Category: Public Health & Policy

How hospitals are taking advantage of the 340B Drug Pricing Program

Sometimes it is hard for hospitals to provide expensive care to poor patients. When a low-income patient needs $20,000 of chemotherapy, a hospital loses money if that patient cannot pay for the medicine, or pays through Medicaid, with its relatively st…

Let’s insure our kids instead of building a wall

President Trump wants $5 billion for his border wall — right now — and another $7 billion (or maybe $13 billion) later on to finish the project. What else could we do with that kind of money? Here’s an idea: with $12 billion we could cover ALL 3….

#ThisIsOurLane: Can the movement to end gun violence succeed without addressing racism?

The movement fueling #ThisIsOurLane may fail Black Americans who endure a significant burden of gun violence. Responding to a tweet from the National Rifle Association (NRA) demanding we “stay in [our] lane” the medical community rose to the challenge….

Academic media: Don’t criticize your colleagues for “dumbing it down”

Are you a media whore? Or do you worry you might be labeled one by your colleagues – if not to your face, then behind your back? In the process of delivering hundreds of media engagement workshops, I’ve heard dozens and dozens of you express this fear,…

How Google is quietly influencing medicine

With nearly 80 percent of internet users searching online for health-related information, it’s no wonder the catchphrase “Dr. Google” has caught on, to the delight of many searchers and the dismay of many real doctors. What’s received little attention …

Take ownership of our broken health care system now

In health care, we enjoy a unique opportunity to create special relationships with our work. Few enter these professions for practical reasons, and fewer still survive rigorous training without genuine belief in what they might accomplish. And cliched …

Addressing gender violence in medicine

In medical school, we learn about Broca’s area, the region of the brain that when injured prevents a person from translating their thoughts into spoken word. When this area is damaged, from a stroke or traumatic injury, the person can hear a partner de…

Why is Medicaid reimbursement below sustainability?

Recently, a child was on a waitlist for five months to get into my practice. For this article, I will call him Tiny Tim. Tiny Tim, now five years old, has a skin condition known as eczema or atopic dermatitis. When we first met, virtuously every area o…

A divided house always falls: Why doctors lost control of health care

I recently met an old friend of mine for the evening in New York City. He’s a talented young orthopedic surgeon, who has already, in the short amount of time since finishing residency, experienced so many of the problems our health care system faces. T…

Real physician harm from MOC. Here’s proof.

Last year, in response to a continued groundswell of criticism focused on requirements for maintenance of certification (MOC), the American Board of Medical Specialties (ABMS) formed an independent “Vision Commission” on MOC, designed to &#…