Dichotomy

Recently, while returning from a Yankees game, my friend had a serious car accident. She was in the passenger seat and her husband was driving. Unfortunately, her husband died almost instantly. My friend, badly injured, was intubated in the field and rushed to the hospital. She suffered broken limbs and intracranial hemorrhage (bleeding into the [...]

09.11.2001

Pay for Conformance

Dr. Sandeep Jauhar, whose recent article in the New England Journal of Medicine didn’t sit too well with me, published a great article in the New York Times earlier this week on the pitfalls of pay for performance (P4P) schemes, where doctors are given financial incentives to practice cookbook medicine. Stating that “doctors have seldom [...]

No Surprise: The Primary Care Shortage Will Soon Worsen

A new study published in JAMA shows that only 2% of medical students are considering being primary care physicians, citing the bad lifestyle as one of the main factors. I don’t blame them. Primary care physicians are overworked and underpaid. Why should any medical student with over $100,000 of debt settle such an under-appreciated job? [...]

Consumer-Driven Health Plans

Two recent reports present differing views on the status of consumer-driven health plans, i.e. high deductible plans that are often paired with health savings accounts (HSAs). One report shows increased adoption of these plans by 43% over 2007 accounting for about 13% of all plans offered by employers. The opposing perspective is presented by a [...]