The day of solo practitioners is coming to an end. In its place will be gaggles of gastroenterologists and flocks of physicians. Mega practices are becoming the norm in American medical care. Here’s a few pictures of this trend, somewhat dated (they on…
Category: Public Health & Policy
Welcome to the new normal: practices of 500 physicians or more
The day of solo practitioners is coming to an end. In its place will be gaggles of gastroenterologists and flocks of physicians. Mega practices are becoming the norm in American medical care. Here’s a few pictures of this trend, somewhat dated (they on…
Understanding the distinction between universal health care and a single-payer system is critical
The World Health Organization describes universal health coverage — a system coupling health care access with financial protection for all residents — as the “single most powerful concept that public health has to offer.” The goal of univer…
Technology is corrupting the culture of medicine
To help then-candidate Bill Clinton remain focused on the No. 1 voter issue ahead of the 1992 presidential elections, political strategist James Carville coined an unforgettable mantra, which he posted inside Clinton campaign headquarters. It read, “Th…
Physicians: Do not be intimidated by administrators
A piece of advice I would give to any younger physician, especially one who is just graduating residency, would be to expect a whirlwind ride into the realities of frontline medical practice. It’s something that you are totally not prepared for in the …
How climate change affects your skin
Global climate change is reaching a critical mass. Since the advent of the industrial revolution, we have seen the global mean temperatures increase by 1°C (1.8°F), and significant steps must be taken by 2030 to mitigate an even larger global temperatu…
A physician volunteers with migrants. Here’s what she saw.
“At least seven children are known to have died in immigration custody since last year,” according to a NBC News report last month. I recently spent a Saturday working with amnesty-seekers that had been detained at California detention centers in the d…
Can the states fix our national health care disaster?
Earlier this year, California’s new governor, Gavin Newsom, promised to pursue a smörgåsbord of changes to his state’s health care system: state negotiation of drug prices, a requirement that every Californian have health insurance, more assistance to …
Can the states fix our national health care disaster?
Earlier this year, California’s new governor, Gavin Newsom, promised to pursue a smörgåsbord of changes to his state’s health care system: state negotiation of drug prices, a requirement that every Californian have health insurance, more assistance to …
Cancer care costs everyone too much. What can we do about it?
Today’s fee-for-service oncology business model misaligns incentives by rewarding practices for keeping margins and service volumes high — even when it’s wasteful — rather than for optimizing patient outcomes. While discussions of drug pric…
