Family physician, author, blogger, speaker, physician leader.

Tag Archive for consumer driven health care

David Goldhill Replies to My Post “Disappointing, Dangerous, Frightening” on His Interview on Healthcare

David Goldhill, CEO of the and author of the September 2009 Atlantic titled How American Health Care Killed My Father and book titled, Catastrophic Care – How American Health Care Killed My Father — and How We Can Fix It, recently responded to my post – Malcolm Gladwell and David Goldhill Interview on Health Care – Disappointing, Dangerous, Frightening His comments in his entirety: While I’m appreciative that you came to hear Malcolm and I discuss health care, you really don’t seem to understand much of what we were talking about. My work is an attempt to think about health care as an industry, and using comparisons to how other industries behave to understand why health care delivers such mixed performance — with extraordinarily high rates of error — at such high cost. My argument is a systemic one: bad industrial outcomes are a result of badly structured economic incentives; […] Read More »

Book Review – When Doctors Don’t Listen: How to Avoid Misdiagnoses and Unnecessary Tests

The premise of the book When Doctors Don’t Listen is that increasingly doctors are adhering to algorithms and protocols, known as “cookbook medicine”. In the process, doctors are not listening to patients. Instead, doctors are hearing what they want to hear, ignoring the patient’s story, which results in medical evaluations and treatments which are erroneous. The consequence can be delay in care, unnecessary tests and worry, and at times the path taken is so far astray that patients need to fend for themselves. In one anecdote, a patient flees the emergency room after being evaluated for a headache after a hangover and discovers that her treatment is on the pathway to be evaluated for a possible life-threatening (and highly improbable) subarachnoid hemorrhage which includes an invasive lumbar puncture. Too far fetched? Do these problems affect a no name hospital? No. What makes the patient stories most interesting is where they […] Read More »

Rock Health, Enterpreneurs, Doctors and Witchcraft?

I recently viewed health care through the lenses of a technology entrepreneur by attending the Health Innovation Summit hosted by Rock Health in San Francisco. As a practicing primary care doctor, I was inspired to hear from Andy Grove, former CEO of Intel, listen to Thomas Goetz, executive editor of Wired magazine, and Dr. Tom Lee, founder of One Medical Group as well as ePocrates. Not surprising, the most fascinating person, was the keynote speaker, Vinod Khosla, co-founder of Sun Microsystems as well as a partner in a couple venture capital firms.  “Health care is like witchcraft and just based on tradition.” Entrepreneurs need to develop technology that would stop doctors from practicing like “voodoo doctors” and be more like scientists. Health care must be more data driven and about wellness, not sick care. Eighty percent of doctors could be replaced by machines. Khosla assured the audience that being part […] Read More »