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Outdoor Portrait Of Medical Team

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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Physician Compensation Methodology Must Change!

  In our current health care environment, most professional services are paid on a fee-for-service basis. The payment is usually from a third-party administrator or an insurance company. Many only supply a partial payment, expecting the remainder to be billed to the patient. Although much in our lives have similar processes (ie fee for service), […]

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doctor shaking hands with female patient

Building Trust in the Profession: What Can We Learn from Choosing Wisely?

  The Choosing Wisely campaign sought to prompt physician–patient conversations about unnecessary care. At its 2012 launch, physicians and patients felt uncomfortable about “denying” even unnecessary or potentially harmful care. Opponents of the Affordable Care Act raised fears of rationing and death panels. Physicians and patients had long mistrusted the motives of third parties, including […]

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In a Critical State: Ongoing Barriers to Treatment for Hepatitis C Virus (HCV)

5 Recent advances in hepatitis C virus (HCV) treatment could be described as revolutionary: for uncomplicated patients, treatment is nearly 100% effective, oral only, has a low pill burden, minimal side effects, and results in a cure.1 Comparisons we have heard from clinicians are that HCV is now easier to treat than either diabetes or hypertension. […]

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William H. Frishman, M.D.

Medicine as a Meritocracy

                When we (the authors, WF and JA) were graduating from medical school in 1969, 50 years ago, our class pictures in Boston showed a predominance of white males, a small percentage of white females, and even fewer African Americans, Asian Americans, and Hispanic Americans. Today the class […]

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