Category: Public Health & Policy

America needs to invest in proactive patient outreach now

The COVID-19 pandemic has introduced multiple new threats for physical and mental health. The novel coronavirus itself continues to infect more than 30,000 Americans as we enter the influenza season. The pandemic, economic devastation, and racial recko…

How the health care system fails to match its hype

No player received as much media-generated attention heading into Super Bowl LIV as Kansas City Chiefs quarterback Patrick Mahomes. All eyes were on him and, when it mattered most, the young signal-caller came through, bringing his team back from a 10-…

What we define as “right” in primary care matters

“Your numbers are horrible!” I was a resident physician in internal medicine seeing patients in primary care clinic. These words, from an attending physician, were meant as off-the-cuff feedback, and their impact surprised me. I suddenly felt exhausted…

Why science matters this election year

I grew up loving politics. At age 11, I watched my mom run for and win a city commissioner position in our small town in Ohio. In 7th grade, I wrote Ronald Reagan a detailed letter with my solution for lowering the national debt. In high school, I was …

The detrimental effect on patients of an insurance company slashing its fee schedule

In these tumultuous times, it’s hard to find common ground. But I believe we can all agree on one thing: Health care heroes deserve our support. Physicians have spent the last several months working tirelessly during the COVID-19 pandemic. Some w…

Talking politics in the exam room

I walked into my exam room to see a patient I first met two decades ago. His medical problems included poorly controlled diabetes, hypertension, hyperlipidemia, and a substance abuse disorder. Over the years, our health care system has served him well …

Clinicians shouldn’t be punished for taking care of needy populations

It has always been financially rewarding for doctors to take care of rich patients. People with more money … well, they have more money to spend on health care. But shouldn’t this more money/higher payment relationship go away in Medicare? It doe…

Racial disparities and maternal mental health during COVID

As the coronavirus pandemic has unfolded, the uncertainty of this crisis has stoked heightened awareness and precaution in each aspect of our lives. We have incorporated personal protective equipment into our human interactions, and we are compulsively…

Will the Supreme Court destroy the Affordable Care Act?

Now that it appears certain that the Republicans will approve a new Supreme Court justice in the coming weeks, there is great concern among Obamacare supporters that this could well mean the end of Obamacare. That concern is being amplified in the hype…

Will the CDC ever rise again?

I hate to say this, but I fear it is over. For our entire relationship, I have looked to the CDC to guide and educate me. I have put my faith in their recommendations. I have defended their stances on everything from obesity to Lyme disease to influenz…