Healthcare Section Editor

Sarah Milby

Sarah Milby is a dual degree student pursuing a Master of Public Administration degree from the Harvard Kennedy School and a Master of Business Administration degree from Stanford Graduate School of Business. Sarah currently lives in Cambridge, MA, but will be moving out to the West Coast in August, 2010.
Healthcare

Buying in Bulk

pharma_cocktailFEATURE: Say what you will about Walmart, but it’s hard to argue with their slogan: “Save money. Live better.”  Who doesn’t want that?

Discount department and warehouse stores like Walmart use their market power to buy products from suppliers in bulk – thereby lowering purchasing price and distribution costs.  The cost-savings can then be transferred on to the customer.  

Unfortunately, in a time of escalating healthcare costs, the U.S. government has yet to bring the same economic principles to bear on a major healthcare expense: prescription drugs purchased through Medicare Continue reading Buying in Bulk

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Healthcare

Health Care Screenings for Pregnant Women: Where’s the Evidence?

Microscope_NBVFEATURE: According to the American Pregnancy Association, there are approximately 60 million women of childbearing age (age 15 to 44) in the U.S. and approximately 6 million pregnancies each year.  Yet, there is much we do not know about the effects of many of our health care decisions on pregnancy, from pharmaceutical treatments for mental health disorders to procedures such as uterine fibroid embolization.  Furthermore, pregnancy is a major stressor on the body and is accompanied by significant physiological changes for the pregnant woman.  Continue reading Health Care Screenings for Pregnant Women: Where’s the Evidence?

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Healthcare

Why Aren’t Physicians Educated on the Cost of Care

Docs_1In a recent New York Times article, Susan Okie wrote about the need for health-care cost and cost-efficacy training in medical education. Here is the ugly truth: few doctors know anything about cost. Continue reading Why Aren’t Physicians Educated on the Cost of Care?

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Healthcare

The Value of Health Care: Are We Getting What We Pay For?

HC_Spending_AnnualFEATURE: The short answer to this question is no.  In 2009, health care accounted for 17.3% of our GDP. In 2009, healthcare spending increased 5.7% up from 4.4% in 2008 [1].  Yet, the U.S. has only the 49th best outcome for life expectancy in the world [2].  Furthermore, in 2007 more than 60% of bankruptcies in the U.S. were linked to an inability to pay medical bills in a system that is not necessarily worth losing your house over.  Continue reading The Value of Health Care: Are We Getting What We Pay For?

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Healthcare

3 Ways the Healthcare System Can Improve Outcomes: Insight from Dr. Atul Gawande’s New Book Better

gawande_betterFEATURE: Quality is defined as “the measure of excellence.” But, in healthcare what do you measure? How do you assess quality? And why should we do so?

Dr. Atul Gawande, a surgeon at the Brigham and Women’s Hospital in Boston and an assistant professor at the Harvard School of Public Health, tackles the issues surrounding the quality of healthcare in his book Better. Continue reading 3 Ways the Healthcare System Can Improve Outcomes: Insight from Dr. Atul Gawande’s New Book Better

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Healthcare

Can Microfinance Help People Living with HIV Stay Healthy?

Women-in-ChennaiFEATURE: Microfinance in India may have started over thirty years ago as a small-scale approach to reducing poverty, but by 2011 the market is expected to grow to $5.7 billion USD[1]. One of the more widely used microfinance models in India – the self-help group (SHG) – promotes community-based lending by using members’ capital to give out loans within the group, similar to the community credit enterprise models of micro-credit seen in Central America described in a previous NBV post. The encouragement of the Indian government in forming these self-help groups to promote financial inclusion has resulted in over 12 million women having access to savings and credit services through 800,000 SHGs throughout the country[2].  Despite this success, there are still major populations not receiving the support (economic and otherwise) needed. Continue reading Can Microfinance Help People Living with HIV Stay Healthy?

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