Over half of Medicare spending is concentrated in 10 percent of patients. With Medicare expenditures rising at an unsustainable clip, reigning in the costs of those patients is key to controlling health care spending. So who are those patients and what…
Category: Public Health & Policy
We need physician leaders who understand our problems
You cannot work in medicine today without being inundated with burnout statistics and commentary on your feed, coming to your inbox, or spoken from stages about the state of medicine we are in. The data is dire: we are disengaged, we are making mistake…
4 significant misconceptions about universal health care systems
Recent polls show a majority of Americans support Medicare for all, but few seem to realize that no other system in the world operates like the current single-payer proposals in Congress. I addressed the concept of single-payer health care, with Cuba’…
Quitting medicine: a disgraced survivor of a bloody suicide attempt
Addressed to Dr. Lynes, the note sat menacingly in my inbox like a distress signal ominously blinking on a battered ocean coast. “Mr. Smith wants you to read the note before his preop, the nurse said harmlessly.” A premonition that day, just one more i…
These medical students signed up for rural medicine. What happened to them?
The University of Kansas School of Medicine-Salina opened in 2011 — a one-building campus in the heart of wheat country dedicated to producing the rural doctors the country needs. Now, eight years later, the school’s first graduates are settling into t…
3 ways to win back the public’s trust in medicine
The United States is currently facing the largest measles outbreak in three decades, with more than 1,200 cases reported to the Centers for Disease Control. The spread of that disease is a mere symptom of one of the most dangerous pandemics of our time…
The ideal health system lies between the two extremes
Admittedly, my views on funding health care have done a 180 since I left medical school. I grew up and went to university in the United Kingdom, which famously has one of the most heavily centralized socialized systems anywhere in the world. Born out o…
Why hospitals are getting into the housing business
One patient at Denver Health, the city’s largest safety-net hospital, occupied a bed for more than four years — a hospital record of 1,558 days. Another admitted for a hard-to-treat bacterial infection needed eight weeks of at-home IV antibiotics, but …
Why hospitals are getting into the housing business
One patient at Denver Health, the city’s largest safety-net hospital, occupied a bed for more than four years — a hospital record of 1,558 days. Another admitted for a hard-to-treat bacterial infection needed eight weeks of at-home IV antibiotics, but …
It’s time for women in medicine to get their moonshot
This year, the world reflected on the 50th anniversary of the historic Apollo 11 mission to the moon. The achievement was extraordinary for many reasons, not the least of which was the sheer tenacity and imagination required for thousands of scientists…
