Category: Public Health & Policy

Privilege is your superpower

The team stood around the older woman’s bedside. As one of the medical students, I prepared to meet my assigned patient. While being assigned to me, Mrs. R yelled, I’m not letting that  n***** take care of me! As the only Black person in th…

5 ways to lessen the physician burden in the product evaluation process

Keeping tabs on the sheer volume of medical drugs and devices on the market is nearly impossible – the FDA approved a record 105 novel medical devices and 59 new drugs in 2018 alone. At the same, hospitals and physicians face ever-growing pressure to c…

Should USMLE Step 1 be pass-fail?

On March 11th and 12th, representatives from the NBME, AMA, AAMC, Federation of State Medical Boards and the Educational Commission for Foreign Medical Graduates gathered in Philadelphia for InCUS — the Invitational Conference on USMLE Scoring — to dis…

While pharmacy benefit managers are watching cable, patients are streaming Netflix

Pharmacy benefit managers (PBMs) including Express Scripts, CVS Health, and OptumRX are the subject of intense criticism by virtually everyone in medicine and politics. While the purpose of PBM’s group purchasing business model was intended to contribu…

Taking guns away from people in crisis: Does it work?

In his response to mass shootings in El Paso, Texas, and Dayton, Ohio, President Donald Trump called for an expansion of state laws that temporarily prevent someone in crisis from buying or possessing a gun. A flurry of states have recently passed such…

Taking guns away from people in crisis: Does it work?

In his response to mass shootings in El Paso, Texas, and Dayton, Ohio, President Donald Trump called for an expansion of state laws that temporarily prevent someone in crisis from buying or possessing a gun. A flurry of states have recently passed such…

A call to arms: We are all part of the health care solution

Sunlight is diminished by threatening clouds infiltrating the once azure blue sky, clouds that are framed in blackness indicating dangerous times ahead.  Nature’s creatures are seeking refuge for they are wise to see the signs of impending danger…

The government’s role in compelling individual actions for public health

I wrote about this topic a few years back, but the recent outbreak of measles has once again ignited the debate of just what the government has the right to do or not do in compelling individual actions in support of public health. This is an old quest…

The history of antivaccination sentiment

In 1902, a smallpox outbreak infected thousands of people across the northeastern United States. That year, in Massachusetts alone, 2,314 people were infected, and 284 died. This was not unusual for early-twentieth-century Massachusetts: The smallpox v…

Physician burnout is as much a legal problem as it is a medical one

A career as a physician has traditionally been considered to be among the best vocations that talented students can pursue. That may no longer be the case. All too many doctors report that they are unhappy, frustrated, and even prepared to leave the pr…