Category: Public Health & Policy

Physicians and patients must work together to improve health care

According to Wikipedia, a livestock guardian dog is a type of pastoral dog bred for the purpose of protecting livestock from predators. If only our doctors had these noble creatures to protect them from the predators of the world, to alert them when th…

Political games are destroying our national state of health

Lately, I have been contemplating the growing political divide in this country. We seem perpetually locked in a state of partisan gridlock. Our nation is stuck in a continuous news cycle dominated by party politics. This perpetuates party divisions and…

Why doctors crash planes

Physicians actually make good pilots. But, in 1966 they received a bad rap due to a report published by the FAA’s Chief of Aviation Medicine, Dr. Stanley Mohler. Mohler had a point. Physicians were crashing planes at a higher rate as opposed to the gen…

Planetary health has become the major determining factor of human health

On the matter of climate change and global warming, the fuse is lit. The current epoch of Earth is the “Anthropocene,” meaning that for the foreseeable future, the destiny of our planet will be mainly determined by human activity. In the past half-cent…

Seeing the effects of the opioid crisis play out live

Recently, I was at a health care facility in a semi-urban region, less than 100 miles from a major metro. It had a whiff of industry from good times that have long drifted by. I tried to locate a Starbucks. Google Maps spotted one and took me towards t…

Why is health insurance so unaffordable?

Honestly, I have never been a big fan of insurance. I am not much of a gambler, and paying for insurance feels like betting on my own misfortune. I have never purchased insurance for a cell phone or appliance. I would rather save the money and make an …

A medical student grew up without health insurance. Here’s why that matters.

I’m constantly awed by the fact that I get to be part of one of the best hospitals in the world, especially because as a kid, I grew up without health insurance. These were the days before the Affordable Care Act; there was no penalty for going without…

5 ways to address the issues of direct-to-consumer health products

Health products are increasingly moving from the realm of the medical professional to the consumer. Direct-to-consumer (DTC) versions of teeth alignment kits, genetic tests, hearing aids, heart-rhythm monitors, neurostimulation devices, and mental heal…

Policymakers: Put down your carrots and sticks. They will not work.

As a family physician in the trenches, I routinely see blatantly poor medical care in the history of my new patients. Far too many people get unwarranted medications and tests, while important things go unrecognized or unaddressed. This paradox is madd…

Patient satisfaction should not be driven by poorly-designed surveys

A young male patient checks into the emergency department (ED) and is brought back to a room for an ankle injury he suffered the day before. He states that he twisted it while doing some indoor rock climbing and tells the triage nurse that it is swolle…