As a physician who conducts research on decision-making, I have been asked many times: What does behavioral economics teach us about the role of living wills in medical care? Famed behavioral economist Dick Thaler recently opined on this topic in the New York Times, stating his support for a “requirement that all patients meet with their…
On May 8th, the makers of the oncotype DX Prostate Cancer Test presented results of a large study demonstrating that their test can help men decide whether their prostate cancer carries a low enough risk of progression to forgo surgical or radiation therapy, two treatments that typically eradicate prostate cancers but also cause most men to…
Is it the white coat? That’s what I wondered in medical school when I would find patients asking me for advice on topics they simply had to know more about than me. Mothers would ask me how to get their newborn babies to sleep through the night, asking me even though the one time I babysat…
According to a CDC study, about 1/3 of American families either struggled to pay medical bills in 2011 or outright couldn’t pay them! Not surprisingly, this problem is especially big for people with limited financial resources: Just another piece of evidence in favor of something I’ve been talking about lately when giving public lectures: that…
“I can fix this.” The neurosurgeon was nothing if not confident. “The cyst is pushing on your spinal cord. If it continues to expand, it will damage your nerves and you may lose the ability to walk. But I can remove the cyst, and cure you.” The patient was a business school professor, a man…
KARAN: You referred to patient education earlier, not just in terms of treatment information but also the types of questions to be asking. But what about the former? Our generation is definitely comfortable using technology to look up health information, and we get a ton of information through news, magazines, and the general media. But…
In a recent Atlantic post, James Hamblin reports on the increasing frequency with which surgeons perform hysterectomies with the assistance of robots. Here is a picture from that post: To be clear: robotic surgery doesn’t mean a robot performs the operation. Instead, the surgeon uses a laparoscope, usually, and the surgeon controls the tools at…
KARAN: Though I hope our readers all read your book, for those who haven’t just yet, I want to start with an example that touches on the issues it discusses. I recently got a bad ankle sprain. The following week, I went to a local orthopedic surgeon for it. He was a very old-school doctor; before…
Before patients can become savvy consumers of healthcare, they need information about their healthcare choices. Too often, such information is nearly impossible to get, especially when it requires doctors to give patients useful statistics about things like treatment side effects. Since publishing Critical Decisions this fall, I have received a number of emails from readers who…
In a recent blog post, David Berreby writes about some work that George Loewenstein and I have done on people’s inability to predict how illness or disability will make them feel, and what this inability means for things like “pain and suffering” awards from juries. Thought you might find the blog interesting. Here is the…