We have an epidemic of C-sections in the US, now accounting for almost 1 in 3 births. That represents a 50% increase since the mid-90s, despite all the advances we’ve seen in obstetrical care. Sometimes C-sections are critical to saving the life of either baby or mother. But C-sections are major surgical procedures, with commensurate risks. […]
Most men diagnosed with prostate cancer don’t die of the disease. Between 2011 and 2015, 112.6 per 100,000 men per year were diagnosed with prostate cancer in the U.S., but only 19.5 per 100,000 men per year died of the disease over that same period of time. That is still far too many deaths. But the […]
Here’s what most medical experts agree on: People 50 and older should be screened for colon cancer. Here’s what is more controversial: Whether that screening should start, routinely, at age 45. Recently, the American Cancer Society (ACS) recommended that colon cancer screenings start at age 45. Their recommendation was based in large part on an uptick […]
In 1991, I remember where I was walking when I learned that Magic Johnson was HIV positive. I shuffled along in a daze, distraught at the thought of such a young and magnificent man facing imminent death. Back then, you see, an HIV diagnosis was practically a death sentence. Of course, Magic Johnson is still alive. […]
Physician burnout in the U.S. is reaching epidemic levels, affecting the majority of physicians in some specialties. Practicing medicine is, of course, a stressful job. Make a mistake and you might end someone’s life. But physicians are not usually burned out by such life and death matters. Instead, it’s the most mundane part of their jobs that’s […]
The US is finally making very small strides towards pulling healthcare prices out of the shadows. Here is a recent media story on the topic. U.S. hospitals are now required to list the prices of medical services online and update them annually, under a rule change that went into effect Jan. 1. Previously, hospitals only […]
A song comes through your earbuds: good rhythm, clever lyrics, pleasing melody. You know whether you like the song, right? Maybe not. A series of studies using brain imaging raise the possibility that sometimes we think we like or dislike things, but our brains know better. I will explain what I mean, by describing one of […]
Healthcare reimbursement in the U.S. is frighteningly complex. We have federal payers, like Medicare; state/federal payers, like Medicaid; private, for-profit insurance companies, like Aetna; private, not for profit insurers, like many local Blue Cross Blue Shield networks. Oh yes, and we have private insurance companies managing reimbursement for many Medicare and Medicaid recipients. This complexity […]
I am not one of those parents who believes kids should win trophies just for showing up for their t-ball games. But I’m also not stingy in praising my children when they do well. When my kids got hundreds on their grade school spelling tests, I told them how proud I was of their accomplishment. […]
Americans are not fans of socialized medicine. Sure, some people want socialized healthcare payment, including many people who are fans of Medicare for All. But even most Bernie Sanders supporters probably aren’t in favor of socializing the entire U.S. healthcare system, thereby making hospitals and medical clinics into government property. Americans are proud of the […]