Category: Policy

The claims data dilemma: 4 things to consider

I recently met with leaders of provider organizations representing a range of specialties and geographies. One of the themes that came through loud and clear was their ongoing struggle to obtain claims data from their payers. As providers continue thei…

It’s time to invest in trauma-informed ACEs interventions

Last year, I witnessed the extreme consequences of untreated childhood trauma as a medical trainee rotating through multiple safety-net hospitals in Los Angeles County. I helped care for children who arrived in our emergency departments after multiple …

Florence Nightingale. Clara Barton. Radonda Vaught?

Mistakes and errors are regrettable but inevitable risks of the job for any patient-facing role in health care. As nurses, we are trained to report mistakes and errors when they happen. The maintenance of transparency in this way is an important elemen…

It’s Time To Cure The FDA’s Regulatory Sclerosis

The FDA has not displayed sufficient urgency throughout the COVID-19 crisis—and is threatening to repeat its mistakes with the ongoing outbreak of monkeypox. It’s long past time for lawmakers to reform the sclerotic agency.

Corruption in health care: when the mice mind the cheese

That the United States spends the most on health care is unsurprising. What’s questionable is paying so much for the worst health care system amongst high-income countries and being far behind many countries that could not be considered high-inco…

Abortion debates need to happen, but both sides need some ground rules

On June 24, 2022, the Supreme Court ruled 6–3 to uphold Mississippi’s Gestational Age Act and 5–4 to overrule Roe v. Wade and Planned Parenthood v. Casey. The political temperature was already heightened because Politico released a leaked draft o…

These are the women who are being told they are not a priority

There are situations where I have told a patient they had no options: a cancer recurrence not responding to any treatment, detecting no heartbeat in a 37-week pregnancy, or telling someone their family member coded and didn’t survive. The worst part of…

Roe v. Wade: Share our experience and be part of the solution

Although this is a politically charged topic in our space in medicine, this isn’t political. For many of us, it’s doing our job — taking care of a patient’s mental and physical health. Making sure they are safe and doing no harm…

Physicians and patients are now pawns in a political game

This morning I had a migraine. I should have known it was coming. I now have complex migraines and was having word-finding difficulty yesterday, which is a harbinger for me. How could I have known that my soul had known before my mind had, that it had …

Treating mental illness will not stop mass shootings

Since the mass shooting in Uvalde, TX, rapidly after that in Buffalo, NY, I have read and heard several simplistic public media pieces suggesting easy means of preventing these acts. They unanimously indicated that mass shooters (MS), especially those …