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A Park Bench That Tells You You’re Fat?
Clearly we in the United States are not taking the obesity epidemic as seriously as the Russian government. We debate whether it is appropriate for the government to require restaurants to inform their customers about how many calories they are consuming. Whereas in Moscow, sit at a park bench, and it will tell you how…
How to Make People Think Robots and Corpses Have Feelings
The right to die has played a critical role in the development of the doctor/patient relationship. It was families clamoring for the right to allow their loved ones to die who forced the world to recognize that physicians’ medical decisions aren’t just medical decisions, but involve enormous value judgments. In 1975, Karen Ann Quinlan’s loving…
What's a Fair Price for a Medication?
Greedy pharma execs have been in the news of late. Here is a story on the topic, from Wired. The reporter misquotes me. I never said Apple could make profits selling iPhones for $10. I said that even if they could profit at that price, they’d be crazy to do so if people would…
Is It Rational for Breast Cancer Patients to Have Bilateral Mastectomies?
Warning: I am not writing about Angelina Jolie. I am not asking whether women like Jolie, with a strong family histories of breast cancer and known genetic mutations, should consider having bilateral mastectomies. Women like Jolie face extremely high lifetime risks of breast cancer, and thus must make difficult decisions about whether to receive prophylactic…
Paying for "Patient Satisfaction" Harms Hospitals That Care for Poor People
All else equal, it would be wonderful if hospitals had an incentive to provide high quality care. It does not seem fair to pay the same amount of money to a hospital that does a great job of caring for its pneumonia patients and one that does a lousy job. For the most part, however,…
Power of Analogy
From time to time in this blog, I take a moment to celebrate fine writing. Here is an example I came across in an article in Smithsonian magazine from May 2014. The author, Corey Powell , was trying to explain how astronomers use gravitational “tug” to indirectly reveal the existence of planets. In other words, they can’t…