A Drug to Treat Cancer and Heart Disease (Miracle Cure or Media Hype?)

In a recent New York Times article, physician-author Siddhartha Mukherjee wrote about a clinical trial that he characterized as “beautiful,” for potentially illuminating a surprising connection between heart disease and cancer. Mukherjee is a justifiably acclaimed writer, who publishes regularly in The New Yorkerand The New York Times, and who won a Pulitzer for his bestselling book The Emperor of All Maladies. But…

Three Things to Know about Future Healthcare Spending

For my entire life, a half century and counting, healthcare spending in the U.S. has almost always risen faster than inflation. Sometimes it’s relatively slow, sometimes it’s relatively fast, but no matter the time, healthcare spending is climbing. Getting healthcare spending under control is really important for us to do if we hope to have…

Proven: People Don't Take Medicine They Can't Afford

Cholesterol pills are one of the great medical advances I’ve witnessed during my professional career. I am talking specifically about a category of medications called statins, drugs like Lipitor and Pravachol. These drugs have prevented probably hundreds of thousands of heart attacks and strokes. Only one problem with these drugs, however: statins won’t help people…

A Picture Putting Risks into Perspective

The National Health Service in the United Kingdom has recently disseminated a wonderful graphic, helping people understand how likely they are to die from scary things, like war and airplane accidents, versus less terrifying but deadlier hazards, such as high blood pressure and high cholesterol: In behavioral economics, we talk about something called the “availability…

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Racial Disparities in Outcomes after Heart Attack Were Eliminated by Free Prescriptions

High costs make it hard for many patients to afford their medications. That’s why some medical experts believe we should give important medications to patients for free, to see if that improves their health outcomes. One famous example of this approach is the MI FREEE Trial, which offered free cardiovascular medication to patients who would…

Should Patients Be Able to Receive "PFO Occluders" Outside of Research Trials?

Ten years ago, my tennis partner suffered a stroke.  He was a sixty-year-old at the time, working to move up into the top ten players in his age group.  In the country!  You could not have found a healthier sixty-year-old.  He played tennis three-plus hours a day, scampering across the court like a hyperactive adolescent. …