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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    1. Peter Ubel‏ @peterubel 21 Aug 2012

      In 2006, #healthcare expenditures in the US rose 6%. Guess what accounted for 75% of that growth...? http://ow.ly/d7YzC 

      4 replies 1 retweet 1 like
      Atul Gawande‏Verified account @Atul_Gawande 21 Aug 2012
      Replying to @peterubel

      .@peterubel Careful on the math. The rise in health prices is not mainly an MD's pay but CPI + higher drug/device costs + # of personnel.

      11:26 AM - 21 Aug 2012
      • 15 Retweets
      • 6 Likes
      • TiBMD F. Javier Villota Paul Kelleher Jellybean Zimardo G.G. Zhendong Song Espace Santé Jim Rawson MD Daniel Leveson
      8 replies 15 retweets 6 likes
        1. New conversation
        2. Peter Ubel‏ @peterubel 21 Aug 2012
          Replying to @Atul_Gawande

          @Atul_Gawande I totally agree. Not just dr pay, but prices more generally. Thanks

          1 reply 0 retweets 0 likes
        3. Karan R. Chhabra‏ @krchhabra 21 Aug 2012
          Replying to @peterubel

          @peterubel @atul_gawande I think int'l comparisons are also tricky because of the [oppressive] cost of a US medical education

          2 replies 0 retweets 0 likes
        4. Peter Ubel‏ @peterubel 22 Aug 2012
          Replying to @krchhabra

          @krchhabra Tuition costs on your mind?

          1 reply 0 retweets 0 likes
        5. Karan R. Chhabra‏ @krchhabra 22 Aug 2012
          Replying to @peterubel

          @peterubel All day, every day. But seriously- every other country makes #meded cheaper, by combining w/ bacc and/or by having lower fees

          0 replies 0 retweets 0 likes
        6. End of conversation
        1. New conversation
        2. Ab Brody, PhD, RN, FAAN‏ @abbrody 21 Aug 2012
          Replying to @Atul_Gawande

          @Atul_Gawande @peterubel Problem isn't all physician pay but which providers get what, primary care too little, specialists too much!

          1 reply 0 retweets 0 likes
        3. Peter Ubel‏ @peterubel 21 Aug 2012
          Replying to @abbrody

          @abbrody @Atul_Gawande As a primary care doc, i couldn't agree more. Doc pay not the whole pix, and pcp pay definitely NOT the issue.

          0 replies 0 retweets 0 likes
        4. End of conversation
        1. New conversation
        2. (((Martin Gaynor)))‏ @MartinSGaynor 21 Aug 2012
          Replying to @Atul_Gawande

          @Atul_Gawande @peterubel For current data, see http://www.healthcostinstitute.org/2010report . It's prices. We don't know if it's pay or costs (yet).

          1 reply 2 retweets 1 like
        3. Peter Ubel‏ @peterubel 21 Aug 2012
          Replying to @MartinSGaynor

          @MartinSGaynor @Atul_Gawande Thanks for this link!

          1 reply 0 retweets 0 likes
        4. (((Martin Gaynor)))‏ @MartinSGaynor 21 Aug 2012
          Replying to @peterubel

          @peterubel @Atul_Gawande Sure! HCCI will have a new report with 2011 data out in the early fall.

          0 replies 0 retweets 0 likes
        5. End of conversation
        1. Paul Kelleher‏ @kelleher_ 21 Aug 2012
          Replying to @Atul_Gawande

          @Atul_Gawande @peterubel there also seem to be some interesting broader economic dynamics behind US physician pay. http://bit.ly/Sinn3Z 

          0 replies 0 retweets 1 like
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        1. OkCopay‏ @OkCopay 21 Aug 2012
          Replying to @Atul_Gawande

          @Atul_Gawande @peterubel What doctors charge and how much they make (reimbursement - fixed costs) are 2 widely different figures.

          0 replies 0 retweets 0 likes
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        1. Nathan Sadeghi-Nejad‏Verified account @natesadeghi 21 Aug 2012
          Replying to @Atul_Gawande

          @Atul_Gawande @peterubel Finally, these data exclude some major patent expirations (e.g., Lipitor) which cause significant price drops.

          0 replies 0 retweets 0 likes
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        1. Nathan Sadeghi-Nejad‏Verified account @natesadeghi 21 Aug 2012
          Replying to @Atul_Gawande

          @Atul_Gawande @peterubel The problem is that drugs are 12% of total cost and physician services and hospitals are 61%. http://www.census.gov/compendia/statab/2012/tables/12s0134.pdf …

          0 replies 0 retweets 0 likes
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        2. Nathan Sadeghi-Nejad‏Verified account @natesadeghi 21 Aug 2012
          Replying to @Atul_Gawande

          @Atul_Gawande @peterubel CAGR '90-'09 = +10% for drugs and +6% for hospital care and physician services. http://www.census.gov/compendia/statab/2012/tables/12s0134.pdf …

          1 reply 0 retweets 0 likes
        3. Baruch Harris‏ @Baruch_Harris 21 Aug 2012
          Replying to @natesadeghi

          @natesadeghi @Atul_Gawande @peterubel You really have to take that to 2012+. Lots of drugs going generic now.

          1 reply 0 retweets 0 likes
        4. Nathan Sadeghi-Nejad‏Verified account @natesadeghi 21 Aug 2012
          Replying to @Baruch_Harris

          @Baruch_Harris @Atul_Gawande @peterubel Agree. Couldn't find those data. Also the hospital data are likely underreported due to recession.

          0 replies 0 retweets 0 likes
        5. End of conversation

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