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Physician (and Pharma, and Insurance Executive) Pay: Doing Too Well by Doing Good
ByadminShutterstock American physicians deserve to be paid well for their work. As a physician, myself, I know what it takes to become a doctor in the U.S. Four years of late nights in the college library in hopes of achieving a GPA commensurate with medical school admission; then four years of medical school, which makes…
Why You Might Get Kidney Cancer If You Move To Florida
ByadminAbout one in fifty people reading this essay will be diagnosed with kidney cancer at some time in their life. In fact, one out of one people writing this essay has already been diagnosed with kidney cancer. (I had a small tumor removed from my left kidney not long after I turned 50.) But how many people…
Think Fast and You'll Lose Money Quickly (A Behavioral Economics Explanation of Irrational Gambling)
ByadminShutterstock I have just given you $78. (I’m a generous guy.) Now I’m giving you a choice: you can enter a lottery where you have a 75% chance of losing that $78 and a 25% of keeping it, or you can hold on to $20 and avoid the lottery all together. Quick—tell me what you…
Why Living in a Rich Country Can Give You Cancer
ByadminShutterstock As a primary care physician, I have counseled thousands of patients to get cancer screening—blood tests to look for prostate cancer, mammograms to detect impalpable breast cancers, and colonoscopies to find precancerous colon lesions. I’ve even tried to find cancers on physical exam, palpating people’s necks for thyroid growths, for example. The goal of…
On Our Way to Being a Smoke-Free Nation
ByadminGreat picture from a NEJM article showing a continuing reduction in American tobacco consumption, a decline that accelerated during the Obama years. (Irony – Obama was a smoker during much of that time!) My question – What would this look like if you added in all the people using e-cigarettes?
Higher Health Insurance Deductibles, Smaller Wallets
ByadminWith health care costs rising, employers (and insurance companies) are increasingly asking consumers (aka “patients”) to have more “skin in the game”—to pay more out of pocket for their medical care. The Kaiser Family Foundation has a nice report on trends in health insurance deductibles. This picture shows the rise in these deductibles. That means:…

