Category: Policy

3 unexpected skills to reduce medical error

This article is sponsored by Careers by KevinMD.com. To err is human, and in the health care arena, avoiding errors is crucial. Efforts to address communication-related or “soft skill” failures have been ongoing since about 20 years ago when the Instit…

How religious exemptions will affect Medicaid managed care

In the United States, 25 million adult women are insured by their state Medicaid program. Medicaid covers 60 percent of all births in the United States as per federal law, and states must cover all pregnancy-related services for pregnant women with inc…

The demonization of socialized medicine

Of late, doctor/friends on social media have taken to reposting news articles detailing the horrors taking place in other nations because of the evil scourge known as socialized medicine. In fact, the two words, alone or together, just don’t carry anyt…

What the FDA forgets in the battle against e-cigarettes

How can we forget John Bender from The Breakfast Club? How can we forget his tousled wave of chestnut hair, cutoff lumberjack shirt, emanating cool with a cigarette perpetually in hand? In light of the 78 percent rise in e-cigarette use by high school …

Physicians have an obligation and an opportunity to reach out and speak out about guns

Many of us working in the “Gun Sense” field – that is, finding a middle ground position to advance firearm safety and reduce preventable injury in our patients – had an “a-ha” moment that led us to toil in these fields. Mine was on Nov. 2, 1981, when m…

Primary care today: There are several concerning trends

In 2006 Dr. Tom Bodenheimer wrote an article that was published in the New England Journal of Medicine entitled, “Primary Care – Will It Survive?” Dr. Bodenheimer spoke with great concern about patients’ growing unhappiness with their primary care phys…

Redefining quality through a patient-centered approach

Ask any physician what quality is, and you’ll get many different answers. You will hear answers such as “finding a cause for their pain,” “ruling out a life-threatening condition,” “partnering with patients to improve their health” or “offering the mos…

The Wild West approach to PICU practice

I spent my early and mid-career years working in a pediatric intensive care unit (PICU) at a large academic center. We did almost everything except for a few things esoteric at the time — small bowel transplants, a few kinds of experimental surgery. I’…

The blood of patients is not a rhetorical device

Recently, social media and news organizations have been awash in the physician-led backlash to the NRA’s now infamous “stay in your lane” tweet, and consequently, awash in images of the literal blood of seriously wounded or now deceased patients. Gun c…

6 ways to smooth the journey to value-based care

I have had the fortune — both good and bad — of being at the forefront of reforming physician reimbursement as an advocate for physicians. I’ve worked on models spanning private practice, group employment, faculty practice plans, and independent physic…