Category: Public Health & Policy

The epidemic of violence against health care workers

Across the country, many doctors, nurses and other health care workers have remained silent about what is being called an epidemic of violence against them. The violent outbursts come from patients and patients’ families. And for years, it has been con…

Pay people for their kidneys? It’s time.

These are trying times for health care optimists. Despite all the hype surrounding breakthroughs in clinical practice and technology, American medicine is stuck in in neutral. Though the engine is revving loudly, little progress is being made. This unf…

Medicare for all will kill jobs. But it may be necessary.

As calls for radical health reform grow louder, many on the right, in the center and in the health care industry are arguing that proposals like “Medicare for all” would cause economic ruin, decimating a sector that represents nearly 20% of our economy…

How did we let insurance companies get so intimately involved with patient care?

Who works for who? How did we allow ourselves to let a system get built up around us that makes it so hard for us to take care of our patients? Our job is to advocate for our patients, to help guide them towards their best health, to help them understa…

The rise and fall of measles vaccinations

Ten years ago it would not have been worth my time to write about measles nor yours to read about it. In the year 2000, thanks to a very effective 2-shot childhood vaccination program using a combined measles-mumps-rubella (MMR) vaccine, the U.S. was d…

A physician suggests how to improve Medicare

This is a brief explanation of Medicare from a physician’s perspective, as well as my thoughts on how Congress could make adjustments that would bring us closer to universal care and provide the private market the freedom to improve health care o…

How PTSD is hurting nursing

Every time I hear that there is a nursing shortage in America, I feel myself cringe. There is not a shortage of nurses in America. There is a shortage of nurses who choose to work at the bedside. There is a reason, and it is called post-traumatic stres…

No politician has a realistic solution for health care

If you live or work in Washington DC, your number one health care question is how do I (or my meal ticket people) win the next election. If you live or work in Caruthersville MO, chances are that your most pressing health care question is how do I (or …

Even the most seasoned patients are no match for the Medical Insurance Industrial Complex

“Does my insurance cover this?” I cannot calculate how often a patient poses this inquiry to me assuming wrongly that I have expertise in the insurance and reimbursement aspects of medicine. If I — a gastroenterologist — do not even know ho…

An experiment in removing the heart from medicine

I delight in learning my patients’ stories and giving them exactly what they need when I take care of them in the hospital. Who they are and what is the best approach to their problem is the primary mystery to be solved, my Sherlock Holmes moment…