Choosing Wisely to prevent overtreatment
I’ve been a fan of the healthcare consumer group, Choosing Wisely, for several years.
Collaborating with Consumer Reports, Choosing Wisely brings evidence-based healthcare information to patients. Their goal is to educate patients and physicians, and support informed decision making.
Shared decision making not only prevents patient harm from overtreating, but brings down escalating healthcare costs by eliminating unnecessary diagnostic tests and procedures. (Healthcare waste accounts for billions of dollars every year!)
Now it’s even easier to get access to their information.
The healthcare app, iTriage, has added 160 of Choosing Wisely’s recommendations to … Continue reading
Rethinking LDLs (low-density lipoproteins)
I’ve posted a couple of times about my husband’s high LDL level and his attempts to lower it through diet and exercise.
I’ve also said that because he doesn’t have any other risk factors for heart disease, we aren’t too worried about it. But the engineer in him likes the challenge of seeing how low he can get his LDL.
When I saw this recent YouTube video, however, I had to ask him to watch it. What if everything we think we know about LDL levels is wrong? What if so-called bad cholesterol isn’t really … Continue reading
Unnecessary tests = unnecessary expense
This is a follow up to my last post about the dangers of too much medical care.
One of the biggest doors leading to an overabundance of healthcare and healthcare costs is the annual exam and all the “routine” lab work that is ordered almost without thought.
Doctors’ offices strive to be efficient. They have a lot of patients to see every day, after all.
One way they streamline their practices is to set up routine or “standing” orders for common lab tests, such as an electrocardiogram (EKG), complete blood count (CBC), urinalysis (UA), … Continue reading
Too much testing = too much medicine
I just ran across an old doctor joke: What is a well person? Someone who hasn’t yet been thoroughly examined.
It’s not funny, of course, if you’re the patient and have suffered the harms—and the expense—of too much medical care.
In 2010, my husband was the victim of too much medical care. Because of complications and a string of medical errors he almost died. His care cost our insurance company over $100,000 and we were out of pocket for our $10,000 deductible.
Now he has no thyroid and has to take medication every … Continue reading
Cutting the waste
I’ve posted several times about the Choosing Wisely campaign.
Developed by Consumer Reports and the American Board of Internal Medicine, Choosing Wisely hopes to educate both physicians and patients, and cut back or eliminate unnecessary medical tests, procedures and treatments.
Over-testing and over-treatment are estimated to cost about $200 billion every year. I think that’s a conservative figure, as the financial—not to mention emotional—consequences of too much medicine can be difficult to quantify.
Bringing about change in our behemoth, for-profit healthcare system is a daunting task, and I’m always happy to see signs that it’s catching … Continue reading
How will you use the information?
Home genetic testing kits have been available for several years now.
With a drop of spit and a couple hundred bucks, you can learn a lot about your genetic ancestry and your risk for developing certain diseases.
Although I’d accept without question a report that told me which continent my ancestors hailed from, I’d be much less willing to make decisions about my health based on one of these home genetic testing kits.
Why? Isn’t all information good?
Only if you know what to do with it after you have it.
Dr. … Continue reading
More tests = more money
Anyone who has read my blog over the years knows this is a subject I come back to again and again: the overuse of screening and diagnostic tests.
It’s a problem in our healthcare system for a couple of reasons.
First, the majority of healthcare providers are paid based on volume. In other words, the more patients they see, the more tests they run, the more surgeries they perform, then the more they get paid. It doesn’t matter if the outcome is poor, because they still get paid. In fact, they make even more money … Continue reading
Don’t get health advice from commercials!
While nursing my cold last weekend, I was watching TV and one prescription drug commercial caught my eye. (One of oh so many. FTC—please make these go away!)
Actually, the ad didn’t mention any drug by name, but it was sponsored by Gilead Sciences, the makers of the new hepatitis C drug, Harvoni.
The commercial was aimed at baby boomers, who were advised to get tested for the hepatitis C virus (HCV).
One in 30 baby boomers could have HCV and not know it, the voice over said, “…because Hep C can hide … Continue reading
My goal for 2017? Use as little healthcare as possible
How will healthcare change under a new president and political party?
That’s a question I can’t answer. As I wrote in my last post, both candidates had multiple-point plans to tweak/improve/repeal/replace the Affordable Care Act, aka the ACA or Obamacare.
But I don’t know what will change or when.
What I know for sure is that for 2017 my premiums will be 20% more expensive, my co-insurance and co-pays will be higher, and my current primary care doctor will no longer be in-network.
I can and will shop around … Continue reading
I’m going with an overdiagnosis theme this week.
Here’s the latest healthcare parody video from pharmacy professor James McCormack, as he continues his much-appreciated effort to raise awareness of overscreening, overdiagnosis, and overtreatment in this country.
As usual, this video is full of supporting statistics and excerpts from leading healthcare journals, so take time to pause the video and really understand the information being shared.
As I said in a previous post, overdiagnosis and the resulting unnecessary treatments cost hundreds of billions of dollars every year.
Equally bad, if not worse, I think, is … Continue reading