Book Excerpt from The Thrifty Patient – Vital Insider Tips for Saving Money and Staying Healthy. The Truth about Tests. Do I really need an MRI? Do I really need blood work? This often? Should I avoid talking to my doctor and jump right to tests? Americans love technology, whether it’s carrying the latest iPhone or buying the newest flat-screen TV with 3D technology. Naturally, our fascination with technology has spilled over into medical care, where everyone, including doctors in training, seems focused on what the x-ray, CT scan, MRI, or blood work showed. Sadly, this trend is seriously misguided. More testing does not lead to better care. More testing does not lead to more accurate diagnoses. Research has shown that Americans receive too many tests and procedures compared to other countries. If anything, more testing seems to be associated with worsening health. The leading cause of radiation exposure is […] Read More »
Tag Archive for patient education
The Truth about Medical Tests. Do I really need an MRI? Do I really need blood work? Book Excerpt
Posted on July 22, 2013
The Thrifty Patient – Book Review / Testimonials
Posted on July 15, 2013
I’m humbled and privileged to review high praise and testimonials for my book –The Thrifty Patient: Vital Insider Tips for Saving Money and Staying Healthy from those working hard to make health care more accessible, higher quality, and more affordable. In an ideal world, our health care system would be incredibly simple to access, extremely convenient, and intensely personal. It would allow patients to focus on staying healthy and healing and getting the right preventive care and treatment the first time and every time. It would not have them worrying about medical errors, wrong site surgeries, unnecessary surgeries / procedures / treatments, their own (patient) safety among other things. We are not there yet. Nevertheless, those who have provided the testimonials are also making our future system that much better though their work, actions, and words. As we all build to fixing our health care system completely, books like The […] Read More »
Recasting the Patient as Consumer – Good Idea? Consumer Driven Health Care?
Posted on June 13, 2013
Are patients now consumers? I recently jumped at the opportunity to attend the 2013 Healthcare Innovation Summit at Stanford Graduate School of Business. Subtitled IT-Enabled Disruption, it featured opening keynote speaker Aetna CEO Mark Bertolini, Stanford psychologist and lecturer Dr. Kelly McGonigal, and many other interesting people asking – how do we change health care? Recasting the Patient as Consumer As a practicing primary care doctor, the most intriguing session was labeled – “Recasting the Patient as Consumer”. I have major reservations that this is what patients really want. I have some skepticism on whether consumer driven health care can truly make care more affordable (here, here, here, and here). Was the current fad of pushing the onus of health squarely on the individual may be too simplistic? Panel members included: Ron Gutman, founder and CEO of HealthTap Bassam Kadry, Anesthesiologist and Participatory Medicine Advocate Ann Lamont, Managing Partner of […] Read More »
Why This Family Doctor Blogs and Writes – The Thrifty Patient
Posted on March 24, 2013
As a doctor, I am compelled to write because of what I know is occurring with alarming frequency in our country. Americans are skipping needed and recommended care that could save their lives and allow them to live to their fullest. Patients are more distracted, as life is more complicated and busier than ever. Households have both parents working, sometimes two jobs, just to make ends meet. They easily would make the right choice if someone would be willing to explain things in a simple, understandable manner. They would prefer a health care system that was so incredibly simple to use, convenient, and personalized that it would anticipate their needs so they could get the right care and get back to living life. Instead, our health care system offers patients higher co-pays, deductibles, and out-of-pocket medical expenses. It shifts the burden of making the right choices to people who frankly […] Read More »
The New Ontario Annual Physical Exam – Is It Choosing Wisely?
Posted on March 5, 2013
Is the Ontario Annual Physical Exam going the way of the dinosaur? That appears to be the case for healthy individuals between the ages of 18 to 64 in the Canadian province of Ontario. Effective in 2013, these patients no longer would have available an annual physical examination, but instead a “personalized health review”. The new personalized health review would only be available to those who were healthy and did not have medical diagnoses of cancer, diabetes, or others, in which those patients could still receive a more thorough examination. Other changes include not allowing routine chest x-rays prior to minor surgery and moving the screening rate for cervical cancer from one to every three years. The plan would save the government of Ontario about half a percent on payment to physicians as the reimbursement is less for these personalized health review. Should people in Ontario be worried that their […] Read More »
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