health care costs

Access to Care

“Doctor, it’s taken so long to get this appointment with you.” This is the opening line of so many medical visits these days, and I find myself constantly apologizing to my patients for the delay. Even though both the patients and I know that it’s a systemic issue, it’s still front and center in our personal interaction. More

Ethics of Money in Medicine

Just because money is a reality in medicine, doesn’t mean that we have to blindly accept all the consequences. There is a code of ethics in medicine. More

The Small Costs

We all hear about “health care costs,” a lumbering behemoth that dominates the news. But it is the smaller amounts, literally the pocket money, that often has the strongest effect on the concrete currency of health. Sometimes doctors find themselves in the position of offering their patients a few dollars to help with a co-pay or transportation home. More

Doctors Blame Others for Medical Costs

If doctors feel that the grind of medicine is just going to get worse, then they won’t have any stake in making major changes. You can present all the data you want but it doesn’t have a chance when stacked up against emotion and experience. More

Patient 1, Society 0

A young, healthy patient called me recently requesting a CT scan of his head because of his headaches. He described his symptoms, and they sounded to me like migraines. His clinical picture was not suggestive of a brain tumor and I told him so, but he was persistent. “What if I’m the one 35-year-old who drops dead of a brain tumor while you try to figure out what’s wrong?” he asked. More

Solving the Health Care Crisis

Status quo is a powerful determinant of both belief and behavior. This is why incumbents win elections, why we always choose the same flavor of yogurt, why we prescribe the same antihypertensive medications, and why we have our health care system in America. More

Books by Danielle Ofri

Subscribe