Decision of the Month

Books





Health Care Reform: Prove It or Lose it

September 24th, 2009

In an effort to be the first president since Lyndon Johnson to succeed in reforming our nation’s health care system, President Obama is exhibiting honorable flexibility. Taxing health care benefits for employees? He was against it when running for office, but he is considering it now that the federal budget deficit is growing [...]

  • Share/Bookmark

Hitler’s Testicles and Palin’s Death Panels

August 19th, 2009

Did you know that Adolf Hitler had three testicles?
You didn’t? Well, you are right. That is just an urban legend — one that I have just created.
In fact, if anyone tells you that Hitler had three testicles, they are either misinformed or they are lying.
Why am I mentioning Hitler’s three testicles to you right now? [...]

  • Share/Bookmark

Republicans and Health Care Reform: Who’s Divided?

August 7th, 2009

Republicans criticizing health care reform efforts are beginning to sound as principled as Groucho Marx, who once quipped: “Those are my principles, and if you don’t like them, . . . well I have others.” On the one hand Republicans complain that health care reform will cost too much money. On the other [...]

  • Share/Bookmark

Reforming Not Only How We Pay Physicians, but How Much We Pay Them

July 23rd, 2009

Any sensible plan to reform the U.S. health care system must reform the way we pay physicians. Currently, we reward doctors for doing more “stuff” for their patients — for performing tests and procedures whether or not these interventions are necessary. Because of this strange reimbursement system, many primary care physicians receive more [...]

  • Share/Bookmark

Comparative Effectiveness: One Size Doesn’t Fit All

July 15th, 2009

No sooner had the Obama administration committed a billion dollars to comparative effectiveness research than the critics began laying out their concerns: such research is a prelude to rationing, they said; it threatens to thwart doctors’ and patients’ abilities to make their own decisions. It will transfer too much power to government bureaucrats and treat [...]

  • Share/Bookmark

Tiger Woods and Health Care Reform

June 23rd, 2009

American presidents have been trying to reform our health care system since at least the Nixon era, but with only limited success. Past reform efforts have failed for many reasons. For starters, the U.S. health care system is complex, with the medical industry making up almost 1/6 of our economy. But perhaps the biggest obstacle [...]

  • Share/Bookmark

Is the VA the Key to Healthcare Reform?

June 23rd, 2009

To find out the answer to this question–ok, a partial answer–listen to my appearance on the NPR show The Takeaway. CLICK HERE.

  • Share/Bookmark

Succulent Sandwiches and Consumable Calories: Who’s Counting?

May 22nd, 2009

 
Last summer, New York City made a great stride toward promoting public health, by requiring chain restaurants to prominently publish calorie counts alongside their menus. This type of regulation holds the promise of improving people’s eating habits, without restricting their freedom to order whatever they want.
Theoretically, this new regulation should help consumers make better choices: [...]

  • Share/Bookmark

When Bad Advice Is the Best Advice

April 27th, 2009

Eighteen years out of training, and I still find myself struggling to understand the moral imperatives of medical practice.

Not long ago, as part of my hospital duties, I cared for a man who could no longer swallow. This dysphagia was his only medical complaint, one that had sneaked up on him over the course of [...]

  • Share/Bookmark

Feeling Conflicted about Greed

April 14th, 2009

 
With jobs disappearing faster than a major league fastball, the public is understandably irate at the damage that greed has wrought upon our economy. Financiers destroy their companies, and our retirement portfolios, and then complain when their bonuses are less than 7 figures.
The greedy behavior in recent headlines has not been limited to Wall Street. [...]

  • Share/Bookmark


I am a physician and behavioral scientist. My research and writing explores the quirks in human nature that influence our lives -- the mixture of rational and irrational forces that affect our health, our happiness and the way our society functions....

more

Go to my Academic site

 Subscribe to my blog

Enter your e-mail address to receive notifications when there are new posts

Archives