Category: Policy

A need for structural change to improve the safety and well-being of LGBTQ people

In a previous post on LGBTQ care, Dr. Carlene MacMillan called attention to the importance of respecting patients’ pronouns. As she points out, discrepancies between patients’ chosen names/pronouns and gender markers on official documents can pose real…

Nurses aren’t commodities

Corporate health care mentality set up nurses up to be inhuman while holding us to superhuman expectations. We’re told to be caring — but not allowed to do it. It’s time to demand that we stop being abandoned and dismissed by dysfunctional leadership. …

5 health care lessons from the mid-term elections

This seems to be the big take-home message from voters the mid-term elections, which bodes well for preserving gains from the Affordable Care Act and expanding coverage.   Health care was the number 1 issue for voters according to several exit polls, b…

Don’t wait to take action on gun control

“Active Shooter in Squirrel Hill.” This was the subject line of an email I received on the morning of the Tree of Life synagogue shooting. It was from my children’s school, which is located less than a mile from the scene of the shooting. “I am working…

Medicine: noble profession or big business?

In 1976 I graduated from medical school and proudly joined the medical profession. Thirty-seven years later, I retired as an employee of the biggest business in the country. In 2016 the medical industry was responsible for 3.3 trillion dollars of expen…

Physicians should never leave the lane of gun violence

Anyone following the debate around gun regulation knows it is a hotly charged issue. On November 7th, doctors got dragged front and center after the NRA issued the statement: “Someone should tell self-important anti-gun doctors to stay in their lane. H…

Gun control is our lane: Physician opinions on guns matter

We’re very fortunate in anesthesiology. We’re seldom the physicians who have to face families with the terrible news that a patient has died from a gunshot wound. But all too often we’re right there in the operating room for the frantic attempts to rep…

A call for accountability in health care

In Dr. Suneel Dhand’s article, “We can do a better job with hospital discharge paperwork,” he advocates for physicians to do a better job at creating discharge instructions that are more appealing and easier for patients to understand. After all, coher…

The many benefits of strengthening the primary care workforce

The United States spends more on health care per capita than any other country in the world — yet health outcomes continue to fall short. In order to close the spending gap with other countries, United States health care policy must focus on reducing c…

What administrators don’t understand about urgent care centers

Several years ago, a group of us concerned about health care costs and outcomes met with some local HR benefit managers. One was the head HR person of a city. In part of the conversation, she raved about a local chain of urgent care centers. She loved …