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Should HIV-Positive Patients Receive Scarce Lung Transplants?
ByadminQuite a while ago, I was co-author on a New England Journal of Medicine article arguing that HIV-positive patients, stable on anti-retro viral therapy, were now healthy enough to qualify as organ transplant recipients. Nevertheless, this practice remains controversial, as you can see from this story published by Al Jazeera America, telling a tragic tale of…
Tobacco is Taking Over the World!
ByadminWe’ve done a lot of things in the United States over the last few decades to curb tobacco consumption. We’ve warned people cigarettes will kill them, created persuasive ad campaigns to scare people away from cigarettes, and added a hefty tax to the product. As a result, cigarette use in United States is lower than…
Comparative Effectiveness: One Size Doesn’t Fit All
ByadminNo sooner had the Obama administration committed a billion dollars to comparative effectiveness research than the critics began laying out their concerns: such research is a prelude to rationing, they said; it threatens to thwart doctors’ and patients’ abilities to make their own decisions. It will transfer too much power to government bureaucrats and treat…
Paying Too Much For Healthcare? Your Boss Might Be To Blame
Byadmin2Many companies are large enough they self-insure—they take on the financial risk of paying for their employees’ health expenses. In these cases, there is no insurance company around to negotiate prices. Instead, your employer must bring itself to the negotiating table (or maybe, these days, to the negotiation-Zoom-room?). That might mean that your costs, including…
When Medicaid doesn't pay
Byadmin
Here is a link to a Marketplace report that discusses the Obama administration’s efforts to keep states from trimming their Medicaid budgets by cutting doctor payments, to the point where patients have insurance but no doctors would be willing to care for them. I am quoted early on, the first broadcast in which I have been able to spout the phrase “dirty, naughty.”
Medicare Drug Coverage Is Often Inadequate—Here’s Why
Byadmin2Your father’s rheumatoid arthritis medicine was working well, fighting off that otherwise debilitating illness. Then he found out that Medicare would no longer pay for the drug. Your aunt’s multiple sclerosis was flaring and her neurologist recommended a promising new treatment. But she learned that she would have to try, and “fail,” on two other…
