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Business of Medicine

A Look at Specialty Drug Insurance

Healthy people appear to be willing to pay high insurance premiums for generous coverage of specialty drugs. A survey showed that respondents were willing to pay, in effect, $2.58 in generous specialty drug coverage for every...

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Whatever Happened to Personal Contact?

Not long ago, I attended a retirement party for a former colleague. He had been a surgeon for 43 years at a hospital where I was once chairman of surgery. A number of old friends and colleagues whom I hadn’t seen for a long time...

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Our Broken Healthcare System – Feeding the Fat Cats

We have a cat. He’s fat. His name is Zander, but we call him “Cat,” “Kitty,” “Loaf of Bread” (because that’s what he looks like when he lies down and his fat spreads), Lard Butt, and “Fatso Catso.” In the picture above he is...

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The Effect of Racial Bias From Clinicians

A team of American researchers has found that markers of poor visit communication and poor ratings of care appear to be associated with clinician implicit attitudes about race as well as race and compliance stereotyping. General...

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Are You Afraid to Be Wrong?

Richard Smith, a former editor of the British Medical Journal, wrote a thoughtful essay offering guidance for new medical students. (Full text here.) Although it was published in 2003, someone just brought it to my attention via...

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A Quality Indicator Toolkit for Hospitals

The AHRQ has release a toolkit to guide hospitals in the use of the agency’s Inpatient Quality Indicators and Patient Safety Indicators for improving care. The toolkit, available for free at www.ahrq.gov, includes a “roadmap”...

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