This year has been the blackest of nights for so many of our friends and neighbors. Daily, I still see the ravages of depression, made worse by the pandemic. It will be some time until we understand the repercussions of postponed cancer screenings. Eve…
Forty-two years ago, when I had finally finished the seven revisions of my first novel, The House of God, my editor said, “Why don’t you add a glossary and a list of The Laws of the House of God.” Writing the Laws, I hardly needed to refer to the text…
In his seminal 1977 Science magazine article, “The Need for a New Medical Model: A Challenge for Biomedicine,” Dr. George Engel outlined the biomedical model’s limitations and proposed a new model, which he termed the biopsychosocial …
In a few weeks, I will be retiring. After 31 years and more than 100,000 patient visits, I will be hanging up my stethoscope. Over the years, there have been tremendous highs but also horrible lows. The latter includes having been victimized by a fr…
Primary care is in trouble again. Last summer, as government assistance programs expired or wound down, primary care practices across the country were struggling to stay afloat because of lost business. By October, patient visits had rebounded in most …
“Most Americans have remained dangerously unaware of this revolution in health care. Being treated by a non-physician is not on the radar of the average patient, most of whom assume that anyone in a white coat is a physician. If patients do wonde…
I stood inside the door of “una chosa,” Spanish for “a hut” — the walls bamboo and sunbaked mud; a broom-swept dirt floor; two open windows partially covered by tattered cloth; no running water, no electricity. The acrid smell of smoke from the w…
Let me begin by extending my gratitude to all physicians who have served our country during this time of the coronavirus pandemic. During this trying time, your dedication and service have given a sense of stability and confidence in our health care sy…
Now that a pandemic has brought telemedicine into Americans’ consciousness and the health care system, it is timely to ask: How will telemedicine fit into future care? Failing to understand telemedicine’s transformative capabilities is akin to mi…
As a medical and public health student quarantined at home with two physician parents and a new college graduate sibling, we can speak about the COVID-19 pandemic research, guidelines, and epidemiology around the dinner with relative ease. Everyone in …
