Congress Pushes Curbs on Doctor-Owned Hospitals

The N.Y. Times reports (“Concerned about costs…“) that Congress is trying to impose new restrictions on physician-owned, for-profit hospitals. The legislators fear that these hospitals 1) drive up costs and 2) provide poor quality. Legislators worry that when physicians own the hospital, they may have more of an incentive to order more procedures to increase…

Custom-made vs. ready-to-wear treatments

When you are sick and need a doctor, you need hope that you are given the best care possible. Most people assume that doctors will tailor their treatments to the individual patient needs. However, a paper by Frank and Zeckhauser (JHE 2007) explain that this may not be the case. The authors claim that there…

“Flogging” Patients

How much care should doctors give to terminally ill patients in the ICU? This is a question which can be answered on many levels (e.g., societal, individual, technical). One physician gives his thoughts in an n+1 magazine article titled “First, do no harm.” While advanced medical technology has lead to greater longevity and healthier lives,…

Custom-made versus ready-to-wear treatment

Many patients have an idealized view that physicians customize their treatments for each individual patient.  For instance, do physicians tailor prescription dosage based on individual characteristics and responses over time, or will they simple prescribe the standard dosage? A paper by Frank and Zeckhuaser (JHE 2007) find that norm-following behavior (rather than patient-by-patient customization) is…

Mobile Phone Microscope

The Economist (“Doctor on Call“) has an shows that mobile phones may have another use for doctors: a microscope. “Mr Maamari is a member of a research team led by Dan Fletcher, a professor of bioengineering at the University of California, Berkeley, which has developed a cheap attachment to turn the digital camera on many…

Medical Onshoring?

As the cost for health care has continued to rise, many Americans have looked for less expensive treatments in foreign countries. Living in San Diego, I can attest that many Southern Californians head to Tijuana to have their prescriptions filled. A Minot Daily News article (“Medical onshoring…“) claims that “more than 150,000 Americans traveled abroad…

Tort Reform and Birth Outcomes

Many doctors claim that the medical malpractice system is broken and needs to be fixed. Doctors have high malpractice insurance premiums and often practice defensive medicine to protect themselves against lawsuits. To help alleviate this problem, many politicians have asked for some sort of tort reform. Tort reform can be generally categorized into 4 types…

P4P: Be careful what you measure

Simon Caulkin, management editor of The Guardian, has a great article titled “The rule is simple: be careful what you measure.”  The article discusses the fact that measuring performance leads to better performance on the dimensions measured, but can often lead to significantly worse performance on the unmeasured dimensions.  For instance, What happens when bad…