With Drugs, How Do We Balance Medical Value and Cost?



How much should your medicine cost? A physician colleague recently told me the story of a patient who asked if she could put off taking her medication until the end of the month, after she [...]

How Modern Medicine Has Changed the Supreme Court



Two related health trends mean that each Supreme Court nomination now has the potential to shape the nation’s highest court for far longer than in the past. One is that Americans live decades [...]

How can you tell whether your doctor is any good?



On my last night of residency, a friend and I swapped our most memorable stories. We recalled the nights of panic and triumph caring for dozens of critically ill patients, about the day — okay, [...]

Is It Getting Harder to Care for Poor Patients?



In my more exasperated moments of residency, I must admit I was envious not only of what my supervising doctors knew, but also who they treated. Residents in our clinic, doctors in training just [...]

Can Low-Intensity Care Solve High Health Care Costs?



How much you spend on medical care depends on what you get, but also where you get it. Confoundingly to many, the cost of the same procedure on the same patient by the same physician can vary by [...]

The Largest Health Disparity We Don’t Talk About



I didn’t think our relationship would last, but neither did I think it would end so soon. My patient had struggled with bipolar disorder his entire life, and his illness dominated our years [...]

Donald Trump wrote his own medical report. We could tell.



We should have known. The news that Donald Trump dictated his own medical report — despite it being signed by his personal physician Dr. Harold Bornstein — hardly comes as a surprise. In all my [...]

We’re Bad at Evaluating Risk. How Doctors Can Help.



My patient and I were locked in a game of decision-making hot potato. “What would you do, Doc?” he said. We’d been discussing whether he should get screened for prostate cancer. Such questions [...]

Whatever a doctor’s political views, end-of-life care is the same



It’s no secret that we live in an era of historic political polarization. Almost daily we’re reminded of the corrosive consequences of Americans drifting apart: Polarization affects how we work, [...]

Do You Trust the Medical Profession?



Trust, in each other and in American institutions, is vital for our social and economic well-being: It allows us to work, buy, sell and vote with some reasonable expectation that our behavior [...]

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