April 21st, 2010 by EvanFalchukJD in Better Health Network, Health Policy, Health Tips, Opinion, Research
No Comments »
The Wall Street Journal’s Health Blog says that cancer lab tests “aren’t always right.” They report on reports issued by two professional societies that point out that as many as 20% of a certain kind of test are inaccurate. According to the Health Blog the problem is the tests “aren’t black and white, and rely on a pathologist’s judgment.”
Now, judgment is a critical factor in most everything in medicine, but perhaps nowhere else are the consequences of incorrect judgment so serious as in pathology. As Dr. William Osler famously observed: “As is your pathology, so goes your clinical practice.” But how widespread is this problem? Read more »
*This blog post was originally published at See First Blog*
March 22nd, 2010 by EvanFalchukJD in Better Health Network, Health Policy, Opinion
No Comments »
Since the 2000 Presidential election, and most especially since the world-changing events of October 17, 2004, I’ve known this: Don’t assume anything is over until it’s over. Still, I’m going to bed so I’m going to give you my six quick reactions to the healthcare reform plan, based on the assumption it’s about to get voted in:
UPDATE: I stayed up and it passed.
1. It’s Historic. It is, but mostly because people keep saying that it is. I mean the President of the United States has gambled most of what he’s got on this, so it’s one for the history books in that sense. Still, a health care program that was truly historic would be something like taking all of the uninsured and just enrolling them immediately in Medicare. This plan doesn’t come anywhere close to doing that. Much of what is meant to deal with the serious problem of the uninsured doesn’t start for years, and is going to be handled through a complicated mechanism that may not even work. I suspect the history-making part of this will have to do more with the political fortunes of the Democrats and President than American health care. Read more »
*This blog post was originally published at See First Blog*
March 19th, 2010 by EvanFalchukJD in Better Health Network, Health Policy, Opinion
No Comments »
The Jobbing Doctor, a primary care doctor in the UK, writes about the British version of what Americans call “Pay for Performance,” or “P4P.”
He says something I’ve said many times before (like here, here, and here). Which is this: incentives fail because they try to treat medicine as an assembly line process, when it’s not.
But what’s most interesting about his post is that it could have been written by a doctor from anyplace on the planet Earth.
The Jobbing Doctor talks about a UK program that started in 2004 called the Quality and Outcomes Framework, or “QoF.” Now, the American “P4P” is a much more catchy name, so score one for American marketing. But it doesn’t matter what you call it – that which we call a rose would, by any other name smell as sweet. Read more »
*This blog post was originally published at See First Blog*
March 15th, 2010 by EvanFalchukJD in Better Health Network, Health Policy, Opinion
1 Comment »
Why has health care reform run into so much trouble?
Well, it could be because people think reform plans will affect them in ways they aren’t going to like. Or because people don’t believe politicians in Washington who say that spending huge amounts of money will actually save money. Or because confusing mixed messages and ever-shifting sales pitches create a lot of anxiety about what’s really going on. It could be all of those things.
Or, it could be something more….sinister…. Read more »
*This blog post was originally published at See First Blog*
March 10th, 2010 by EvanFalchukJD in Better Health Network, Health Policy, Opinion
No Comments »
Today the Commonwealth Fund came out with a chart that it says is a “grim reminder” of what happens when health care doesn’t get reformed.
If only we had listened to Richard Nixon or Jimmy Carter. We would have saved tens of trillions of dollars in health care spending.
Click to enlarge Read more »
*This blog post was originally published at See First Blog*
