Quality versus quantity of heartbeats

In this thoughtful article at Pro-publica, Charles Ornstein discusses our need to come to grips with end of life decisions:

[T]he high cost of end-of-life care is an issue worthy of discussion. About a quarter of Medicare payments are spent in the last year of life, according to recent estimates. And the degree of care provided to patients in that last year — how many doctors they see, the number of intensive-care hospitalizations — varies dramatically across states and even within states, according to the authoritative Dartmouth Atlas. Studies show that this care is often futile. It doesn't always prolong lives, and it doesn't always reflect what patients want.

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Considering Cults and the Need for Meaning

Recently, I finished reading Lawrence Wright’s new book, Going Clear: Scientology, Hollwood, & the Prison of Belief, about Scientology. It’s a lucid history and examination of the movement. [More . . . ]

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Time Magazine explores the destruction of American health care

Check out the feature article in this week's Time Magazine. It's called "Bitter Pill," and it's written by Steven Brill, a savvy insider. In addition to making me apprehensive that health insurance costs are about to spike upward due to Obamacare's lack of any meaningful price controls on health insurance, it gives an insider's look into the massively arbitrary pricing of health care services. In the absence of any competitive market, big hospitals (including the so-called non-profit hospitals) are freely allowed to concoct the prices they charge. They quietly maintain their made-up pricing on their non-public "chargemaster" price lists.

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