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Consumer-Directed Health Care: The Uncertain Future of Price Transparency Initiatives

CompareCare, Massachusetts’ online price transparency initiative, was recently launched by the Center for Health Information and Analysis.1 Designed with the public in mind, CompareCare is home to in-state cost, quality, and safety data on multiple medical procedures.1 The latest state to institute an online consumer-directed resource, Massachusetts is but one of many entrants into a rapidly expanding national field. […]

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Artificial Intelligence Transforms the Future of Health Care

Life sciences researchers using artificial intelligence (AI) are under pressure to innovate faster than ever. Large, multilevel, and integrated data sets offer the promise of unlocking novel insights and accelerating breakthroughs. Although more data are available than ever, only a fraction is being curated, integrated, understood, and analyzed. AI focuses on how computers learn from […]

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America’s Health Care System is Broken: What Went Wrong and How We Can Fix It. Part 2: Health Insurance

Unlike most Western democracies, health insurance in the United States is provided by a haphazard mix of employer-based plans, Medicare for those over age 65 years or on social security disability or with chronic renal failure, Medicaid under varying state-dependent rules for some low-income recipients, and no insurance for tens of millions. Administrative costs, which […]

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The Importance of Being Curious

A stand-alone attribute by most accounts, curiosity has much to offer the healing profession. Indispensable to any analytic efforts of a diagnostician, epistemic curiosity (also known as cognitive or intellectual curiosity) can hardly be overlooked. No other quality can be counted on to rationalize seemingly insoluble clinical constellations. No other trait is likely to connect […]

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An Alternative to Medicare for All

  Two facts about US health care are beyond dispute. First, US health care is the most expensive in the world; it is twice as expensive as the average industrial nation.1, 2 Second, US health care is not the best health care system in the world. Four different studies have compared US health care to other […]

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America’s Health Care System Is Broken: What Went Wrong and How We Can Fix It. Introduction to the Series

Over the last half-century, medical science has dramatically improved throughout the world. Although costs have risen in all western countries as new technologies have been widely adopted, costs in the United States have risen much more than they have in any other country. Despite using fewer resources (eg, numbers of physicians and nurses, hospital beds) […]

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