With health care spending now accounting for 18% of the US gross domestic product, physicians—like everyone else—are concerned about it, said Neel Shah, MD, executive director of Costs of Care, a nonprofit organization working “to deflate” medical bills.
But physicians may be unaware how decisions they make contribute to patient or societal health costs, he said, noting that “nobody goes to school to treat GDP.”
In fact, many physicians were explicitly trained not to consider costs or came to equate overtesting or unnecessary treatment with being thorough. Some may be unaware what tests or procedures cost or are unsure how to integrate cost-effectiveness into practice. But the strain of spiraling health care costs on individuals and the economy has become hard for physicians to ignore.