Category: KevinMD

Negotiating lower drug prices in America: The tradeoffs are worth it.

Negotiating lower drug prices in America could possibly stifle pharmacological innovation. But it would reduce health care cost for most Americans — and that should be all that matters. If the United States began to regulate drug prices, medications wo…

The climbing rates of maternal mortality in Black women

To put it simply, I’m scared by news headlines and conversations about the climbing rates of maternal mortality among Black women. I’m not surprised, however. As an internist, I regularly marvel at the advances that have been made in Western medicine, …

The gender imbalance in nursing

The gender imbalance in nursing, our nation’s largest profession, is a slow-to-change and complex problem steeped in stereotypes, economics, unconscious bias, power, and privilege in health care and society. Along with other diversity gaps in the nursi…

Aging out of being a physician

My brother and I are both physicians. He is a pediatrician; I am a geriatrician and palliative medicine doctor. We are both getting older. My brother has been a practicing pediatrician for almost 50 years. He had a remarkably successful solo practice i…

3 tips for physicians to become better leaders

My 20-year medical school reunion was a time to reflect: Have we aged more gracefully than medicine? The Class of 1999 carried books and wore pagers while scrambling to gather paper charts for rounds. Residency did not prepare us for the explosion of m…

How physicians can become self-actualized

What really makes a person complete? What do we want in our lives, and what is it like to become our best, most fulfilled selves? In the 1960s, psychologist Abraham Maslow tried to answer this question. This eventually led to his well-known hierarchy o…

Why are we failing to solve burnout?

How would you make sense of the following vignette: Over a 40-plus-year period, a disease (“X”) is diagnosed, its causes are defined, and effective treatments are prescribed 30-50+ percent of people working in your organization are currentl…

When patient advocacy fails

Access to care, patient advocacy, health disparities: These are all buzzwords in health care now. We, as health care providers, understand that we must do the best for our patients in the hopes of providing a positive outcome. So, despite our perceptio…

MKSAP: 79-year-old man with progressive malaise and weakness

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 79-year-old man is evaluated for a 2-month history of progressive malaise and weakness, aching bilateral shoulders and hips, and stiffness …

5 tax moves physicians should make before December 31st

As physicians, we find ourselves in higher tax brackets than the majority of Americans. With the graduated tax system here in the U.S., the more we make, the higher the percentage of taxes we owe. That is not just because of the tax brackets, but also …