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Your Doctor May Spend More Time with a Computer than with You
ByadminShutterstock Medical appointments are getting shorter by the year. Sometimes it feels like doctors have no time to spend with their patients. What’s to blame for these brief clinical interactions? It could be the electronic health record, or EHR. Because of changes in how insurance companies and the government pay for medical care, doctors increasingly…
Rumors of the Obamacare Death Spiral Have Been Greatly Exaggerated
ByadminFor a while last fall, it looked like the Obamacare health insurance exchanges were spinning towards a death spiral. Enrollment in the health insurance exchanges was not growing as rapidly as many people had hoped. United Healthcare, one of the nation’s largest insurers, announced that it intended to pull out of the exchanges soon, convinced…
Mass Shootings: Tragic for Victims, Great for Gun Manufacturers
ByadminIn the aftermath of the Parkland High School shooting, we are having lots of debates about the role of the NRA in shaping gun legislation. Politicians who take money from the NRA are said to be in the organization’s pockets. But don’t forget where the NRA gets its money: gun manufacturers. And while no manufacturer…
Experts Split On Whether Breast, Lung, And Prostate Cancer Screening Saves Lives
Byadmin2Mammograms for breast cancer; the PSA blood test for prostate cancer; CT scans for lung cancer; and things like stool blood tests and colonoscopies for colon cancer. Each of these screening tests is designed to find cancers, or precancers, before they become symptomatic, the goal of early detection being to enable clinicians to eradicate growths…
My New JAMA Article, On Value Promotion in Healthcare
ByadminHere is the opening of an article I recently published in JAMA, available now online, in which I raise concerns about misguided congressional efforts to promote the use of high-value healthcare services, without doing anything to reduce the use of low value ones. Health care systems around the world are under pressure to restrain health…
Hurrah for Community Health Centers
ByadminThe U.S. healthcare system has an unsung hero – community health centers, which provide basic medical care for under-served communities. Even dental care! Right now 1 in 6 Medicaid enrollees receives care at one of these centers, a proportion that has been growing for decades: In some states, 1 in 3 enrollees use community health…