Category Archives: Uncategorized

The Benefits of High Health Care Expenditures

I write frequently about the high costs of healthcare, in the U.S. and in many other parts of the world. And in general, I believe strongly that most developed countries need to look seriously at how they’re spending healthcare dollars, … Continue reading

Posted in Uncategorized | Tagged ,

Half of Healthcare Spending: For 1/20th of the People

It 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 … Continue reading

Posted in Uncategorized | Tagged

If We Cut Surgical Pay, Will Surgeons Cut into More People?

Shutterstock Knee replacements are booming. Between 2005 and 2015, the number of knee replacement procedures in the U.S. doubled, to more than one million. Experts think the figure might rise 6-fold more in the next couple decades, because of our … Continue reading

Posted in Uncategorized | Tagged , , ,

Talking about Healthcare Costs with Your Oncologist

My colleagues and I just published a study in The Journal of Oncology Practice, showing what happens when the topic of healthcare costs comes up during oncology clinic appointments. Check out this nice news article discussing our findings: Even brief … Continue reading

Posted in Uncategorized

Repealing Obamacare Could Close Your Local Hospital

Shutterstock Last spring and summer, the Republicans stumbled in their efforts to repeal and replace Obamacare. But they might try a new approach later this year. If they do, expect to hear more debates about what their replacement plans mean … Continue reading

Posted in Uncategorized | Tagged ,

On Our Way to Being a Smoke-Free Nation

Great picture from a NEJM article showing a continuing reduction in American tobacco consumption, a decline that accelerated during the Obama years. (Irony – Obama was a smoker during much of that time!) My question – What would this look … Continue reading

Posted in Uncategorized | Tagged

A Surprising Way Health Insurance Might Save Your Life

Rep. Raul Labrador (R-ID) speaks with members of the media at Trump Tower December 12, 2016 in New York. / AFP / KENA BETANCUR (Photo credit should read KENA BETANCUR/AFP/Getty Images) Back in May, an angry constituent asked Congressmen Raul … Continue reading

Posted in Uncategorized | Tagged , , ,

Writing Sabbatical

I am currently on sabbatical (and enjoying some hiking in the Appalachian Mountains). Blog posts will resume in September!

Posted in Uncategorized

Who Receives More Wasteful Care: Medicaid Enrollees or People with Private Insurance?

Some medical services are unnecessary. Is it your first day of uncomplicated lower back pain? You don’t need an x-ray. But many patients continue to receive such services anyway, perhaps because they demand them or, perhaps, because their providers keep recommending … Continue reading

Posted in Uncategorized

How to Stop Breast Cancer Surgeons from Overtreating Their Patients

A study shows that a medication causes more harms than benefits, and physicians like me keep prescribing the pill anyway, either because we don’t learn about the study, don’t believe the study or are simply stuck in our ways. Even … Continue reading

Posted in Uncategorized