American Recovery and Reinvestment Act of 2009

The wheels for economic recovery have been set into motion, or at least are being lubricated, with the signing of the American Recovery and Reinvestment Act of 2009 by President Barack Obama on February 17, 2009. The plan was put together rather quickly behind closed, or at best ajar, doors. The bill is designed to [...]

When Clinicians Lead

Acknowledging the “daunting challenges” facing our heatlhcare system today, a new McKinsey Quarterly report highlights the need for strong leadership that “must come substantially from doctors and other clinicians.” The growing concerns about many administrators being out of touch with the realities that govern taking care of patients is placing clinicians in a great position [...]

Unfriendly Shopping Cart

I give my patients free generic medications as one of the benefits of being a member of my practice. I just ordered a few medications and what you see above is a screenshot of my shopping cart. You may notice that the prices aren’t listed. That’s a very common theme in healthcare. Nobody knows how [...]

To Screen or Not to Screen

Do the benefits of preventing disease outweigh the costs associated with screening large groups of people? The answer depends on who you ask. For example, a recent article in Health Affairs by Louise B. Russell reminds us that: Over the four decades since cost-effectiveness analysis was first applied to health and medicine, hundreds of studies [...]

Daschle on Tax Cheaters

“Make no mistake, tax cheaters cheat us all and the IRS should enforce our laws to the letter.” Tom Daschle, 1998