In a graduate course on healthcare economics a professor of mine had us think about drug testing student athletes. We ran through a few scenarios where we calculated how many true positive test results and how many false positive test results we should expect if we oversaw a university program to drug tests student athletes … Continue reading Understanding False Positives with Natural Frequencies
In their book Nudge, Cass Sunstein and Richard Thaler write, "Libertarian paternalists see countless opportunities for improving people's health. Social influences could obviously be enlisted: if most people think that most people are starting to avoid unhealthy foods, or to exercise, more people will avoid unhealthy foods and will exercise." The book was published in … Continue reading Can We Employ Simple Health Nudges?
A taboo tradeoff occurs when we are faced with the dilemma of exchanging something that we are not supposed to give up for money, food, or other resources. Our time, attention, energy, and sometimes even our happiness are perfectly legitimate to trade, but things like health and safety generally are not. We are expected to … Continue reading Taboo Tradeoffs
In the United States we often fail to think about alcohol use when we think about drug use. Our country is comfortable with the idea of recreational drinking to take the edge off a tough day, to enjoy a party or social gathering, and to celebrate a holiday. Alcohol has a lot of downsides, especially … Continue reading Shifting Drug Use
"Only a handful of outlier health problems are preventable in any real sense," writes Dave Chase in his book The Opioid Crisis Wake-Up Call, "about seven percent, according to my colleague, Al Lewis." My last post was about the cost of outliers, how just a small percentage of patients account for a huge percentage … Continue reading Outlier Wellness
We often overlook businesses when we think about the problems in American healthcare and how we can fix the issues that plague our system. But about half of all American's receive their health insurance as a benefit provided by their employer. Businesses purchase and provide health insurance for millions of Americans, and must think about … Continue reading Businesses and Solving Healthcare Problems
There is an argument in the world of public health that the American medical system is too focused on solving problems rather than preventing problems. This argument that is presented in Sam Quinones' book Dreamland, expressed by Dr. Alex Cahana, "The U.S. medical system is good at fighting disease, ... and awful at leading people … Continue reading Constructive Thoughts on Wellness
In his book Dreamland Sam Quinones includes a quote by Dr. John Loeser, Professor Emeritus of Neurological Surgery at the University of Washington in Seattle. Quinones spoke with him to better understand chronic pain and how chronic pain can be approached without the use of opioids. Loeser has an approach to treating chronic pain that … Continue reading A Different Take on Chronic Pain
I have never been much of a singer, and the last memory I have of singing in a group (besides a happy birthday here or there) is from elementary school, when I got in trouble and had a parent teacher conference with my mother and the music teacher because I was inserting inappropriate lyrics into … Continue reading The Benefits of Joining a Choir?
Quoting Nicholas Bakalar from an article in the New York Times, in which Balakar cites research from a 2007 journal article by Androniki Naska et al., Dan Pink writes the following in his book When: "Naps also improve our overall health. A large study in Greece, which followed more than 23,000 people over six years, … Continue reading On Naps