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Obamacare Going into a Death Spiral?
ByadminFolks around the country are signing up for health insurance right now on the Obamacare exchanges, and some are seeing a very confusing set of options, with price hikes, or maybe not price hikes, and with subsidies, or maybe not such generous subsidies. Here is a great take on what’s happening in NC: Obamacare Customers…
Cancer: A Disease of the Young?!?
ByadminIf you only paid attention to popular media, you’d think cancers primarily strike young people. Here’s a picture from a medical journal contrasting media coverage of cancer to actual occurrence of cancer in younger and older people:
The Connection Between Great Science and Great Writing
ByadminOften great science depends on keen observation. Darwin built his theory of evolution on detailed observations of everything from birds to beetles. Jane Goodall revolutionized our understanding of primate behavior by staring at chimpanzees for hours and days. But not just staring at them, noticing them. She saw things most observers would not have picked…
What Physicians Could Learn from Accountants and Veterinarians
ByadminRebecca Plevin, from KPCC public radio in California, is quickly becoming one of my favorite health reporters. She is really digging in to the strange world of health economics. Here’s a nice piece she did, comparing how people talk about costs when meeting with financial counselors versus veterinarians versus, of course, going to see their…
Do Luxury Brands Benefit from Income Inequality?
ByadminI like to think that despite being wealthier than most Americans, I remain immune to materialistic desires. I drive a 17-year-old Honda Accord and wouldn’t know designer clothes if you wrapped me in them, head to toe. But it turns out that I’m wrong. I’m not above materialism despite my wealth and social status. I’m…
The Healthcare Efficiency Myth – What Really Happens When Doctors And Hospitals Join Forces
ByadminFor much of the history of U.S. medical care, hospitals and physicians have existed as separate financial entities. Physicians in the U.S. have typically been self-employed, as solo or group practitioners and not as hospital employees. An internist like me might have admitting privileges to several local hospitals. When we admit patients to one of…

