Category: Policy

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 […]

Bullying immigrant children in the name of politics

We’ve all seen the news and heard the stories about children being separated from their parents as they cross over the U.S. border. The pictures of human beings, including very young children, behind wire mesh (some argue that they are not really cages) is simply horrifying. Over the past decades, we have seen atrocities happening […]

The biggest health care fix: a relentless focus on primary care

There are so many theories out there about what we should or shouldn’t be doing with our complex and fragmented health care system. We are facing a perfect storm of factors: an aging population, a huge increase in chronic disease, new and expensive treatments, and rising expectations of what care we should be receiving. All […]

5 reasons to get involved in organized medicine

The following are intended to inspire to medical students and residents to learn more about organized medicine. Whether it be at the national, state, county, or specialty level, there are numerous societies with opportunities for contribution. 1. To pull back the curtain. Many physicians are innately curious and like to “see how the sausage is […]