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Why It's So Hard to Cut Waste in Health Care - The New York Times


Why It’s So Hard to Cut Waste in Health Care
During the pandemic, people have been getting less medical treatment. That saves money, but it could harm their health, an economist says.
Health care accounts for almost one-fifth of the U.S. economy, and up to a quarter or more of health spending is considered wasted.Credit.Philip Cheung for The New York Times
By Amy Finkelstein
Jan. 22, 2021
Cutting waste while preserving critically important treatment is the holy grail of health care policy. The coronavirus pandemic has shown why that goal has been so stubbornly difficult to achieve.
One of the pandemic’s startling effects is that despite the overwhelming need for Covid-19 treatments and vaccinations, health care spending in the United States has declined sharply. That’s because people have been reluctant or unable to get medical care that isn’t connected to the coronavirus. My own calculations, based on government data, show that overall ....

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Can mammogram screening be more effective? - INDIA New England News


INDIA New England News
Amy Finkelstein (MIT)
CAMBRIDGE, Mass.  About 35 percent of women get annual mammograms from age 40 onward. But the value of those screenings has been much debated, because mammograms for people in their 40s catch relatively few cases of breast cancer, generate plenty of false positive results, and produce some cases of unnecessary treatment.
Thus, while some organizations have advocated for testing to start at age 40, in 2009 the U.S. Preventive Services Task Force recommended that women start regular mammogram screening at age 50, not age 40 a major preventative health policy change.
But a new study co-authored by MIT scholars identifies an important challenge in designing such guidelines: Women who start getting mammograms at age 40 may be healthier than the population of 40-year-old women as a whole and they have a lower incidence of breast cancer than those who do not start getting tested at that age. ....

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Can mammogram screening be more effective?


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About 35 percent of women get annual mammograms from age 40 onward. But the value of those screenings has been much debated, because mammograms for people in their 40s catch relatively few cases of breast cancer, generate plenty of false positive results, and produce some cases of unnecessary treatment.
Thus, while some organizations have advocated for testing to start at age 40, in 2009 the U.S. Preventive Services Task Force recommended that women start regular mammogram screening at age 50, not age 40 a major preventative health policy change.
But a new study co-authored by MIT scholars identifies an important challenge in designing such guidelines: Women who start getting mammograms at age 40 may be healthier than the population of 40-year-old women as a whole and they have a lower incidence of breast cancer than those who do not start getting tested at that age. ....

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