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Insurers Are Not Paying Enough For HPV Vaccines – And Our Kids Are Paying The Price

The HPV vaccine saves lives. It does so by reducing a person’s chance of being infected by the human papilloma virus, a virus that causes a whole range of cancers including, most importantly, cervical cancer. Vaccinate your teenage daughter against HPV, and you will increase the chance she will live to old age. Simple as…

Thoughtful Discussion of Trump Administration Drug Pricing Plans

The Trump administration is thinking of requiring pharma companies to include price information in their ads. Here is a quick thoughtful article exploring a few reasons that information might not work as intended. It includes a summary of some of the things I’ve written about copay assistance programs, that essentially make patients insensitive to the…

When Farmer Joe Gets Sick, Here's Who He Sees

The U.S. isn’t exactly overflowing with primary care physicians. The job pays poorly compared to most medical specialties, while often requiring mastery of a fraud range of material. In fact, with expansion of insurance coverage through the Affordable Care Act, many experts worried that it would become increasingly difficult for people to gain access to…

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The Insurance Companies That Are Most Likely To Refuse To Pay Doctors

Healthcare reimbursement in the U.S. is frighteningly complex. We have federal payers, like Medicare; state/federal payers, like Medicaid; private, for-profit insurance companies, like Aetna; private, not for profit insurers, like many local Blue Cross Blue Shield networks. Oh yes, and we have private insurance companies managing reimbursement for many Medicare and Medicaid recipients. This complexity…

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What Socialized Medicine Would Mean for Your Health

Americans are not fans of socialized medicine. Sure, some people want socialized healthcare payment, including many people who are fans of Medicare for All. But even most Bernie Sanders supporters probably aren’t in favor of socializing the entire U.S. healthcare system, thereby making hospitals and medical clinics into government property. Americans are proud of the…

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Why You Might Get Kidney Cancer If You Move To Florida

About 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…

Is Your Local Hospital About To Close? Here Is How Congress Can Help

Rural hospitals have been closing at alarming rates, no longer able to bring in enough revenue to serve their communities. Fortunately, there is something both state and federal legislators can do to keep local hospitals open. State governments: if you haven’t expanded Medicaid, do it now. Under the Affordable Care Act, most of the cost of that…

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A Moderate Republican Plan To Fix American Healthcare: 'Medicare For All'?

Everyone thinks of “Medicare for All” as a liberal idea, an extremely liberal one embraced by the socialist wing of the Democratic Party. It’s an idea Democrats were hesitant to embrace in the Obama era, for being too far out of mainstream political thought. It was thought of as an idea that was too easy…

Measures of Physician Quality Don't Measure Up

Physician reimbursement increasingly depends upon measures of healthcare quality. Physicians who fall short on quality measures now face financial penalties. But it might be quality measures, themselves, that are falling short, according to a study conducted by the American College Physicians. The study involved a panel of people with expertise in evidence-based medicine. Panelists were asked…