Category: Policy

Physicians are not commodities to be cut. Physicians are not waste.

Another emergency physician asked me what I think will happen if the “surprise bill reform” with a benchmark fix happens.  I told her privately, but I am sharing, so everyone can understand why I am working so furiously on a seemingly boring and crass …

Primary Care First: CMS develops a value-based primary care program for independent practices

The monumental shift in health care from fee-for-service or a volume-based approach to value-based care will change health care delivery for the better in the United States.  When physicians do what is necessary and avoid over-testing and procedures of…

Scope of practice expansion: Patient safety is sacrificed for greater access

When a patient seeks the care of a professional, they expect that person to be well trained, experienced, and constantly continuing their education. As an ophthalmologist, I completed a 4-year undergraduate program at Virginia Commonwealth University, …

Understanding professional liability insurance in physician employment contracts

An excerpt from Physician Employment Contracts, The Missing Module: A comprehensive introduction to physician agreements written for doctors. Professional liability or “malpractice” insurance protects a physician and the employer from claims related to…

Define what true resilience means for you

Can you let things roll off your shoulders? Are you the tough, no-nonsense, tell-it-like-it-is, stand-your-ground type? Do you show up to work no matter what? Has no one ever seen you cry at work? Are these things resilience? We nurses openly divulge t…

Reduce health care’s carbon footprint to save our patients

I would like to explore a typical American health care experience through a different lens: energy. Upon entering a hospital, I would see bright lighting and hear the gentle hum from ventilation. If I were to get an MRI, this requires significant energ…

What Ocasio-Cortez and Cruz get right about birth control

I think we can all agree that women have a lot more hoops to jump through when it comes to contraception. If a woman wants to go on the pill, she has to go through the bureaucratic process of seeing a doctor and getting a prescription. This is why I am…

An American physician in Sweden. Here’s what he thought about its health care.

I had the distinct pleasure working with family physician colleagues in Sweden recently. It was a similar experience to a trip I made to Britain about five years ago that I also wrote about. I got to spend some time watching one of my colleagues care f…

Welcome to the new normal: practices of 500 physicians or more

The day of solo practitioners is coming to an end. In its place will be gaggles of gastroenterologists and flocks of physicians. Mega practices are becoming the norm in American medical care. Here’s a few pictures of this trend, somewhat dated (they on…

Welcome to the new normal: practices of 500 physicians or more

The day of solo practitioners is coming to an end. In its place will be gaggles of gastroenterologists and flocks of physicians. Mega practices are becoming the norm in American medical care. Here’s a few pictures of this trend, somewhat dated (they on…