Category: Public Health & Policy

Increasing strictness of gun laws correlates with fewer children killed by guns

Between 2011 and 2015 there were over 21,000 children killed by guns. This recent study in Pediatrics, the journal of the American Academy of Pediatrics, further analyzes the question; it compares pediatric firearm fatality rates among the various stat…

Health coverage really isn’t covering much

I’m a healthy 48-year old, ASA physical class I anesthesiologist. At least I was healthy until an unintentional 20-pound weight loss over the summer, accompanied by an unquenchable thirst, insatiable appetite, blurry vision, and the bathroom freq…

When physicians are complicit

The other day I asked myself why do I focus my attention on immigrants when there are plenty of other underserved and neglected populations.  When an opioid crisis surrounds me, why do I speak of a crisis at the border?  When structural and overt racis…

Has health care lost its humanity?

As doctors, most of us went into medicine with a true desire to help other people. What was once a noble profession is now being worn down by outside forces trying to control us. Third-party insurance companies are driven by profits, not by optimal car…

How to structure financial incentives in our health care system

Next in a series. In my previous post, I explained the basics of my Healthcare Incentives Framework, which enumerates the jobs we want a health care system to do for us and links them to the parties in the health care system that have the greatest ince…

Parallel thinking won’t solve problems in health care

A lot of media attention, including television, print, and online sources, is focused on various plans to revolutionize the delivery of health care in America.  Critics point to medical errors, waste of resources, and lack of access among the numerous …

An analysis of Joe Biden’s health plan

If the Democrats capture the White House, keep the House and take over the Senate, no matter who they elect as president, this Biden health care outline, not Medicare for all, will likely be the plan Democrats embrace in 2021. The Biden health care pro…

A framework for understanding health care systems

First in a series. Way back as a business strategy undergrad and then as a medical student, I developed a framework for understanding health care systems. I call it the Healthcare Incentives Framework, and I believe it clarifies the big-picture compone…

When we ignore a child’s preventable suffering, we lose a piece of our humanity

Sometimes an image captures the heart of a nation by putting a face on a human crisis.  The one of Óscar Alberto Martínez Ramírez and his 2-year-old daughter Valeria lying face down in the Rio Grande after drowning was powerful.  Their family had been …

We must hold the government accountable for the health of the most vulnerable

898. This is the number of cases of mumps that occurred in migrant detention camps in a 12-month period between September 2018 and August 2019. According to the Center for Disease Control (CDC), 84% of the migrants who contracted the illness did so whi…