Newest Administralian Term Coming: “Effectiveness”

Very soon the government will charge a new fee to the insurance companies to cover the cost for “effectiveness research“.  Supposedly, comparisons will be made to find out which drugs, medical procedures, tests and treatments work best.  That would be a nice thing but obviously the fee will be passed from the insurance company right to us so this is a new tax.  But let’s forget that for a moment.  As stated in this article, the Patient-Centered Outcomes Research Institute — a quasi-governmental agency created by Congress to carry out the research — has yet to commission a single head-to-head comparison.  Well, isn’t that a nice start to building some consumer confidence.  I agree that this concept would be a good way to save money.   Actually doing studies between two cholesterol or BP or incontinence drugs is important and many pharmaceutical companies don’t want to pay for this so it hasn’t been done enough.  As we have learned before, though, good ideas don’t always play out the way we want them to.   This information could be taken and bastardized by the insurance companies themselves.  Their representatives already say that:

  •  They expect to use the research and work with employers to fine-tune workplace health plans.
  • Employees and family members could be steered to hospitals and doctors who follow the most effective treatment methods.
  • Patients going elsewhere could face higher copayments, similar to added charges they now pay for “non-preferred” drugs on their insurance plans.

Doesn’t sound so good anymore, now does it?


Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected]