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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:…
Paying for "Patient Satisfaction" Harms Hospitals That Care for Poor People
ByadminAll else equal, it would be wonderful if hospitals had an incentive to provide high quality care. It does not seem fair to pay the same amount of money to a hospital that does a great job of caring for its pneumonia patients and one that does a lousy job. For the most part, however,…
A Patient Complained about the Cost of Her Medical Care. Here's How Her Doctor Responded.
ByadminThe oncologist had prescribed Xgeva hoping it would strengthen her bones while also delaying the progression of Angela Kahn’s breast cancer. But Kahn (a pseudonym) couldn’t get over the price of the drug. Before the oncologist had a chance to ask how she was feeling, she blurted out that the medication cost “$15,000 a shot.”…
The Wrong Way To React When Terminally Ill Patients Cry
ByadminJust three weeks earlier, she had noticed something strange about one of her breasts. An irregular shape. Her daughter brought her to the doctor, and soon the patient, I’ll call her Amanda, was diagnosed with breast cancer, stage “to be determined.” In fact, she was now in an oncologist’s office, learning what tests she would…
An 18th-Century Lesson on How to Stay Healthy during a Pandemic
ByadminEvidence is now overwhelming that wearing face masks slows the spread of the COVID-19 virus. But Americans haven’t universally donned these coverings. An effective leader would find a way to encourage people to adopt this lifesaving behavior. Take sauerkraut, for example. My German father tried his best to get me to eat it when I was a…
Finally: Something Republicans and Democrats Can Agree On
ByadminThe United States Medicare program is forbidden, by law, from negotiating with pharmaceutical companies. This was part of a negotiation that was reached at the time that the government, under the leadership of George W. Bush, created Medicare Part D, to cover prescription benefits for Medicare recipients. The pharmaceutical industry was quite worried that government…

