Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Latest Posts

For Lack Of Transparent Prices

I am approaching an important anniversary of my heart attack. Until then, I had missed but a single day of work due to illness since starting medical school in 1975. Even in the middle of the heart attack, I played an entire ice hockey game, slept a few hours, had a business meeting with a fellow doctor at Starbucks, and went back to the office to see patients.  In retrospect, my actions could be labeled as folly, bravado, machismo, denial, and lucky. I accept all labels as true. Without a trace of shame I have shared this archetypal story with friends, and patients hoping that by laughing hard enough at me, I might prevent at least one person from dropping dead from stupidity. Read more »

A Physician’s Fantasy World: The Ideal Medical Practice

Medscape has a physician portal and they asked the question: “Where would you like to practice medicine?” The responses from physicians were varied with lots of complaining and joking like “Dubai”, but this reply from a family medicine doctor got my attention. I think he speaks for many physicians.
  • I would like to work in a fantasy world.
  • One where I didn’t have to worry about someones economic status. Read more »

*This blog post was originally published at EverythingHealth*

Doctors: Don’t Mix Medicine & Politics

Health care reform has become a deeply political subject.  And like other subjects that have become political, wading into them can be perilous.

Take two recent examples from the world of business to see what can happen.

In August, John Mackey, the CEO of the Whole Foods supermarket wrote an editorial in the Wall Street Journal on against the proposed health care reforms.  From a policy perspective his views were within the mainstream.  But from a political perspective he was sharply to the right of his customer base.  The result?  Whole Foods was hit with organized protests and boycotts.  Mackey had greatly tarnished his personal “brand,” if not that if his company.

Another CEO did something similar just a few days ago. Read more »

*This blog post was originally published at See First Blog*

Oh Baby: Infant Denied Health Coverage Due To Weight

If you still think we don’t need healthcare reform in the U.S., consider this: A 4-month-old baby is being denied health coverage by an insurer in Grand Junction, Colo., because the baby is too fat, the Denver Post reports. Details: The 4-month-old boy is in the 99th percentile for his age in height and weight. He is being exclusively breast fed by his mother and has grown from around 8 pounds 4 ounces at birth to nearly 17 pounds. Four. Months. Old. Pediatrician deemed him healthy. Parents are healthy and relatively fit, and  also have a healthy 2-year-old boy.

And people say the government is going to destroy our healthcare system?

OK, let’s be reasonable: Chances are, once the wildfire of press around this spreads sufficiently the company will rescind its decision and offer this lad coverage. (And, for the record, he could be covered by the family’s prior insurer but the parents decided to shop around because that firm raised the family’s rates by 40 percent after the boy was born.)  And, no, I don’t know of other cases where someone was denied coverage for the “pre-existing condition” of having been born hungry. So in the interest of fostering adult-level debate let’s acknowledge that this is probably a VERY isolated case and does not reflect the ethos of all insurers everywhere.

But still: A fat baby getting denied coverage is beyond ridiculous. Read more »

Study Shows That Our Brains, Not Eyes, See Color

Even though we intuitively think that a particular color looks the same to different people, researchers from The University of Chicago and Vanderbilt University have uncovered that the brain plays a critical role in color perception. The brain actually assigns colors to objects and with a bit of tinkering one can fool the brain to assign the wrong color to an object being viewed. Read more »

*This blog post was originally published at Medgadget*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

Read more »

How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

Read more »

The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

Read more »

Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

Read more »

See all book reviews »

Commented - Most Popular Articles