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  • A Tale of 2 Prices…or 3?‏ March 27, 2015
    by Ralph Weber About a year and a half ago, Perry Hunt needed a hip replacement. He had been in constant pain for years and owned a construction company, and could not afford to take the 6 months off that …
  • Tisha Casida interviews Ralph Weber: Free Market Solutions to Healthcare March 25, 2015
    Tisha Casida with Rebellion.life interviews CEO of MediBid, Ralph Weber, about his work educating the public and the government about common sense health care solutions. MediBid is an online marketplace with true transparency, listing not only prices, but qualities and …
  • Small Business Coverage Uncertain Future with Association Health Plans March 23, 2015
    For the last 20 years, small businesses in Washington state have relied heavily on associations and trusts to provide healthcare insurance for their workers at lower cost than in the open market. The system is popular and works well, a …
  • Outpatient Surgery Saves Patients Time and Money March 20, 2015
    The death of Joan Rivers after a routine procedure has some asking about the safety of outpatient surgical centers. First off, it is important to make sure to know if you are a good candidate for surgery and what to …
  • Study Finds Hormones Can Help Younger Women Through Menopause March 18, 2015
    Hormone replacement therapy used to only be given to women who had completed menopause, relieving hot flashes, sleeplessness, and other symptoms. In 2009, about 8 million women used HRT, most over the age of 60. A recent Cochrane review finds …
  • Retail Health Care Clinics Multiply with Increasing Demand March 16, 2015
    Integrated care facilities offer primary care, specialty services, labs, and diagnostics all under one roof. These clinics follow a model common in Latin America. This consumer-focused type of providing medical care is gaining in popularity and increasing in number since …
  • Avoiding Caregiver Burnout March 13, 2015
    Over 43.5 million Americans care for older parents, grandparents, spouses, or other loved ones. Most family caregivers are spouses or children. The demands of caregiving can be overwhelming and can take a toll on your health, relationships, and sanity – …
  • It is Safe to Assume They Lie March 11, 2015
    by G. Keith Smith, MD I laugh every time I see headlines bragging about the number of people enrolled in “Obamacare.”  What choice to people have, after all?  ”Buy this crappy insurance plan (that you wouldn’t buy unless you were …
  • FinalHayes1 March 11, 2015
  • Physician Burnout – What To Do March 9, 2015
    Signs of physician burnout can range from decreased enthusiasm for work, increased cynicism and a low sense of accomplishment.  Where at one time the physician may have felt a burning passion for medicine, he may feel that “light” burning out, perhaps …
  • Increasing Wait Times for Hip Surgery Ruin Patients’ Lives March 6, 2015
    Frustrated patients in British Columbia are in constant pain as their wait times for hip replacement surgeries increase. Wait times for joint replacements have increased in most Canadian provinces despite promises from the government to address the problem. B.C. is …
  • Staying Physically Active: How Much Exercise is Right for You? March 4, 2015
    by Adrienne Snavely Everyone knows that the key to keeping a healthy body is a combination of a healthy diet and regular physical activity. What is considered “regular” differs from person to person. The Dietary Guidelines for America (DGA) first …
  • Supreme Court to Hear New Obamacare Case This Week March 2, 2015
    Later this week, the Supreme Court will hear arguments in King v. Burwell, the results of which could affect the future of Obamacare. This case addresses if consumers who buy health insurance at HealthCare.gov are eligible to receive tax credits …
  • How to Fight and Prevent Sugar Cravings February 27, 2015
    The average American consumes about 16 teaspoons more sugar per day than what is recommended. Sugar causes the brain to release serotonin, creating a natural high, and the endorphins leave us wanting more. Kicking a sugar addiction can be tough, …
  • Hospital Closures Bring “New Day” in Healthcare February 25, 2015
    Hospitals are operating with fewer beds or closing, as patients seek more affordable medical care at clinics and outpatient surgery centers. A low occupancy rate makes for a high-priced facility, which is not competitive. These closures are due to the …
  • Do Your Part to Protect Your Heart – February Special February 23, 2015
    February is Heart month. Protect the health of your heart, preventing heart disease and stroke, with a simple blood test. Below are the February specials from DirectLabs. Lipid Profile – $19 (Regular Price $29, $98 Retail) Test includes: Cholesterol, Total …
  • The Various Dimensions of Mammogram Screening February 20, 2015
    by Adrienne Snavely Every year, over 200,000 women in the U.S. are diagnosed with breast cancer and about 40,000 will die from it. When breast cancer is detected early, it is easier to treat. Forty million mammograms are performed each …
  • Crashing the Free Market Party February 16, 2015
    by G. Keith Smith MD Riding in to rescue the victims of Obamacare and other government healthcare schemes are guess who? The legislators? The regulators? Don’t make me laugh. It is the growing group of healthcare free marketeers. The celebration …
  • Dark Chocolate is Good For You and Your Valentine February 13, 2015
    Dark chocolate is loaded with nutrients, one of the best sources of antioxidants, and can improve health and lower risk of heart disease. Dark chocolate is very nutritious. It contains a fair amount of soluble fiber and is full of …
  • The Fraser Institute: Education Spending in Canada February 12, 2015
    Despite a steady decline in student enrolment, spending on public schools in Canada has skyrocketed.Teachers’ unions and activists repeatedly claim that education spending is being cut and school budgets are in peril. That’s simply not true and ignores the reality …

