Brief Essays
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Why It’s Difficult For People With Chronic Pain To Gain Their Doctor’s Trust
Many people with chronic pain find themselves interacting with clinicians who do not seem to trust them. Why is it hard to establish a trusting relationship with your doctor? And what can you do about it? I have been on both sides of the exam table – as a physician caring for people with chronic…
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To Uphold Campaign Promise, Dr. Oz Needs To Fix Medicare Drug Prices
During his campaign, President Trump promised to “end inflation and make America affordable again, to bring down the prices of all goods.” In honor of that promise, Dr. Mehmet Oz, head of the Medicare program, should address the enormous increase in what Medicare patients are being asked to pay for drugs. Medicare drug coverage is…
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$10 Short? No Health Insurance For You
Thanks to the Affordable Care Act, a.k.a. Obamacare, millions of people receive generous subsidies to cover the cost of health insurance. Some people, in fact, receive coverage for free, their monthly premiums paid in full by the federal government. Unfortunately, even a small change in price can cause people to lose their coverage. That’s important…
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Complaining Of Chronic Pain Doesn’t Make You A Complainer
We all know what “a complainer” is: it’s a person who finds the dark side of everything, who turns a casual conversation starter—“How are you doing?”—into a somber soliloquy about all the (usually minor) problems making their life unbearable. Too often, people with chronic pain are viewed as complainers by friends, family, and even their…
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Work Requirements For Safety Net Programs – They’re Not Working
Anyone who has raised kids knows what happens when you give them a monthly allowance without requiring any work in return: they plop in front of their new videogame consoles while their dirty dishes collect in the sink. That’s the logic behind Republican plans to establish work requirements for people who receive safety net benefits—if…
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People With Chronic Pain Deserve Better Than To Be Told There’s Nothing Wrong
I am going to be writing about chronic pain: diagnosis, treatment, mistreatment, etc, in upcoming posts. In my first post, i describe part of my own pain journey. The post is here. And it starts with me standing “in the back of the conference hall panicked that I was going blind.”
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Medicare Drug Coverage Is Often Inadequate—Here’s Why
Your 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…
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Paying Too Much For Healthcare? Your Boss Might Be To Blame
Many 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…
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Getting A Colonoscopy? Ask Your Doctor About Using An AI Copilot
Colon cancer is often preventable with timely screening. One way to be screened is through a procedure called colonoscopy, where a physician examines your colon with a camera to look for precancerous polyps. Unfortunately, some physicians are not as thorough as they should be and overlook growths they should be removing. It might be time…
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Warning To RFK Jr: Mess With Medicare Payment And Physicians Will Fight Back
The starting salary of an orthopedic surgeon in the United States is $565,000. Family medicine physicians, by contrast, can expect a starting salary closer to $250,000, a good living by almost any measure, but a pay disparity that doesn’t strike most experts as reflecting the value, or importance, of these two specialties. If Kennedy wants…
Here are some things, other than books and blog posts, that I wrote with a general audience in mind:
- “The Ulysses Strategy” – The New Yorker
- “Your New Liver Is Only a Learjet Away” – Forbes
- “How to Tell Someone That She Is Dying” – The New Yorker
- “A Simple Tweak Makes Calorie Labeling More Effective” – The Washington Post
- “Doctor, First Tell Me What It Costs” – The New York Times
- “Economics Behaving Badly” – The New York Times
- “How many calories are in my burrito? Improving consumers’ understanding of energy (calorie) range information” – Public Health Nutrition
- “Rant: Shared Decision Making in Medicine” – Psychology Today Magazine
- “CASES: A Fine Line Between Ask and Tell” – The New York Times
- “CASES: When Bad Advice Is the Best Advice” – The New York Times
- “DOCTOR FILES: When the Unknown Is Not So Bad” – Los Angeles Times
- “Dose Response” – The Sciences
- “eBay and the Brain: What Psychology Teaches Us about the Economic Downturn” – Scientific American
- “Animal Madness” – Worth
And here are some non-technical “academic” articles:
- “Healthcare.gov 3.0 — Behavioral Economics and Insurance Exchanges” – The New England Journal of Medicine
- “Why It’s Not Time for Health Care Rationing” – Hastings Center Report
- “Promoting Population Health through Financial Stewardship” – The New England Journal of Medicine
- “Full Disclosure — Out-of-Pocket Costs as Side Effects” – The New England Journal of Medicine
- “Sleepless in the hospital: Our own default” – ACP Hospitalist
- “Better Off Not Knowing” – Archives of Internal Medicine
- “Contracts With Patients in Clinical Practice” – The Lancet
- “Beyond Costs and Benefits” – The Oncologist
- “What Should I Do, Doc?” – Archives of Internal Medicine
- “Rationing By Any Other Name” – The New England Journal of Medicine
- “Doctor Talk: Technology and Modern Conversation” – The American Journal of Medicine
- “Is Information Always A Good Thing?” – Medical Care
- “Misimagining the Unimaginable” – Health Psychology
- “Beyond Comprehension”
If you’re interested in a complete list of my academic research, access a PDF of my CV here.