Category Archives: Health Policy

Health Insurance Is About Financial Security Too

People like me, trained to be physicians, have pushed hard to promote health insurance in the United States because we believe, with some evidence to back up our claims, that good health insurance promotes better health. When people don’t have … Continue reading

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If You Look for Cancer, You’ll Find It

What would you like first: the good news or the bad news? Let me start with the bad. Life expectancy among patients in the U.S. with thyroid cancer lags behind that in Korea. In fact, the vast majority of patients … Continue reading

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Millions To Be Made On…Generic Drugs?

It is well accepted among health economics wonks that the lion’s share of pharmaceutical company profits come when these companies hold exclusive rights to their products. Once their blockbuster pills go “generic,” competitors enter the marketplace and profits plummet. Consider … Continue reading

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Calling Obesity A Disease Dooms Dieters

In June of 2013, the American Medical Association officially recognized obesity as a disease. The organization had its reasons. For starters, obesity leads to heart attacks, strokes, diabetes, early-onset degenerative arthritis…and just about every other illness on the planet. In … Continue reading

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Podcast on the Challenge of De-adoption

Here is a podcast I participated in, put out by folks at GWU. A quickish interview on the challenge of getting doctors to stop doing things they ought to stop doing. You can also listen to it on iTunes, or … Continue reading

Posted in Health Policy, Medical Decision Making

The High Price of Affordable Medicine

In the old days, blockbuster drugs were moderately expensive pills taken by hundreds of thousands of patients. Think blood pressure, cholesterol and diabetes pills. But today, many blockbusters are designed to target much less common diseases, illnesses like multiple sclerosis … Continue reading

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How Screwed is North Carolina if Supreme Court Rejects Obamacare?

In a few months, we will find out whether the Supreme Court has decided that a critical part of the Affordable Care Act is unconstitutional. If that happens, lots of people will be in lots of trouble, financially speaking. Here … Continue reading

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Podcast on Healthcare.gov 3.0

The 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: … Continue reading

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More on Healthcare.gov 3.0

Here is a nice follow-up story on my recent New England Journal article on improving the design of health insurance exchanges. Comparing health insurance plans – whether signing up through Healthcare.gov or weighing employer-sponsored plans with a spouse – can … Continue reading

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Healthcare.gov 3.0–Improving the Design of the Obamacare Exchanges

I joined two other, much smarter, colleagues in calling for the use of behavioral economics and decision psychology to improve the design of the websites people use to purchase health insurance in the U.S. That article came out today in … Continue reading

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