Rant: Shared Decision Making in Medicine

Health insurance is not what it used to be. With increasing frequency, Americans who purchase private health insurance find themselves with plans that require them to fork over significant amounts of money every time they receive healthcare. That means if you get, say, a heart attack, your portion of the hospital bill is probably going…

Some people worried that the ACA would kill employer-sponsored health insurance, by giving employers an “out” – by letting them shift insurance to the exchanges. The ACA set up financial incentives, to reduce such shifting. And so far, it looks like it’s working: Still quite early, of course. I’ll keep my eyes open for further…