The US is rapidly becoming a high out-of-pocket healthcare system, often with disastrous results.
Obamacare gave employers permission to charge smokers up to 50% more for health insurance, as a way to incentivize healthier behavior. But to make sure smokers had a fair chance to avoid these penalties, the law required employers to provide tobacco cessation programs to anyone facing such a surcharge. Almost half of the companies who charge smokers…
A while back, DVD companies hoping to sell their products in countries like Poland faced a dilemma. They could sell their products at a nice profit in the booming U.S. market, but to sell products in those other countries, they had to lower their prices. Such variable pricing is a common business practice. All kinds of services…
I recently participated in a conversation on HuffPo Live about whether fertility finance companies are preying on families desperate to have children. Watch the segment here.
The patient arrived in my clinic, their right big toe the color of a spring strawberry. The lightest touch caused exquisite pain. Fortunately, I was able to prescribe a pill (an ancient medicine, actually) and the patient was better by the next day.
Too bad that simple treatment is becoming unaffordable, through a maddening combination of greed and regulatory failure.
Put simply, shared decision making is the gold standard — the sine qua non* — for how medical decisions ought to be made. The pipe medical choice is rarely a function of medical facts alone. Tough decisions require value judgments, and it is the patient’s valuesthat often determine which choice is best. An operation cannot…