Category: Public Health & Policy

The connection between sickle cell disease and socioeconomics

Two new treatments have emerged for sickle cell disease. One curative treatment is a bone marrow transplant, and the second treatment is a gene-based therapy undergoing clinical trials. While this is much-welcomed news for patients battling the disease…

Primary care should be the center of gravity in health care [PODCAST]

“If we want a more effective health care system, it needs to be re-engineered to revolve around the true center of gravity – the patient. We must involve patients early and often in the design of health policy, health technology, and health care …

Will Biden’s State of the Union remarks revive prescription drug reform?

My credit card hovered over the card reader at the pharmacy as I contemplated whether I should pay. Two hundred and eighty dollars and some change. For two EpiPens, each with 0.3 mg of epinephrine that could potentially save my life if I accidentally a…

How stigma and online trolls stopped an intervention that could save lives

I came across an article a few weeks ago with the heading, “Biden administration denies funding handing out crack pipes to addicts to improve ‘racial equity.’” As similar articles came out across the United States and the United Kingd…

Physicians and the weight of expectations [PODCAST]

“What exactly is my obligation to medicine? Am I supposed to practice medicine forever? Is it my duty? Do I have to continue serving my patients, the hospital, and society because of these expectations? The answer is simple: You get to decide. Mo…

The path to gender-affirming care is closing: We need to open it

Imagine losing control of your child’s life-saving care. The mental anxiety is overwhelming enough – then suddenly, all the decisions that should be up to your child, you, and your child’s physician are snatched out of your hands by f…

Mental health issues and the African American community

Death is a topic that most people try to avoid. Death by suicide is also something that that remains rarely discussed. This is probably because suicide is scary, particularly if we have thoughts of being the loved one left behind. People considering su…

How to close gaps in social determinants of health [PODCAST]

“As a doctor, it is pretty humbling to reflect on the fairly minimal impact our health care system has on individuals’ overall health. One study I find particularly intriguing shows that socioeconomic factors (e.g., education and income), and phy…

A physician was bullied and fired by the bully

I don’t think I became a whole person until my mid-30s. When you spend the majority of your life in school, training, and building a practice, everything else goes on hold, or autopilot. There are very few things that I made conscious decisions a…

Those with the power to reform our system have little incentive to act

It is no surprise that burnout is surging along with this latest pandemic wave. Exhaustion—both physical and moral—is the ashen heart of burnout. Even as the flood of patients recedes in some areas, health care operations are hardly back to normal as m…