DOCTOR FILES: When the Unknown Is Not So Bad
“DOCTOR FILES: When the Unknown Is Not So Bad” – Los Angeles Times
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Obamacare: Death By A Thousand Advertising Cuts
Obamacare is still the law of the land, but the Trump administration and Republicans in Congress are determined to undermine the law in the hope it will cease to function. One of the strategies is to cut advertising funding for ACA insurance plans. If a recent study is any indication, that strategy might work. One of the…
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Medical Bankruptcy Is Much Less Common Than Elizabeth Warren Tells You
Elizabeth Warren describes medical bills as “the leading cause of personal bankruptcy” in the United States. She bases that opinion in part on her own research, in which she and her collaborators surveyed people who had experienced personal bankruptcy, asked them whether they’d experienced health-related financial distress, and concluded that 60% of all bankruptcies in the U.S. result…
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A Patient Complained about the Cost of Her Medical Care. Here's How Her Doctor Responded.
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.”…
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How Doctors Turn Patients into Lobbyists
I recently spoke with a Washington Post reporter about a troubling practice. Physicians convince their patients to sign letters to influence public policies the patients often don’t understand. Here is the beginning of that piece. Check it out: A proposal to sharply cut a drug discount program that many hospitals rely on drew some 1,400…
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Nudging Docs with Threatening Letters
I recently spoke with Margot Sanger-Katz at the New York Times. She’s an awesome healthcare reporter. She wrote a nice piece on some recent nudging research. Here’s the beginning of the article to whet your appetite: The letters doctors received from the county medical examiner included a shocking fact: A patient you once prescribed an…
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Making Money by Getting an MRI?
Usually it costs money to get an MRI. But sometimes, in order to save money, insurance companies pay patients to seek less expensive medical care providers. Here is an excellent news report on the topic from The News & Observer: North Carolina’s largest health insurer is proposing a solution to control runaway health care costs:…
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Emergency Room Prices: They Are Outrageous, But I Am Not Blaming ER Clinicians
Shutterstock Recently I posted a piece, describing research out of Johns Hopkins, showing that when patients come to ERs – either with no insurance or insurance that is out-of-network – they often face charges that are four, six, or even ten-fold greater than what Medicare would pay for the same services. After the post, I was inundated…
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More Young People Die in America than in Other Rich Countries (Two Pictures Explain Why)
Shutterstock The average life expectancy of American men is almost four years less than men in Switzerland. In fact, among 17 high income countries, U.S. men ranked 17th in life expectancy. American women die young, too, with a life expectancy five years less than the average Japanese woman. Why is American life expectancy so poor? In part,…
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Think Fast and You'll Lose Money Quickly (A Behavioral Economics Explanation of Irrational Gambling)
Shutterstock I have just given you $78. (I’m a generous guy.) Now I’m giving you a choice: you can enter a lottery where you have a 75% chance of losing that $78 and a 25% of keeping it, or you can hold on to $20 and avoid the lottery all together. Quick—tell me what you…