What is Mohs Micrographic Surgery?

By Dr. Drew Claudel, a registered dermatologist on MediBid.com

mohs micrographic surgery

It may have a funny sounding name, but Mohs micrographic surgery is
currently the most precise and successful form of treatment for basal cell
and squamous cell carcinomas (by far the most common skin cancers).
Developed by Dr. Frederic Mohs in the 1930’s, the technique has gained
substantial use and popularity over the last several decades due to its
impressive track record. It offers cure rates of 98-99% for primary
(previously untreated) tumors, and up to an astonishing 96% for recurrent
tumors which have failed treatment with other methods. This is impressive
for a technique that was barely known about and even aroused outrage in
the medical community as little as 50 years ago when first announced as a
skin cancer cure.

Mohs micrographic surgery allows even the most difficult and high risk skin
cancers to be treated safely and cost effectively in the office setting. After a
numbing shot, the cancer is removed piece by piece and examined under the
microscope with the aid of a detailed map or drawing of the color coded
specimen (thus the term “micro graphic”) until all margins are clear while at
the same time steering clear of healthy (uninvolved) skin. This not only leads
to a quick and highly effective cure of the cancer, but it also preserves surrounding healthy skin and tissue. This is a very important and valuable aspect of Mohs surgery, as most skin cancers unfortunately involve the delicate areas of the face such as the nose, ears, eyelids, and lips. These are the areas that receive the highest concentration of UV (ultraviolet) radiation, the biggest risk factor for skin cancer.

Of course, other treatments can and should be used to treat skin cancer as well. These include some quicker and less costly older forms of treatment such as curettage and electrodesiccation (“scrape and burn”) and standard (or simple) excision. There is also an ever increasing selection of newer, although slightly more expensive, non-surgical options. These include topical chemotherapy creams and gels, as well as light-based anti-cancer treatments usually done in an office setting using lasers and visible light systems (photodynamic therapy or “PDT”). However, none of these treatments offer cure rates as good as Mohs micrographic surgery and should not be used for “high risk” tumors. These are cancers even more likely to recur and include some aggressive subtypes of basal and squamous cell carcinomas, cancers on certain locations of the face and body, cancers that have already recurred, and cancers in immunosuppressed individuals. An evaluation by your friendly Dermatologist, and possibly a biopsy will determine the best form of treatment for you.



At MediBid, we restore market forces to medical care. Doctors get to set their own rates based on their training, experience, and outcomes, and patients get to shop for medical care across state lines and international borders. Many times with MediBid, you will find procedures that are more effective than procedures allowed, or covered by health plans. Transparency and competition are the only way to achieve reasonable costs. Many of our employer clients offering group health insurance through MediBid save $5,000 per employee per year. Those are substantial savings. Patients are saving an average of 48% vs. insurance discounted rates, or 80% vs. retail. Contact us for more information.
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