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Some Top Hospitals and Experts Are Left Out of 2014 Plans Under Health Law Thousands of people are cramming in tests, elective procedures and specialist visits before year's end, seeking out top research hospitals and physician groups that will be left out of some 2014 insurance plans under the new health law, health-care providers say. Many insurers offering plans under the law are slimming down their networks of doctors and hospitals in a bid to lower the cost of policies, which begin coverage Wednesday. Health insurers are especially focused on paring academic teaching and research hospitals from their networks because...

Sometimes, surprise findings can be life-saving, for example in the case of an athlete whose brain is scanned after a concussion, and radiologists spot a tumor, Hauser said. Other times, nothing can be done. That same brain scan might show early signs of an incurable condition, Hauser said, and "this young person now needs to live with the knowledge that she may someday develop this neurologic disease." Follow-up testing may do harm. Doctors, researchers and direct-to-consumer companies alike should inform potential patients about the possibility of incidental findings before they undergo a medical test. They should clearly explain what will...

The Supreme Court ruled Thursday that our natural DNA can't be patented, in what the influential SCOTUSBlog called "a significant patent ruling for the biotechnology industry." The high court did stike some middle ground by ruling that synthetic DNA can be patented. "A naturally occurring DNA segment is a product of nature and not patent eligible merely because it has been isolated, but cDNA [synthetic DNA] is patent eligible because it is not naturally occurring," according to the court ruling written by Justice Clarence Thomas.

If health care costs are ever to be brought under control, the nation’s doctors will have to play a leading role in eliminating unnecessary treatments. By some estimates, hundreds of billions of dollars are wasted this way every year. So it is highly encouraging that nine major physicians’ groups have identified 45 tests and procedures (five for each specialty) that are commonly used but have no proven benefit for many patients and sometimes cause more harm than good. Many patients will be surprised at the tests and treatments that these expert groups now question. They include, for example, annual electrocardiograms...

Recently, however, there have been rumblings within the medical profession that suggest that the enthusiasm for early diagnosis may be waning. Most prominent are recommendations against prostate cancer screening for healthy men and for reducing the frequency of breast and cervical cancer screening. Some experts even cautioned against the recent colonoscopy results, pointing out that the study participants were probably much healthier than the general population, which would make them less likely to die of colon cancer. In addition there is a concern about too much detection and treatment of early diabetes, a growing appreciation that autism has been too...

When Alain Reyes’s hair suddenly fell out in a freakish band circling his head, he was not the only one worried about his health. His co-workers at a shipping company avoided him, and his boss sent him home, fearing he had a contagious disease. Only later would Mr. Reyes learn what had caused him so much physical and emotional grief: he had received a radiation overdose during a test for a stroke at a hospital in Glendale, Calif. Other patients getting the procedure, called a CT brain perfusion scan, were being overdosed, too — 37 of them just up the...