Category: Public Health & Policy

High deductible health insurance is bankrupting Americans

Two decades ago, high deductible health plans barely existed. Today, more than half of the U.S. workforce is on one, which are plans with deductibles greater than $1300 per individual or $2,600 for a family. It’s a growing, undiscussed problem for publ…

Medical debt is the enemy of everyone [PODCAST]

“Medical debt is the mortal enemy of the patient, the physician, the hospital, the community, the state, and the nation. When we think of others’ debts, we tend to think such debts are their personal responsibility. If they’re unable to pay the d…

The goal of health care is in peril

Introduction and background As an emergency department medical director and physician, a busy emergency department can be a thing of beauty to me. We work hard to set up systems that will provide the care our patients need. Despite our best efforts, al…

Life along the railway lines in Bangladesh during Bishwa Ijtema: a physician’s photojournal

The Bishwa Ijtema meaning “global congregation” is an annual gathering of millions of Muslims in Tongi, by the banks of the Turag river, just north of Dhaka, in Bangladesh. Bangladesh is predominantly a Muslim nation. This yearly “BI&…

Why health care delivery is an exceptionally different industry: health system infrastructure and health system operations and execution

Second in a series. Please read part 1. The business of health care delivery differs markedly from other consumer and service industries in many ways. First and foremost, the economics differ. Specifically, the payers of medical care are often differen…

Is life more than breathing and a heartbeat?

A few months back, I read about a two-year-old child with a terminal cardiac condition who has spent her life in a hospital bed attached to multiple devices that maintained her survival. At the staff’s request, the institution’s ethics comm…

Key change are needed to make the No Surprises Act work as Congress intended

Physicians prioritize patient needs above all other considerations. To advance that mission, the AMA works tirelessly to improve access to quality, affordable health coverage for everyone, which includes protecting patients from the financial harm pose…

Why health care delivery is an exceptionally different industry: board of directors and CEOs

First in a series. The business of health care delivery differs markedly from other consumer and service industries in many ways. First and foremost, the economics differ. Specifically, the payers of medical care are often different from the customers,…

The Kyle Rittenhouse acquittal: a contrasting physician opinion

Please also read the contrasting opinion article, “Doctoring during Kyle Rittenhouse’s acquittal.” The Kyle Rittenhouse acquittal. We need to know the truth: There has been much misinformation and some downright lies on social media a…

The bipartisan infrastructure deal is now law, but here’s what it forgets

In June 2021, the Biden administration announced bipartisan support for federal legislation to rebuild our nation’s crumbling infrastructure. The Infrastructure Investment and Jobs Act seeks to revive highway, transit, rail, and public work syste…