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A Two Picture History Of The Randomized Control Trial
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Many people consider the randomized control trial the gold standard for assessing medical interventions. The US government has been a major funder of such trials, as illustrated in this picture which shows that the government funds just about as many RCTs as private industry: Despite so much US funding for RCTs, the location of such…
My Take on Shared Decision Making
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Put simply, shared decision making is the gold standard — the sine qua non* — for how medical decisions ought to be made. The pipe medical choice is rarely a function of medical facts alone. Tough decisions require value judgments, and it is the patient’s valuesthat often determine which choice is best. An operation cannot…
A Patient Complained about the Cost of Her Medical Care. Here's How Her Doctor Responded.
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The 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.”…
How Hospitals Turn Charity Care Into Profits — At Taxpayers' Expense
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Sometimes it is hard for hospitals to provide expensive care to poor patients. When a low-income patient needs $20,000 of chemotherapy, a hospital loses money if that patient cannot pay for the medicine, or pays through Medicaid, with its relatively stingy reimbursement. Fortunately, the federal government created a program for hospitals that care for a…
The Things We Do To Lose Weight
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Want to lose weight? Then what are you going to do to try to accomplish your goal? Specifically, what will you do to change your eating habits? Probably the best thing you can do – eating habit wise – to lose weight is to eat less food. But as you will see from this picture…
Do You Overeat? Blame Childhood Stress
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Lots of us eat when we are stressed. But did you know that even when we are not currently under stress, the amount of food we eat might be influenced by the stress we experienced as children? That’s the conclusion Sarah Hill, a psychologist at TCU, wants us to draw from several studies she ran…