So you want a CAT scan?

Who knew healthcare could be so complex?  On the eve of a healthcare vote, the two sides have sharpened their respective arguments.  The GOP proposal for health care reform rests on health savings accounts and high deductible health plans.   The basic premise is that price opacity, and deep pocketed third party payers drive up…

A tale of three brain tumors

There are 80,000 new cases of primary brain tumors diagnosed every year in the United States.  About 26,000 of these cases are of the malignant variety – and John McCain unfortunately joined their ranks last week.  In cancer, fate is defined by cell type, and the adage is of particular relevance here.  Cancer is akin to…

The case for the BCRA

Dr. Jha writes on these pages in typically stirring fashion about his views on the recent health care kerfuffle and rightly so fingers what the real focus of our efforts should be: Cost.  He ends by slaying both sides because of their refusal to confront the hospital chargemonster – the fee schedule hospitals make that…

Enrollment

Tweet storm Patient I saw recently 60 y/o woman found down in the parking lot Witnessess began CPR. EMS found VT on arrival, shock delivered Neurologic outcome thought to be moribund, but 10 days in to an ICU stay, pt awakes! She gets a cardiac cath (non obstructive CAD) ICD placed for secondary prevention She…