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Half of Healthcare Spending: For 1/20th of the People
ByadminIt is not unfair that we spend more on medical care for some people than others. After all, some people are sicker than others. If there’s anything unfair, it’s probably the uneven distribution of illness and disability. That said, the disparity in healthcare spending across people is pretty staggering. As this picture shows, courtesy of…
How a Leading Medical Journal Helped a Pharmaceutical Company Exaggerate Medication Benefits
ByadminShutterstock How excited would you be about a medication that lowered your risk of cardiovascular death, heart attack, or stroke by 1.5%? Excited enough to spend a few thousand dollars a year on the drug? I expect not. What if, instead, the drug reduced those same terrible outcomes by 20%? That’s probably enough benefit to…
Who’s Paying Out-of-Pocket for Medical Care
ByadminMany Americans are buying healthcare insurance that asks them to pay a lot, out-of-pocket, for the care they receive. It looks like that trend, towards higher expenses, is especially common among higher income folks, as shown by this picture courtesy of the Commonwealth Fund:
Rare Diseases Are Becoming Too Common. Sound Impossible? Here's Why It's Not
ByadminIt is hard to make money treating rare diseases. There simply aren’t enough customers to generate many profits. That’s why the U.S. government passed the Orphan Drug Act in 1983, a law which created a series of incentives to encourage drug companies to develop treatments for rare or “orphan” diseases – conditions affecting less than…
Podcast on Healthcare.gov 3.0
ByadminThe Managing Editor of the New England Journal of Medicine interviewed me about the piece I wrote, with David Comerford and Eric Johnson, on redesigning the health insurance exchanges. For those of you with long commutes, here is that podcast: Healthcare.gov 3.0
The United States of Short Hospital Stays
ByadminWe spend more for medical care in the United States than just about anywhere in the world, but it’s not because people in this country get admitted to the hospital and stay for long periods of time. Instead, we have shorter length of stays in American hospitals than in the vast majority of developed countries…