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Health Insurance Trends in One Picture
Here is data from the CDC, on the percent of Americans without health insurance. It shows that Obamacare, for all its strengths and weaknesses, is definitely addressing one major problem in the US:
Who Provides More Unnecessary Care: Physicians or Nurse Practitioners? (The Answer Is Surprising)
Imagine you have been struggling for eight days with a bad cough, with what feels like a lifetime’s worth of secretions in your upper airways. When you called your primary care physician’s office, she wasn’t available, so you got an appointment with a nurse practitioner, who prescribed a course of antibiotics. Would you fill the…

Is Information Always A Good Thing?
“Is Information Always A Good Thing?” – Medical Care
Peer Comparison Can Reduce Antibiotic Prescribing
Very interesting article in the Lancet recently, from the nudge unit in the United Kingdom. They give physicians feedback on how much they prescribed antibiotics compared to their peers, and found that such feedback reduced antibiotic prescriptions. I hope to see more of this work!
Death By Salad: Two Reasons 'Healthy' Food Could Make You Fat
In an effort to lose weight, you pass on the steak sizzler at your favorite family restaurant and settle, instead, for a healthy salad. But you might be in for a dieting double whammy. First off, the salad probably has more calories than you realize. For example, Applebee’s Grilled Chicken Caesar Salad packs a whopping…
Why Living in a Rich Country Can Give You Cancer
Shutterstock As a primary care physician, I have counseled thousands of patients to get cancer screening—blood tests to look for prostate cancer, mammograms to detect impalpable breast cancers, and colonoscopies to find precancerous colon lesions. I’ve even tried to find cancers on physical exam, palpating people’s necks for thyroid growths, for example. The goal of…