Category: Policy

Instead of Medicare for all, how about Medicare for more?

Medicare for all is one of the leading campaign issues among the Democratic presidential candidates. Michigan Rep. John Conyers first introduced the idea in Congress in 2003. It went nowhere, but as the one-time party of JFK morphed into something much…

Non-medical transportation for postpartum moms is a necessity

This past June, California’s Department of Healthcare Services went live with the implementation of its non-medical transportation (NMT) benefit. NMT is described by the National Health Law Program as “transportation provided to access medically necess…

A student doctor says, “Time’s Up”

According to the NASEM report, half of women medical students experience sexual harassment before they start their careers as physicians. The numbers are even higher for people belonging to minority groups. This harassment is generally overlooked and t…

A path to universal health coverage in America

Thirteen years ago, as a student in New York City, I marched across the Brooklyn Bridge to implore my colleagues to fight for universal health care. That day, I enunciated what has become my personal mission by saying, “We need universal coverage…

Why is age only a concern regarding surgeons, and not government officials?

Older surgeons are coming under increasing scrutiny as their competence and ability to practice medicine are called into question especially since many continue to work in their 60s and 70s. The New York Times addressed this in a recent article entitle…

Doctors and patients should be wary of health care mega-mergers

Over the past year, multiple mega-mergers were announced in health care. The four largest ones being: 1. On March 18, 2018, Cigna announced that it was acquiring Express Scripts for $68 billion in cash and stocks. The deal was closed on December 20, 20…

A disturbing study about children and guns

Children are relatively healthy overall. Although 25% of the American population is under the age of 19, only 2% of annual deaths occur in this age group. There was a time when the contributions of diseases to pediatric death rates were much higher. De…

The folly of using money to improve health care quality

Imagine you’re a CEO in charge of a health care organization with thousands of physicians and 19 hospitals. Overall, the quality of care delivered is good. Prices and costs are low. But there is a problem: Patients rate your service below average. Maki…

How should physicians hear back about their diagnostic errors?

Diagnostic errors (missed, delayed, incorrect diagnoses) are increasingly being recognized as a prevalent cause of harm to patients. At the same time, physicians are simultaneously under pressure to deliver high-quality, low-cost health care. How do ph…

CMS risks ACO success by forcing move to another track

Like many accountable care organizations, Austin Regional Clinic (ARC) in Texas is building a record of success on the Medicare Shared Savings Program’s (MSSP) so-called “Track One.” Now looming, however, is an automatic transfer of ARC to the MSSP’s r…