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Should North Carolina Expand Medicaid?
ByadminMy home state of North Carolina is one of a number of states that refused to expand Medicaid, even though the Affordable Care Act stipulates that the federal government will cover the majority of expenses associated with such expansion. Here is an excellent story in the Fayetteville Observer laying out the issues: Denise Johnson works…
The Limits of Patient Empowerment
ByadminThe video below is not super high quality, but it captures a talk I gave in Lima Peru recently, a very personal talk that also reveals some of the dangers of assuming that medical decision making will go swimmingly well as long as patients are informed and empowered. Check it out. (Click here to view…
Do patients need the numbers?
Byadmin
An interesting article by Peter Schwartz in the latest Hastings Center Report on whether patients, facing difficult medical decisions, ought to get precise numbers on the risks and benefits of their alternatives. I contributed a commentary, urging researchers to keep developing better ways to help patients make rational use of the numbers.When Aggressive Medical Care Was More Dangerous Than Assassin's Bullets
ByadminDr. Smith Townsend knelt on the filthy train station floor, the patient lying in front of him with a bullet wound in his back. The patient was clinically stable for the moment, so Townsend turned his attention to the wound, convinced a quick removal of the bullet would offer his patient the best chance of…
Impending Spending Disaster – A Warning From Japanese Nursing Homes
Byadmin2Populations across many wealthy countries are aging. That means a huge swath of people will soon find themselves needing some kind of long-term care. Here is a quick look at what the aging of a population means for how much a country spends on long-term care. The data, published in the journal Health Affairs, come…
The High Price of Affordable Medicine
ByadminIn the old days, blockbuster drugs were moderately expensive pills taken by hundreds of thousands of patients. Think blood pressure, cholesterol and diabetes pills. But today, many blockbusters are designed to target much less common diseases, illnesses like multiple sclerosis and rheumatoid arthritis or even specific subcategories of cancer. These medications have become blockbusters not…
