Category: Policy

Medicare for all and the problem of health care on demand

The evolving politics of single-payer health care conflate the concepts of universal coverage, health care on demand and free health care. To the indiscriminate progressive mind, all three are part of the holy grail. The fly in the ointment is that hig…

Physicians are now lab rats

Pay for performance (P4P) is all the rage in health care. Big Pharma led the way, and the popular press would have you believe that one can “incentivize” physicians and their clinical colleagues with as little as a sandwich and a bag of chips. Corporat…

#MeToo: A culture change is needed in health care

This article is sponsored by Careers by KevinMD.com. The #MeToo movement exploded into the national spotlight in October 2017 with The New York Times exposé of sexual abuse allegations against Hollywood media mogul Harvey Weinstein. It has since encour…

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…