We tackle issues that matter to doctors

When Scientists Know The Answer Ahead of the Experiment

On the day that we taped our podcast episode with Brian Nosek about the replication crisis, the renowned statistician Andrew Gelman published an essay in the New York Times on precisely that topic. Gelman echoes some of the remarks made by Nosek.  In particular, he draws attention to the point we discussed regarding what to believe when…

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The Case Against Shared Decision-Making

To conclude this 3-part series, I will discuss the relationship between shared decision-making (SDM) and evidence-based medicine (EBM), as the two are intimately connected. As I indicated in part 1, SDM did not attract the attention of academics until the late 1990s.  It is only then that publications on SDM began to appear routinely in the…

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When Scientists Discover New Body Parts

Soon after publishing our second podcast episode on brain death, this article from Newsweek came into my Twitter feed: “Endorestiform Nucleus: Scientist Just Discovered a New Part of the Human Brain.” According to the article, an Australian researcher may have discovered an island of neurons heretofore undescribed and which may be involved in important motor…

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The Totalitarianism of Population Health Management

Medical Economics just published a piece giving advice on how to “succeed” at population health management. The article is filled with pleasantries: “Population health management is about going beyond the walls of the practice to improve patient health” “It’s all about a stronger emphasis on preventative medicine and making sure these appointments happen” “It’s key…

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The Question of Trust in the Healthcare Debate

As could be expected, our podcast with Adam Gaffney on the merits of a single payer system has led to many arguments on Twitter, none of which were particularly productive at persuading one side or the other. However, at the end of a back-and-forth that I had with Dr. Mark Hoofnagle, an academic trauma surgeon…

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The Tough Case Against Medicare-4-All

I just listened again to our episode with Adam Gaffney making the case for Medicare-4-All . It was a fun conversation.  I think Anish and I highlighted well some of the problems with the progressive left’s proposal but at the same time there’s no question that many people will continue to find the single payer agenda…

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Key Problems for Report Cards

I found our conversation with Bobby Yeh extremely stimulating (Ep. 19 Public reporting: necessary evil or harmful fake news?). It’s not often that I get outflanked by Anish on the question of regulation and health policy!  But I was persuaded by Bobby’s argument that refining outcome measures can be helpful to mitigate the damages that…

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