Chronically Ill Worse Off in US Than Elsewhere: Study

Fishy practice highlights challenge of medical regulation

(NEWSER) - As Congress wrestles with health-care reform, studies show it’s tough to regulate the status quo: Doctors’ “self-referrals” for medical imaging have continued despite efforts to legislate against them, the Washington Post reports. Doctors who own the equipment that scans patients stand to make more cash—and tend to order a lot more scans, costing Americans billions in taxes and insurance premiums. More»

(NEWSER) - For a clear example of our warped health care system, look no further than McAllen, Texas. The border town is second only to Miami in how much it spends on health care per person—$15,000 per Medicare enrollee, twice the national average. The problem? Atul Gawande of the New Yorker finds a town entrenched in the culture of too much medicine—patients get more tests, more hospital care, more surgery, more everything. And while those patients don't necessarily get healthier, hospitals and doctors certainly get richer. More»

More primary care physicians are needed to serve aging population, uninsured

(NEWSER) - President Obama's ambitious plants to expand health care for millions of currently uninsured Americans while simultaneously meeting the needs of aging boomers, may be stymied not only by politics-as-usual but a shortage of primary care physicians, the New York Times reports. Officials are weighing several options, including increasing Medicare payments to general practitioners at the expense of specialists—a proposal that has, predictably, triggered a lobbying showdown between groups of doctors. More»

Choice of provider could have big effect on your premiums

(NEWSER) - Yet another factor that could put a crimp in your wallet when it comes to health care: The cost of procedures such as colonoscopies, mammograms, and Pap smears vary wildly across the nation, according to a new report picked up by USA Today . Researchers found that colonoscopies, for instance, could total anywhere between $786 and $1,819, depending on such factors as where you live and whether you have it done in a hospital or a doctor's office. More»

Many 'go gently' rather than opting for extreme measures: Dr. Ken Murray

(NEWSER) - You'd think a doctor with, say, a terminal illness or a weak heart would have an inside edge over the rest of us and opt for the most whiz-bang, no-holds-barred treatment available. Just the opposite, writes Ken Murray, MD, in the Zocalo Public Square (as spotted by Andrew Sullivan's blog ). Doctors "don't die like the rest of us," writes Murray. "What’s unusual about them is not how much treatment they get compared to most Americans, but how little." They have seen first-hand the desperate, expensive , usually futile measures taken to save a life, generally because end-of-life wishes were not explicitly spelled out. More»