Category: Policy

10 transformative ideas to redesign a broken health care system: a doctor’s perspective for a more efficient, cost-effective and patient-focused system

The U.S. health care system is an inefficient maze of bureaucracy, redundancies, and waste. As a practicing physician, I see firsthand how these inefficiencies frustrate both providers and patients, inflate costs, and undermine the quality of care. If …

Humanity’s crossroads: peace or nuclear war?

“We are here to make a choice between the quick and the dead …” With these solemn words, Bernard Baruch, a trusted advisor to U.S. presidents, addressed the United Nations (UN) Atomic Energy Commission in June 1946. Less than a year had pas…

The HEARTS Act: Empowering schools to save lives

Every year, sudden cardiac arrest (SCA) claims the lives of thousands of students and student-athletes in the United States, making it one of the leading causes of death. The condition is particularly insidious as it often strikes without warning, leav…

Why health systems must renegotiate contracts to survive

Providers must stop subsidizing payors’ profit margins. Consider United Health Care, which boasts a 6 percent margin on revenue (equivalent to $22 billion), while hospitals manage a slim 3 percent margin, and physician practices often struggle to…

States have the power to influence health care

Individual states in the United States can significantly shape key health care areas through policy. In early 2024, a KKF analysis indicated that Americans collectively held around $220 billion in medical debt. North Carolina has one of the highest per…

Why the opioid crisis and youth mental health demand urgent parity reforms in 2025

At the beginning of 2024, the nation continued to experience the impact of three declared public health emergencies with significant behavioral health implications: COVID-19, Mpox, and the opioid crisis. At the same time, three major national associati…

Pay for performance and shared savings are good, but they’re not the solution

Think about every health care reform effort we’ve been working on for the last decade or two, including accountable care organizations (ACOs) and the value-based purchasing models from CMS. The vast majority of them use one or both of the followi…

Fostering health care innovation through federal policy: a case for direct primary care

Abstract The United States health care system faces escalating costs, access disparities, and significant physician burnout. Direct primary care (DPC) offers a transformative approach by emphasizing patient-centered care, price transparency, and reduce…

Tobacco’s time warp: How centuries of smoke obscured our future

In the halls of the Smithsonian, we often contemplate how the past shapes our present. But a groundbreaking new study on tobacco use forces us to consider how our present actions will dramatically alter our future. Research published in The Lancet Publ…

The political crossroads shaping the future of medical training

As a training physician, the experience of navigating graduate medical education in today’s political landscape has introduced unprecedented adversity Whether transitions in health policy or the continually evolving public perceptions of medicine…