Category: Policy

Restoring the trust in the medical profession

A guest column by the American College of Physicians, exclusive to KevinMD.com. Trust is the belief that another person or entity will act in your best interest, and it serves as the foundation upon which the doctor-patient relationship and our health care system are built. But we have a significant trust paradox in American medicine. […]

Here’s why we need socioeconomic diversity

Parents cheer, students rejoice, and teachers relax — it’s graduation season, one of my favorite times of the year. A few weeks ago, the Class of 2018 at Harvard Medical School (HMS) marched across campus to complete their final hoorah as medical students. I observed in awe and noticed something spectacular: most graduates who delivered […]

It’s time we think about health care differently

Before the invention of the stethoscope, doctors routinely laid their ears on chests of patients to check how they were doing. Homemade concoctions, essentially placebos, often made people feel better. Doctors visited homes of patients who would later pay them whatever they could afford. Local apothecaries sold morphine, a derivative of opium, to reduce pain. […]

To give good value, Medicaid needs help

Medicaid — the program that provides funding for adults, seniors (along with Medicare), children and people who are blind or disabled who can’t pay for their own health care — is expensive. It is painfully expensive. The program, along with CHIP (the Children’s Health Insurance Program), marketplace subsidies and Medicare is responsible for 25 percent […]

Political polarization is harming America’s health

On May 15, President Trump attempted to kill not just two, but three birds with one tweet, simultaneously denouncing the Media and the Mueller investigation, and crowing about his approval ratings. “Can you believe that with all of the made up, unsourced stories I get from the Fake News Media, together with the $10,000,000 Russian […]

Close the gender pay gap in medicine

On June 10, 1963, the Equal Pay Act was signed into law by President John F. Kennedy, amending the previous Fair Labor Standards Act.  Under this law, pay disparities between men and women were clearly prohibited. More than fifty-five years later, women are still fighting to be paid the same as men holding the same […]

Why guns should be tracked and studied

A relative taught me to drive in a burgundy Lincoln Town Car in an empty Long Island parking lot in the 1980s. After emphasizing the need to practice driving in reverse, he also warned: “A car is a weapon. You can kill someone, or get killed, in an instant.” I am a safer driver (forwards […]

Will Atul Gawande succeed as a health care CEO?

When news broke that Dr. Atul Gawande had been named CEO of the Amazon-Berkshire-JPMorgan Chase health care partnership, industry insiders were quick to raise doubts about his credentials. Some pointed to his limited administrative experience, questioning how someone who has never managed a hospital or health system could oversee the care of some 1 million patient-employees. They […]

A physician’s personal experience with gun violence

Like many of us, I have been struggling to reconcile my love for everything good about this country with the senseless gun violence that terrorizes us today. In the wake of each shooting, I vow to do more — to speak up as a surgeon, as a former victim of gun violence and simply as […]

Separating children at the border is a danger to their health

Fair and just societies protect children. The Trump administration’s unconscionable practice of separating children from their families at the border between Mexico and the United States is making me rethink what kind of society I live in. The images and the stories are heartbreaking. In an effort to deter families from migrating to the United States, reports say the […]