Category: Public Health & Policy

CMS Medicare fee cuts: The altruism of physicians is used against them

It’s hard to concisely put into words how frustrated physicians are right now. How many other professional groups out there have to fight to not have their compensation cut multiple times a year? Recently, CMS released its proposed physician fee …

Make your health insurance broker a translator, not a shopper

In the unending ocean of choice and complexity of medical insurance, sailing your own ship is harder than it looks. Especially when you get a new job, age into Medicare, or turn 26 and thus can’t stay on your parent’s coverage. Every ship c…

Gun violence is our society’s disease

About a month ago, I had just finished hospital rounds when I heard “code active threat” on the overhead intercom. Thinking it was a drill, I continued typing patient notes until I heard a more urgent: “Please barricade in place or, i…

Guns and public health advocacy [PODCAST]

Subscribe to The Podcast by KevinMD. “Nineteen children were killed in a mass shooting in Texas. I have barely escaped the pandemonium of the pediatric emergency department to scarf down a bowl of pasta when I hear the announcement on the breakro…

How doctors should organize

Eric Topol wrote an excellent op-ed in the New Yorker titled “Why Doctors Should Organize.” I’m going to spell out exactly how they should organize. Doctors should form a nationwide class-action lawsuit against the major EHR companies…

How our sickest patients mirror the political divisions of our country

I was on service as the attending physician recently, and it struck me how closely our sickest patients in the intensive care setting mirror the political mires of our country. Usually, when I’m on service, it’s an all-consuming matter, wit…

The claims data dilemma: 4 things to consider

I recently met with leaders of provider organizations representing a range of specialties and geographies. One of the themes that came through loud and clear was their ongoing struggle to obtain claims data from their payers. As providers continue thei…

It’s time to invest in trauma-informed ACEs interventions

Last year, I witnessed the extreme consequences of untreated childhood trauma as a medical trainee rotating through multiple safety-net hospitals in Los Angeles County. I helped care for children who arrived in our emergency departments after multiple …

Health care’s band of brothers and sisters

Recently, I was sitting in the DFW airport after my son’s soccer tournament witnessing multiple flight cancellations. Travelers became upset because their plans were ruined due to “staff shortages.” I felt lucky as my flight was just …

Corruption in health care: when the mice mind the cheese

That the United States spends the most on health care is unsurprising. What’s questionable is paying so much for the worst health care system amongst high-income countries and being far behind many countries that could not be considered high-inco…