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Choosing Wisely

My Summary of a Great Conference: 'Preventing Overdiagnosis' 2015

Allen Frances | Posted 09.08.2016 | Home
Allen Frances

Medical marvels are oversold and overbought. Doctors need to be more humble and safety-conscious. We can't overstep our knowlege base without putting our patients at risk. Patients and doctors need to accept the uncertainty and limits of medicine. False certainty leads to terrible decisions.

Diagnosing and Curing Our Sick Health System

Allen Frances | Posted 02.09.2015 | Home
Allen Frances

You couldn't invent a worse healthcare system than the nightmare we have created in the U.S. Our medical costs are almost twice as high per person as they are in most other similar countries but produce only mediocre outcomes.

Work-Life Balance: Reality or Myth?

Leslie Boyer | Posted 01.11.2015 | Home
Leslie Boyer

The process of ongoing re-orientation is a path of freedom because you shift from being at the mercy of the world around you to making conscious choices that uplift and support you. If life is full of movement, change and imbalance, you might as well use it to your advantage.

Getting Patients Out of the Dark

Robert Whitcomb | Posted 09.17.2014 | Home
Robert Whitcomb

I attended the 2014 Summer Institute for Informed Patient Choice: The Legal and Ethical Implications of Keeping Patients in the Dark, held in Hanover,...

Letter to Mount Sinai's Heart Surgery Factory: Learn a Lesson From Downton Abbey

Rosemary Gibson | Posted 05.12.2014 | Home
Rosemary Gibson

Too-big-to-fail hospitals blow up the money of the working men and women of America, the people who work "downstairs" -- the tireless Mrs. Patmores and Mrs. Hughes' of the world.

Commercialized Genomics: Caveat Emptor

Steve Heilig | Posted 01.23.2014 | Home
Steve Heilig

But again, personal genetic tests are now available and being pushed at us aggressively -- sometimes with fishy-looking endorsements attached.

Too Much Medicine Is Bad for Our Health

Allen Frances | Posted 11.13.2013 | Home
Allen Frances

The evidence is compelling that we in the developed countries (especially the US) are overtesting for disease, overdiagnosing it, and overtreating.

Choosing (Medicine) Wisely: Good Answers for Good Questions

David Katz, M.D. | Posted 06.09.2012 | Home
David Katz, M.D.

Make your standard of care better than standard. Be a good boss -- ask good questions, get good answers. By doing so, you can help ensure that you and your doctor are always diligent, and choosing wisely -- together.

"Choosing Wisely": Physicians Step to the Front in Health Care Reform

Donald M. Berwick, MD | Posted 06.08.2012 | Home
Donald M. Berwick, MD

Blunt, unfeeling cuts in health care benefits, coverage, or payments are one way to bring health care costs under control, but they are not the right way. Far better is to identify the many ways in which health care wastes money doing things that do not help patients and, too often, hurt them.

Big Business Gets Fat On Renewable Appetites

John Selby | Posted 11.17.2011 | Home
John Selby

Human beings often confuse appetites, and substitute one craving for another. Rather than responding to the desire to move more, we often substitute eating more, or napping.