaning when they infuse a patient with a $10,000 monthly course of chemotherapy,…
In a recent post, I asked for your thoughts on how you would feel if your doctor posted an anti-health reform letter in his waiting room. Link The letter was a direct quote from one posted in Dr. Hal Scherz’s urology clinic in Atlanta. Scherz is president of Docs4PatientCare. For all I know, Scherz is…
Here is a link to an article I co-authored in the New England Journal this week, with Yousuf Zafar and Amy Abernethy. In the article, we urge physicians to talk about out-of-pocket costs with patients, given that these costs can sometimes have a bigger negative impact on their lives than the kind of treatment side…
I joined two other, much smarter, colleagues in calling for the use of behavioral economics and decision psychology to improve the design of the websites people use to purchase health insurance in the U.S. That article came out today in the New England Journal of Medicine. Here is a taste: In October 2013, the Affordable…
I felt a woman’s uterus without her permission. How this happened, and why I thought I had done the right thing at the time, tells us something important about medical education and shows us why doctor/patient interactions often play out like conversations between earthlings and aliens… (Read the rest and view comments at Critical Decisions)
Susan Holmgren was resting in her hospital bed, a mere 72 hours removed from her first heart attack. She was out of the woods according to her doctors, with her heart having only sustained minor damage. But the next one-the next heart attack-could be worse. Almost 75-years-old now, Holmgren needed to do everything in her power to make sure that her first heart attack would be her last.
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