Category: Policy

5 disruptive trends transforming health care

Spiraling costs, poor quality outcomes, and inequities in access to care are driving significant and long overdue changes to the way health care is administered and managed in the United States. And while the U.S. spends more on health care per person …

Legislators, please stay out of our exam rooms. Especially when it comes to children and gender.

Legislators have found a new way to insert themselves into the physician-patient relationship. In October and November 2019, news stories regarding a parental dispute over the treatment of a transgender child prompted legislators in Texas, Kentucky, an…

Medical error is not the third leading cause of death

Ever since the publication of the infamous 2016 BMJ opinion piece claiming medical error should be considered the third leading cause of death in the U.S., the debate on the true incidence of deaths caused by medical error has been raging. Many, includ…

Margaret Mead was right about health care

One of my graduate school professors proclaimed that what is wrong with our society is that most people have not reached formal operations or have not been in psychotherapy. Formal operations is the stage of development, described by French researcher …

How health care is like a convoluted financial investment scheme

The business of medicine is unlike any other type of standard “business” in that health insurance and hospitals confound what would appear to be a simple exchange of services for a set price.  You know that the confusion is bad when neither doctors nor…

Improve mental health by improving how we finance health care

It takes an average of 10 years between symptom onset for mental health conditions to be accurately diagnosed and therefore treated. In addition to general misunderstandings about mental health, the nationwide shortage of mental health providers is one…

The primary care solution is obvious, but don’t expect policymakers to jump on board

In a shocking development that could transform the medical profession, the International Journal of Health Services published the findings of a study titled, “Primary care, specialty care, and life chances.” Using multiple regression analysis, the rese…

What is “fair” payment for medical services?

I write this hoping to appeal to common sense. When are we going to stop putting the cart before the horse? 99 percent of the rhetoric surrounding health care costs centers on a “fair” way to pay for it, “fair” reimbursement levels, and who should pay …

One person’s wasteful medical spending is another person’s income

In a New York Times article, “The Huge Waste in the U.S. Health System,” it stated that the estimated waste is at least $760 billion per year: “That’s comparable to government spending on Medicare and exceeds national military spending, as well as tota…

Making America great again with harm reduction

I recently discovered a fact about the United States of America that should be a source of embarrassment for all Americans. What I found out is this: There is not a single safe injection site anywhere in the entire country. Safe injection sites save th…