Archives: Health Policy Program Articles and Op-Eds

The Doctor Will See You-If You're Quick

  • By
  • Shannon Brownlee,
  • New America Foundation
April 17, 2012 |

Four years ago a 38-year-old adjunct professor at American University named Fred Holliday began suffering from a variety of ailments: he was losing weight, his blood pressure went up. Then he cracked a rib. And he started suffering from debilitating back pain. Each time a new problem arose, the Washington, D.C., resident visited his doctor, who dealt with his symptoms piecemeal. First she prescribed blood-pressure medication. At another visit, she chalked up his fractured rib to violent coughing from a cold he had. Then she prescribed narcotics for his back.

Why Doctors Uselessly Prescribe Antibiotics for a Common Cold

  • By
  • Shannon Brownlee,
  • New America Foundation
April 16, 2012 |

Last week, nine physician specialty societies announced a list of 45 treatments and tests that doctors should prescribe far less often or stop doing entirely. Each specialty society’s list is part of the American Board of Internal Medicine’s Choosing Wisely campaign, a long overdue initiative intended to get physicians to think twice before giving patients tests, drugs and other treatments that aren’t going to help the doctor diagnose the problem or help the patient get better.

The Right Rx for Better Health Care: Rise Up to Challenge the Industry's Lobbying Power

  • By
  • Shannon Brownlee,
  • New America Foundation
  • and Brian Klepper
March 29, 2012 |

Obamacare had its days in the Supreme Court this week, and the justices’ decision could have sweeping consequences for the individual mandate provision in the Patient Protection and Affordable Care Act, and maybe even for the fate of the law itself.

Yet whatever the court decides, we will still be stuck with a problem that this contentious law was not likely to solve on its own: an out of control health care industry that threatens the stability of the U.S. economy and the federal government’s ability to deal with our long-term debt.

Time to Re-Regulate the Airlines

  • By
  • Phillip Longman,
  • New America Foundation
March 29, 2012 |

Almost as bad as flying these days is owning airline stocks. According to the industry's leading trade group, Airlines for America, U.S. airlines have lost $50 billion over the past 10 years. Even as the economy recovers, the latest figures show airlines were still earning less than half a penny on every dollar of revenue in 2011, which is well below the amount needed to replace its aging fleet or maintain current levels of service. Even before the recent bankruptcy filing by American, the value of all publicly traded U.S. airline stocks was less than that of Starbucks.

Can You Comparison-Shop for Surgery?

  • By
  • Shannon Brownlee,
  • New America Foundation
February 27, 2012 |

I have an early-onset type of cataract, and my vision has gotten so bad I’m ready for surgery. As a patient, I’m not too happy about being in this situation, but as a health-care-policy wonk, this seems like the perfect opportunity to test one of the central tenets of conservative health-care-reform plans: comparison shopping. Conservatives think one of the reasons health care costs so much is that patients are for the most part completely unaware of the price of medical services. Their solution? Give patients more “skin in the game.”

The Latest Big Pharma Scandal

  • By
  • Shannon Brownlee,
  • New America Foundation
January 31, 2012 |

Imagine yourself in front of your computer, looking up information about a drug prescribed by your doctor. Your Internet search tells you that there is a cheaper, maybe even a generic version available, but you have just paid top dollar for the brand name drug. You also learn that another treatment may be safer than the prescription you just filled. Now imagine you discover that your doctor gets paid by the manufacturer to promote the drug to other doctors.

What Doctors Know — and We Can Learn — About Dying

  • By
  • Shannon Brownlee,
  • New America Foundation
January 16, 2012 |

Last month, an essay posted by retired physician Ken Murray called “How Doctors Die” got a huge amount of attention, some negative but mostly positive. Murray tells the story of an orthopedic surgeon who, after being diagnosed with pancreatic cancer, chose not to undergo treatment. The surgeon died some months later at home, never having set foot inside a hospital again.

An American Hospital: The Most Dangerous Place?

  • By
  • Shannon Brownlee,
  • New America Foundation
January 9, 2012 |

Imagine you are sitting in first class on a plane, waiting for the plane to push off from the gate, when you see two people in uniform, the pilot and co-pilot, dash from the Jetway into the cockpit. A few seconds later, a voice comes over the intercom, saying, “This is Captain Jones, please be sure your seat belts are fastened. We’re ready for takeoff.” What crucial event could not have occurred in this scenario? The pilot and co-pilot did not go through their checklist of safety measures. Fuel tanks full? Check! Flaps up? Check!

Consensus Gone Wrong

  • By
  • Phillip Longman,
  • New America Foundation
December 7, 2011 |

Official Washington is now in the grip of an unprecedented bipartisan consensus. For all their other differences, leaders of both parties agree that Medicare, the nation’s primary means of providing health insurance for the elderly, is unsustainable and must be cut.

Let’s Stop Being Passive About Fighting Obesity

  • By
  • Shannon Brownlee,
  • New America Foundation
November 15, 2011 |

Everybody knows obesity is a massive problem in the U.S. It rivals smoking in terms of its health hazards, according to a report in the February 2010 American Journal of Preventative Medicine. As a society, we’ve made great strides, giant leaps even, in reducing rates of smoking. Smoking bans on airplanes, in public buildings, in restaurants, have helped. So have negative ad campaigns aimed at teenagers, higher insurance premiums for smokers and higher taxes on cigarettes.

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