The first time I wrestled with the issue of whether to get my breasts cut off, I was in my early forties.  Partners in life, my breasts had done right by me. They delighted me in all their underwhelming adolescent glory. Then they’d been a source of panting, wriggling joy for so much of my adult life. They’d amazed me after pregnancy when I became a fount of Bessie-the-cow milk ...

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I have decided to spam for public health. Phone calls, text messaging, and even apps have been shown to help improve health and sustain behavior change, even in people suffering from profound mental illness. But when it comes to using these tools for public health, there are two problems. The first is that each message (whether via phone call or text) costs money. The second is that it’s quite hard ...

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Most of us who write about health believe that knowledge can make a difference. But is the primary health issue facing us today a lack of knowledge? Or is it, instead, something I'd call the tenth-patient-of-the-day challenge? Here's what I mean: You pick up a chart and head to Exam Room B, reading as you speed-walk. Your patient’s blood sugar is running high again, she didn't show at the smoking cessation ...

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Studies show that many people faced with home loss and housing uncertainty can take a tremendous hit to their health. If you’re going through difficult times, and worried you too may lose your home, what can you do to try to buffer or reclaim your health? Here are some tips for ways to counteract some of the toll that constant stress (and the insomnia, distraction and desperation that go with ...

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Part three of the three-part series, Let’s Pay Popular People More! Perhaps you remember Sam, the chronic inebriate whose story I shared to discuss the pitfalls of basing doctor pay on patient satisfaction surveys. Looking at his discharge papers, I wondered who helped Sam fill his survey out, and how much their "help" affected the results. After all, millions upon millions of dollars are already now at stake for hospitals. And ...

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Part two of the three-part series, Let’s Pay Popular People More! Take a moment to ask yourself whether any of these categories describe you or someone you love:

  • Never had cancer
  • Psychologically distressed
  • No regular health care provider
  • No health insurance
  • Lack confidence in self care
  • Avoid doctors
  • Minority race
If any of these terms describes you or a loved one, then you are statistically more likely to give a doctor a lower Read more...

Part one of the three-part series, Let's Pay Popular People More! My patient only had 20 minutes to wait for the van headed to detox. The people who had worked to get him into a detox program already numbered in the double digits. Sam (not his real name) was the classic public inebriate — he woke on sidewalks with the shakes, vomited blood on a regular basis, had lost most of ...

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I went to needle exchange to hang out. You may be asking yourself what a soccer mom from the burbs is doing perched on a folding chair in the parking garage of 101 Grove on a dark November night, surrounded by syringes. I was there as a guest observer because I’m working on a series of articles about mortality and homelessness, as part of an Annenberg California Health Journalism Fellowship I ...

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Here’s your multiple choice question to set the stage: what percentage of all physicians do you think should be sued for malpractice? Would you say one-in-ten doctors ought to be sued? Or one-third? How about every single one of them? Let’s make it one claim per doctor, nationwide. Does that sound reasonable? Keep in mind that even defending yourself against a suit will cost on average $40,649 per claim, ranging from ...

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It was kind of amazing how little coverage the recent report on healthcare in our prison systems got. Heck, you may be thinking, I don’t think that’s amazing – why waste airtime on that topic – why should I fret and worry about the healthcare that prisoners get when my child is burning up with fever and coughing up a lung and I can’t even afford to take ...

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