Category: Public Health & Policy

Coronavirus highlights why America needs a national medical license

The COVID-19 pandemic has exposed many vulnerabilities in the U.S. health care system. While shortages of safety equipment and ventilators have been widely reported, the shortage of physicians and staff to manage patients in respiratory failure is also…

Wisconsin and Anthony Fauci prove physicians need to and can be national leaders

If one of your patients told you he is going to go spend a few hours hanging out in the cold this week with a bunch of people who might have coronavirus, what would your advice be?  That is exactly the situation thousands of people in Wisconsin faced o…

Now is the time to eliminate tuition in the health sciences

My call to medicine came while sleeping on an old couch in a hospital room in Eastern Turkey, while my close friend lay waiting for a diagnosis. We were scared, but one physician put us at ease, giving us a plan, and being there to help whenever he cou…

Coronavirus exposes the reality of income-driven health inequality

It’s maddening to see the differences in health outcomes between the rich and the poor. Even more unsettling is reflecting upon the psychological pain accumulated when living in a fad-obsessed materialistic comparison-creating society, the postponed dr…

The fragile economics of America’s emergency departments

On the front lines, America’s emergency departments (ED) are currently in at the center of a crisis treating patients with COVID-19.  Emergency physicians and other clinicians are placing themselves and their families at risk. Yet, there is also …

It’s the R-word again: rationing

Here in the U.S., we slip and slide around the reality of rationing. We like to believe we can have it all, do it all, that there are no bounds. And if you have money in the U.S., that is more or less true. Until now. Personal protective equipment and …

Medical trainees need knowledge and education on health care systems and policy

As medical trainees, we will shape the rapidly changing health care environment in this country. We are fiercely advocating for our disadvantaged patients, debating the price of life-saving medications, and carefully considering how the upcoming electi…

Would Medicare for all help us combat COVID-19?

In 2009, when more than $35 billion was invested in expanding national electronic health record (EHR) uptake, one of many advantages touted was its value as a tool for managing population health. This promise has failed to materialize due to a chaotic …

What’s to blame for the obesity epidemic?

Obesity is a topic that literally hits home for me.  For the past two years, the website WalletHub has voted the McAllen-Edinburg-Mission TX metroplex as the “fattest city in America.”  As a health care provider, this is deeply disturbing because it pu…

Telehealth: Get ready for big changes in health care

The year 2020 might bear witness to a significant shift in control of health care from the providers, insurers, and the government to actual health care consumers. First, it was the politicians, then the tech conferences and promises of 5G, and now glo…