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Tag Archives: evidence-based medicine

More is not better when it comes to healthcare

Here we go again! You’ve probably noticed I’ve been posting a lot about fraud in healthcare because it appears to be so prevalent. Well, I consider overtreatment to be a form of fraud, especially, when published practice guidelines are not followed. The NY Times reported that more than 25,000 defibrillators-22.5% of the total- that were implanted into patients between 2006 and […]

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Ignorance Is Not Bliss In Healthcare

Here we go again! You’ve probably noticed I’ve been posting a lot about fraud in healthcare because it appears to be so prevalent. Well, I consider overtreatment to be a form of fraud, especially, when published practice guidelines are not followed. In today’s NY Times there is a report that more than 25,000 defibrillators-22.5% of the total- that were implanted into […]

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Reform Medicare Spending While Increasing the Quality of HealthCare

It looks like we’re going full-steam ahead with Universal Healthcare, and well we should. However, if we don’t reduce the costs of Medicare the system will still bankrupt us. By 2030 there will be 71 million Americans over the age of 65 accounting for approximately 20% of the population. Due to these demographic shifts, healthcare spending […]

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Let’s Apply What We Know Evidence-Based Medicine Towards the Practice of Medicine Before Spending More On Effective Treatments

Over one billion dollars of the economic stimulus package will be used to study which procedures, drugs, and devices are the most effective to treat disease and carry the least risk to the patient (http://www.nytimes.com/2009/02/16/health/policy/16health.html?_r=1&scp=1&sq=Stimulus%20Bill%20Gives%20%241.1%20Billion%20for%20Comparative%20Effectiveness%20Research&st=cse, (http://newoldage.blogs.nytimes.com/). We already have scientific evidence that many of our most expensive tests and treatments are unneccessary, risky and very expensive, adding over $700 […]

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Another Loop-Hole in Medicare Coverage that Must be Closed

The NY Times reported today that geography plays a role in medicare coverage. The example they referred to was the new treatment for prostate cancer; the cyberknife which delivers radiation to the tumor more precisely and efficiently leading to less radiation treatments than with conventional radiation treatment. However, Medicare leaves it to the individual states […]

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