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Stigma is Only Part of the Mental Health Price Tag
By Emily Newhook Mental health patients and their families already pay a hefty price with the stigma of mental illness and the emotional rollercoaster they often face dealing with symptoms. But...
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How many doctors does it take to read a hospital bill?
By Sylvia Romm, MD MPH Traveling to another country can be daunting. So when a friend of mine hosted a Russian college-aged student named Anna for a year so she could take English classes, I agreed to...
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Access Our Medicine
By Graham Dover, PhD I was fortunate in my training. I was introduced to the costs of care in a unique and powerful way when I joined the National Health Service in the UK, the largest single-payer...
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From Teacher to Doctor: Lessons Learned on Minimizing Costs
By Anonymous, MD I remember being a New York City public school teacher, prior to medical school, and buying my own supplies for my classroom. I did not realize I would apply similar budget saving...
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A Life Lesson in Cost-Awareness
By Christi Lucus, RN, BSN It was July 2012 and I was pregnant with my third child. As an experienced mother and labor and delivery nurse, I felt very comfortable at 29 weeks gestation and anticipated...
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Patient Education – An Overlooked Factor in the Cost of Care
By Anonymous There is a saying in the world of education, “You have to care to teach.” Why is it then in healthcare, a profession of and about caring, we do such a poor job of teaching our patients?...
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When Less Is More
By Noura M. Dabbouseh, M.D. We speak of everyday decisions in terms of “cost-benefit” analyses. Many of our patients can’t afford a healthy meal, let alone a hefty hospital bill, thus making cost...
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All on the Same Page
By David Cooke, MD “Mr. Jones’ chest x-ray looks normal.” the intern said to me on morning rounds. Mr. Jones just had a transhiatal esophagectomy or THE. The esophagus is the muscular tube that...
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Costs of care at a student-run free clinic
By Neel Butala, MD There he sat, hunched over with rugged, muscular arms stretched across his abdomen, his weary eyes stealing hopeful glances from behind an otherwise steely facade. Mr. J was a...
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Willing and Able
By Nupur Garg, MD I hear an ambulance fast approaching. I’ll be able to breathe soon, I think. Minutes later, I arrive at the Emergency Department with an IV drip, oxygen mask, and neck brace in place...
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Primary Care Progress: Essential to Reduce Costs of Care
By Jonathan Jimenez and Chloe Ciccariello “Have you been able to tell your boss?” Ms. S looked down and laughed sheepishly. She was a sinewy, small woman who laughed frequently–reminding me of my...
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Dizzying Costs
By Kevin Davis It started with a mild case of nausea and got progressively worse. I became dizzy and shaky, but tried to ignore it. There was work to be done that afternoon. We were moving boxes into...
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Because I Can
By Christen McCurdy Sometime while I was still in high school, my mom began to have trouble breathing. She had never had asthma before; an Albuterol inhaler helped for a while. Still, cold season was a...
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Not as Simple as We Think
By Kristin Morin, MSN RN I wish lowering healthcare costs was as easy as “cost awareness”, but as one patient put it, “I never pay the first few bills, because the amount changes every time a new bill...
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Give Lungs a Chance
By Danielle Moriates, RN When babies are born prematurely, they often lack surfactant – a soapy substance produced in the lungs that helps to keep the air sacs open. Without surfactant, these tiny...
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Dust Mites and Pillow Case Covers
By Jennifer Menjivar I grew up most of my life avoiding doctors and hospital visits. I never fancied getting shots or blood draws as a child, and without health insurance; I didn’t have much of a...
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Denial of Care
By Jane Arnoff Logsdon, MSSA, LSW I consider myself a pretty savvy and resourceful consumer. I know how to solve problems that come up in the day to day situations we all face. I have navigated my way...
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What Could Be the Harm?
Eric Mandelbaum RN, MBA Managing diabetes is all about control: controlling what you eat, when you eat, and the amount of insulin you give yourself. As someone with type 1 diabetes, I understand how...
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Five Insights From the 2015 MIT Bioinnovations Conference
By Jonathan Gordon On February 20th, I had the privilege of taking part in the 2015 MIT Bioinnovations conference. Dr. Neel Shah kicked off the conference, whose theme was “Redefining Value in...
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I am not an Economist
By Marty Muntz, MD, FACP I am not an economist. This is how I start my high-value care session during the internal medicine clerkship orientation day at MCW, and it is absolutely true. It doesn’t take...
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