Category: KevinMD

Medicare for all will kill jobs. But it may be necessary.

As calls for radical health reform grow louder, many on the right, in the center and in the health care industry are arguing that proposals like “Medicare for all” would cause economic ruin, decimating a sector that represents nearly 20% of our economy…

Compassion is never a sign of weakness. It’s a sign of greatness.

Recently I had the wonderful, yet solemn opportunity of attending my ninety-three-year-old paternal uncle’s funeral.  I purposely choose the word “wonderful” to describe this experience because honoring the life of such a remarkable m…

Ageism in medicine is real. How can it be stopped?

Society gives short shrift to older age. This distinct phase of life doesn’t get the same attention that’s devoted to childhood. And the special characteristics of people in their 60s, 70s, 80s and beyond are poorly understood. Medicine reflects this n…

You can save your baby for $2 million. Can we afford to do this?

You can save your baby for $2 million. Can you afford to do this? If you cannot, should we all pay? Spinal muscular atrophy (SMA) is a rare genetic disease affecting the part of the nervous system that controls voluntary muscle movement. All types of S…

A physician’s sudden, disastrous day. And its tragic consequences.

An excerpt from Physician Suicide: Cases and Commentaries. “Dear Richard and Yvonne, I feel I have no choice but to end my life and am doing so in the hope that you will take this letter and employ it in the way that I suggest below. Please use what ha…

It’s time to rethink what it means to be a DO

The future of our profession lies in our ability to come together with a unified voice. We must also recognize that the practice of osteopathic medicine, and the training of osteopathic physicians, has evolved significantly since A.T. Still, MD, DO, cr…

The power of an individual’s story reminds physicians why they got into medicine

As a surgeon who specializes in gynecologic cancer, I have performed thousands of operations over my two-decade career. But the ones my team and I have done since the beginning of this year have been the most fulfilling. The reason? A simple yet remark…

3 ways to change your mindset in continuing medical education

The seeds of emotional turmoil inherent in medical education are planted early in the pursuit of becoming a doctor. It is the unspoken fear that medical students and residents experience each day on attending rounds.  It is the worry of missing a vital…

How did we let insurance companies get so intimately involved with patient care?

Who works for who? How did we allow ourselves to let a system get built up around us that makes it so hard for us to take care of our patients? Our job is to advocate for our patients, to help guide them towards their best health, to help them understa…

When constipation pain was worse than cancer pain

Coming in to meet the students, house staff, and patients for the first day on service always excites me. This Monday was no exception. What awaited me? How many patients would I need to see? What lessons could I impart? When I arrived, we had 11 patie…