How Should We Pay For Health Care In the U.S.?
The national debate continues to be a contentious one regarding just how we will pay for universal health care. What seems clear is that at current costs, it will be…
Read moreWhy Does U.S. Medical Care Cost So Much? Lessons From McAllen, TX
I finally got around to reading the “hot” article in the June 1,2009 New Yorker magazine written by Atul Gawande. The article which is entitled “The Cost Conundrum” with subtitle,…
Read moreNo Gain Without Some (actually considerable) Pain: More Bad News
Earlier today I wrote an entry emphasizing the simple fact that we cannot hope to come up with a satisfactory plan to make major improvements in the U.S. health care…
Read moreU.S. Health Care Reform: Is It Possible to Gain Without Pain?
The recent media frenzy surrounding the current health care debates in Washington has driven me to take a slight detour back to health care issues (I had been focusing on…
Read moreBarriers To Success In Managing Diabetes: How To Quantify What Success Means
In my last 2 entries (June 8 and June 11, 2009), I did my best to present the problem- a disconnect between what we know about preventing diabetes complications, and…
Read moreWhy Do Patients With Diabetes Still Develop Chronic Complications?
In my last entry (June 8, 2009), I began a discussion about why, given how much we now know about preventing diabetes complications, patients still get retinopathy, neuropathy, nephropathy, and…
Read moreNow That We Know How To Prevent Diabetes Complications, So How Come So Many People Are Still Getting Them?
Last week I had a very interesting clinic in which the first 3 patients were teenagers with type 1 diabetes. The first patient was a 16 year old boy with…
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