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Power of Analogy
ByadminFrom time to time in this blog, I take a moment to celebrate fine writing. Here is an example I came across in an article in Smithsonian magazine from May 2014. The author, Corey Powell , was trying to explain how astronomers use gravitational “tug” to indirectly reveal the existence of planets. In other words, they can’t…
Who Provides More Unnecessary Care: Physicians or Nurse Practitioners? (The Answer Is Surprising)
ByadminImagine you have been struggling for eight days with a bad cough, with what feels like a lifetime’s worth of secretions in your upper airways. When you called your primary care physician’s office, she wasn’t available, so you got an appointment with a nurse practitioner, who prescribed a course of antibiotics. Would you fill the…
Why Price AND Utilization Matter
ByadminI’m-sure-you-know-this-by-now fact-of-the-day: the US leads the world in healthcare costs. As I’ve written previously, a big reason for this is that prices in the US for healthcare services are higher than elsewhere. This was nicely illustrated in a Health Affairs article from 2012. The article looked at how many physicians per capita practiced across six countries,…
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…
Cancer Drugs Aren't As Cost-Effective As They Used To Be
ByadminCancer drugs have become increasingly expensive in recent years. No one blinks anymore when a new lung cancer or colon cancer treatment comes to market priced at more than $100,000 per patient. In part, we don’t blink because we have simply gotten used to such prices – the shock has worn off. Moreover, many of…
A Prick a Day Won't Keep Your Blood Sugar Away
ByadminShutterstock When it comes to wreaking havoc on people’s bodies, diabetes isn’t picky, wreaking havoc upon people’s hearts, brains, eyes, kidneys, and peripheral nerves. To forestall such damage, many people with diabetes withstand another kind of bodily harm—they prick blood from their fingers each day to test their blood sugar. For many people with Type…