Rethinking the Cost-Benefit of PSA Tests

Was this Fixing U.S. Healthcare blog wrong to single out PSA as not worth its cost? This was the claim in two previous posts, including the overall most popular one, The Problem of Diminishing Marginal Benefit in Healthcare. Some new information suggests that we need to rethink that original claim. Prostate Specific Antigen Since prostate … Continue reading Rethinking the Cost-Benefit of PSA Tests

Healthcare Reform: New Resistance, New Traction

Business school courses on managing organizational change often begin with how to deal with resistance to change. They teach business leaders first to distinguish between true resistance – recognition by front-line staff of real obstacles – and pseudo-resistance, the natural human tendency to fear anything unfamiliar. We are seeing the emergence of true resistance this … Continue reading Healthcare Reform: New Resistance, New Traction

Candidates Debate Healthcare Reform

Once again, healthcare reform is at the forefront of the U.S. political debate. CNN allotted healthcare the lead-off spot and 22 minutes on both nights of its Democratic Presidential Debates this week, more than for any other issue. Senator Cory Booker (D-NJ) perhaps best captured the key challenge -- unsustainable costs: In the United States … Continue reading Candidates Debate Healthcare Reform

Healthcare Reform: “150 million Americans won’t give up their private health insurance to get Medicare for all.” Really?

Former Representative Jim Delaney (D-Md) threw down the gauntlet to the left-leaning attendees at the California Democratic convention on June 2 by challenging Medicare-for-all. ”The problem with Medicare for all, it’s actually really simple, is that it makes private insurance illegal. And 150 million Americans have private insurance, and 70% of them like it according … Continue reading Healthcare Reform: “150 million Americans won’t give up their private health insurance to get Medicare for all.” Really?

Reforming U.S. Healthcare: Even Research Statistics Are Rigged

To paraphrase Elizabeth Barrett Browning, How do I rig thee? Let me count the ways. Even research statistics are all too often rigged, according to a commentary in this month’s Journal of the A.M.A.  These rigged statistics are being applied to clinical studies of new drugs, devices, and treatments to put them just far enough … Continue reading Reforming U.S. Healthcare: Even Research Statistics Are Rigged