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UCLA Health

1 July 2024

Mary-Rose Abraham

In her first year at the David Geffen School of Medicine at UCLA, Katharina “Kat” Schmolly, MD, heard an old saying: “When you hear hoofbeats, think of horses, not zebras.” [...]
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ZebraMD White Paper

1 January 2026

Kat Schmolly, MD; Sarah Graham, MS; John Newman, PhD

In the United States, rare disease affects 1 in 10 people. The average time to diagnosis is about 4 to 5 years, though it can take as long as 30 years depending on the condition. Besides medical suffering, patients with rare diseases cost health systems an excess of about $28,000 in additional direct medical cost per year compared to patients without rare disease. We can’t expect healthcare providers, even specialists, to be experts in managing and diagnosing all 10,000 currently known rare diseases. [...]
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