Category: Public Health & Policy

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 &#…

Doctors: Fight to regain the title that is rightly yours

As we have moved into the 21st century, we have witnessed a deterioration in our perception of our doctors of medicine. This has been a gradual, eroding process, quite possibly by the design of those in powers of authority in our government, health ins…

Despite physician burnout, medical schools are still hard to get into. Why is that?

It’s no secret that physician job dissatisfaction is soaring to unprecedented levels, with over 50 percent of practicing physicians reporting burnout. While many factors have contributed to this epidemic in America over the last 20 years — not le…

Inaction is driving our collective burnout

I sat knee-to-knee with a nurse practitioner at a school-based clinic in rural Ohio. Choking back tears, she described a patient she couldn’t get out of her head: a middle-school girl, accompanied by her mother and a social worker. Just days prior, the…

Despite progress in cancer care, cost and equity challenges still must be addressed

As a physician who has spent his career taking care of people with HIV/AIDS, cancer and various blood disorders, this is an amazing time to be working in these overlapping fields of medicine. I began my training when roughly half the people diagnosed w…