Women in medicine earn about 20 percent less than men. That is a problem for multiple reasons. It is, of course, not fair to the women who go through the same training and have the same skills as their male counterparts. Worse still, if well-qualified women are discouraged from entering the profession because of this … Continue reading “3 Changes We Should Make to Address the Gender Pay Gap in Medicine”
Author: Alex Harding
Dear Tom Price: Bundled Payments Help Patients and Reduce Costs
With all the talk of repealing Barack Obama’s Affordable Care Act (ACA), people have been taking a closer look at what the law has done for our healthcare system. It turns out the ACA is about a lot more than the problematic healthcare marketplaces. There’s the extension of parental insurance coverage to age 26 and … Continue reading “Dear Tom Price: Bundled Payments Help Patients and Reduce Costs”
Wake Up, Pharma—Trump Is Not Your Savior
Since the election, leaders in biotechnology and pharmaceuticals are acting like they got away with robbery. The Nasdaq Biotechnology Index went up 9 percent overnight on November 8th. With Donald Trump coming into office, the whole industry seems to have breathed a sigh of relief that the status quo—a continuous race toward higher prices—will last … Continue reading “Wake Up, Pharma—Trump Is Not Your Savior”
Should We Rewrite the Human Genome?
Scientists are engineering a new living thing: a radically modified version of the lowly bacterium E. coli. In an article in Science from August, researchers at Harvard University described an ongoing project to build the genetic code of E. coli from scratch, but with major revisions to create a new strain unlike any in existence. The modified E. coli is … Continue reading “Should We Rewrite the Human Genome?”
Sanofi’s Experience With Dengvaxia May Speed Development of Zika Vaccine
Dengvaxia, the first licensed vaccine for dengue virus, has now been approved in 11 countries where dengue is endemic. But sales of the vaccine, which were initially projected to reach €200 million this year, barely reached €20 million in the first half of the year, with little sign of picking up. Sanofi Pasteur, the group … Continue reading “Sanofi’s Experience With Dengvaxia May Speed Development of Zika Vaccine”
How Doctors Think About Drug Prices
There are a lot of factors involved in drug pricing that don’t enter my head when I’m seeing a patient. The three letters “PBM,” for example (pharmacy benefit manager), have never crossed my mind when I’m writing a prescription. Nor has the word “rebate.” Or the phrase “pay for delay.” Or “marketing exclusivity.” Basically, I … Continue reading “How Doctors Think About Drug Prices”
Who’s to Blame for Inflated Health Insurance Costs?
How often would you go to the doctor if you had to pay for a big chunk out of pocket—or how about if it was completely free? The amount of health care we consume depends on how good our health insurance is. Now, two economists, David Powell and Dana Goldman, have looked at what factors … Continue reading “Who’s to Blame for Inflated Health Insurance Costs?”
Look Beyond Football to Fight Concussions
The New York Times reported last week that the NFL and USA Football had publicized inaccurate statistics about the efficacy of a training program called Heads Up Football in preventing concussions in youth football players. Officials at USA Football had to concede that they did not review the data from the study carefully and did not … Continue reading “Look Beyond Football to Fight Concussions”
The Pan-Cancer Screen: Still Early for Prime Time
Imagine you could go to your doctor once a year for a blood test that would detect nearly every common type of cancer at an early stage. If you had a positive result, some further testing could pinpoint the cancer so you could have it treated before it spread. I would be ecstatic to have … Continue reading “The Pan-Cancer Screen: Still Early for Prime Time”
How to Make Healthcare Better? Make It Easy
There’s an “easy button” in the hospital that I press a hundred times every day. With each press, I make myself a better doctor. It’s not a button on a computer. It’s not electronic at all. It’s a hand sanitizer. A decade or two ago, hospital handwashing compliance rates were in the single digits because … Continue reading “How to Make Healthcare Better? Make It Easy”
MGH Goes Epic: What I Learned in the Trenches
On April 2 at Massachusetts General Hospital (MGH), the green charts went away. Every morning around 6:30 am since starting residency, my co-interns and I had frantically scrambled around the halls searching for these plastic binders, which contained the sole record of our patients’ vital signs. It was a ritual that blended equal parts anxiety, … Continue reading “MGH Goes Epic: What I Learned in the Trenches”
Dear Biopharma: Give Us Better Therapies for Pain
The CDC released on March 15th new guidelines that advise strict limits on the prescription of opioids for pain. These guidelines respond to a stunning increase in deaths and addiction related to the prescription of opioids like OxyContin and Percocet. The CDC recommended against providing patients more than a seven-day supply of opioids for acute … Continue reading “Dear Biopharma: Give Us Better Therapies for Pain”
CRISPR: The Path to Clinical Trials
If you have read a newspaper lately, there is a good chance you have heard about CRISPR-Cas9, the versatile gene editing technology. Over the past several months, legal battles over intellectual property, ethical concerns over editing of the human germline, jaw-dropping partnerships with pharma, and talk of IPOs have crescendoed to a steady roar, reaching … Continue reading “CRISPR: The Path to Clinical Trials”
Health Startups That Could Make My Job Easier
It’s remarkable how just six months of 80-hour weeks has changed me. Before I started my first year of residency last July, I was optimistic and excited about all sorts of healthcare startups. But now I can’t remember the last time I did my laundry and I’m just hoping to make it home from the … Continue reading “Health Startups That Could Make My Job Easier”