One Price Does Not Fit All for Medical Fees
There have been many wonderful new medications in the past decade or so, drugs that finally bring hope for many people with serious illnesses like rheumatoid arthritis, multiple sclerosis and even some advanced cancers. But these drugs often come at a high price. Here is a snapshot of drug spending in 2014, courtesy of the…
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 hand, they…
For much of the history of U.S. medical care, hospitals and physicians have existed as separate financial entities. Physicians in the U.S. have typically been self-employed, as solo or group practitioners and not as hospital employees. An internist like me might have admitting privileges to several local hospitals. When we admit patients to one of…
I want to share a wonderful blog post with you, written by one of “my” students, Laura Mortimer – a student in the Masters in Public Policy program at the Sanford School at Duke, who also happens to be a talented writer. In linking to her post, and then calling her my student, I of course…
Recently, Dr. R. Adams Dudley, director of the UCSF Center for Healthcare Value, circulated a picture illustrating rapid growth in the use of tests and other imaging procedures between 2000 and 2013. I thought it deserved further circulation. It reveals 60-80% expansion of testing and imaging, with only – only? – a 40% increase in…
Most new insurance plans sold on Obamacare’s health insurance exchanges will have deductibles greater than $1000. That’s the kind of number that’s going to make people think twice about going to the emergency room when they experience shortness of breath or chest pain. Unfortunately, a new study shows it’s also the kind of “skin in the game” that…