A study in Archives of Internal Medicine surveyed a national sample of internists and family physicians about cost issues in medicine. Over 600 responded. 42% felt that most patients in their own practices receive too much care, only 6% said too little. When asked why some patients received too much care,...
Read More »

I’m not the only one who has questioned the real impact of the quality movement in healthcare. Robert Brook, MD, ScD of RAND Health has written about similar concerns. In an article in JAMA from last year, he states “ore than 40 years later it is unclear what the quality movement...
Read More »

I received one of those politely worded letters from a major insurance company recently informing me of how it thought I was doing caring for one of my patients. It includes warm language such as “We value our relationship with you,” though their medical director who signed this letter has never...
Read More »