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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…
A Two Picture History Of The Randomized Control Trial
ByadminMany people consider the randomized control trial the gold standard for assessing medical interventions. The US government has been a major funder of such trials, as illustrated in this picture which shows that the government funds just about as many RCTs as private industry: Despite so much US funding for RCTs, the location of such…
Peer Comparison Can Reduce Antibiotic Prescribing
ByadminVery interesting article in the Lancet recently, from the nudge unit in the United Kingdom. They give physicians feedback on how much they prescribed antibiotics compared to their peers, and found that such feedback reduced antibiotic prescriptions. I hope to see more of this work!
Emergency Room Prices: They Are Outrageous, But I Am Not Blaming ER Clinicians
ByadminShutterstock Recently I posted a piece, describing research out of Johns Hopkins, showing that when patients come to ERs – either with no insurance or insurance that is out-of-network – they often face charges that are four, six, or even ten-fold greater than what Medicare would pay for the same services. After the post, I was inundated…
The Most Uninformative Holiday Family Newsletter Ever
ByadminTired of all those family newsletters that inundate you with overwhelming detail on all the amazing accomplishments of your friends’ children? I thought I would address that issue, in my latest edition of my own family newsletter. Hope you enjoy: Ubel/Greeno Annual Holiday Letter.
Will Lowering The Price Of Genetic Testing Raise The Cost Of Medical Care?
ByadminThe first time scientists sequenced a person’s entire genome, it took more than a decade and cost hundreds of millions of dollars. Currently, such sequencing takes less than twenty-four hours and costs less than $5,000: To put that into perspective, Myriad Genetics charges $3,000 to test for mutations in just two genes associated with breast…