Health Reform — Fixing the Core Problem or Just Symptoms?

The health reform debate has passed another milestone, but the question I keep getting asked by friends and family is whether the proposed legislation will actually improve our health delivery system.  I want to be optimistic, but I’m skeptical that the kind of comprehensive change we need to truly reform the system will happen.   As…

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The Top Ten Medical Advances of the Decade. What’s Wrong with the Picture?

Sometimes it’s fun to peruse year-end lists—best shows, best moments, best  songs, best presidential gaffes, best viral videos, and the list goes on….  which gets even longer with the end of decade or the century.      In this spirit, ABC News just ran a story about the ‘top ten’ medical advances of the decade, which…

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The right solution for the ‘population’ may be the wrong solution for the ‘individual’

This week’s question for the Washington Post Health Care Rx blog was:   What does the debate over mammography screening teach us about the challenges in moving to evidence-based medicine in a revamped health system?   The debate truly highlights how much work is yet to be done to build a health-delivery system that generates…

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