We needed a X-ray to rule-out a fracture so opted for an urgent-care center, which did it quickly and efficiently. As the three employees closed up shop for the day, I reflected on how urgent-care centers filled a perfect niche between the ER and the impossibility of snagging an immediate orthopedic appointment. But this is health care in America, and nothing ever closes up tidily. Two weeks later a bill arrived…. More
The sausage-making of how insulin is priced is not for the faint of heart. I’m a physician, not an economist. But the diagnosis seems plain as day: greed. Once we’ve allowed health care to be an economic entity like mobile phones, sports cars, and jewelry, all players with fingers in the pie will extract as much money from the process as the market will bear. More
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
A small adrenal mass was “incidentally noted†on my patient’s CT. But once the incidentaloma had been given life, so to speak, it was no longer incidental. We were now obliged to run some highly complicated — and expensive — lab tests. More