Doctors Urged to Talk About Costs of Treatment

Physicians need to broach discussions about out-of-pocket costs with patients the same way they discuss a treatment’s side effects, public policy professors wrote. “Admittedly, out-of-pocket costs are difficult to predict, but so are many medical outcomes that are nevertheless included in clinical discussions,” Peter Ubel, MD, of Duke University’s School of Public Policy, and colleagues wrote….

Full Disclosure: Out-of-Pocket Costs As Treatment Side Effects

Here is a link to an article I co-authored in the New England Journal this week, with Yousuf Zafar and Amy Abernethy. In the article, we urge physicians to talk about out-of-pocket costs with patients, given that these costs can sometimes have a bigger negative impact on their lives than the kind of treatment side…

Does Larry Summers Have the Social Intelligence to Be Federal Reserve Chair?

I know, I know: I usually write about health and healthcare; why should anyone care about my opinion on whether Larry Summers should be Federal Reserve Chair? As it turns out, my work on doctor/patient communication has given me insight into the danger of judging job candidates—be they physicians or Federal Reserve chairs—based purely on…

Is It Hazardous to Guess Your Risk of Cancer?

In this two-minute video, I explained why it can be hazardous to take a guess at what your lifetime risk is of experiencing cancer. I describe a study I conducted with, among others, Angie Fagerlin. This is one of my favorite studies, because it is really counterintuitive and raises important questions about health communication and medical decision-making….

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Hear My Discussion with Joe and Terry Graedon on People's Pharmacy

Here is a link to a podcast of my recent appearance on People’s Pharmacy, an NPR show that hopefully reaches you where you live.  (If it doesn’t, you should ask your radio station to pick it up. It is a great show.)  In this podcast, Joe and Terry lead me on a wide ranging conversation,…

Review of Critical Decisions

“Revolutions are often fought over dichotomies—the king versus the people, the bourgeoisie versus the proletariat, and, of course, the autonomous patient versus the paternalistic doctor.” So observes Peter Ubel in the conclusion of Critical Decisions: How You and Your Doctor Can Make the Right Medical Choices Together. Who decides? Doctor or patient? For decades, too…

Breast Cancer Hotline Reveals Widespread Communication Problem with Doctors

I got an email recently from someone who read Critical Decisions, and who said it resonated with her in part because of work she does with a breast cancer hot line. “I’ve been volunteering as a Helpline worker for Living Beyond Breast Cancer.  We get a lot of calls from women who seem to have…