Category: Washington Watch

A framework to understand universal health care

One of the most popular topics in health care is the idea of universal health care coverage. You know the soundbites: “Medicare for all.” “Single-payer system.” While universal coverage sounds desirable to many, some factors must be considered. In this…

For future physician-activists: This is our lane

Rudolf Virchow, a pioneering physician of the 1800s, once wrote that “politics is nothing but medicine on a large scale”. Over a century later, this nexus is as apparent as ever, and many doctors engage as practitioners of both. Twitter erupted this pa…

Medicare for all and the problem of health care on demand

The evolving politics of single-payer health care conflate the concepts of universal coverage, health care on demand and free health care. To the indiscriminate progressive mind, all three are part of the holy grail. The fly in the ointment is that hig…

Instead of Medicare for all, how about Medicare for more?

Medicare for all is one of the leading campaign issues among the Democratic presidential candidates. Michigan Rep. John Conyers first introduced the idea in Congress in 2003. It went nowhere, but as the one-time party of JFK morphed into something much…

How self-awareness helps with patient interaction

What is self-awareness? A quick Google search says that it is “conscious knowledge of one’s own character, feelings, motives, and desires.” In other words, my worldview is different than yours. Hypothetically, I am a Republican, and you are a Dem…

A path to universal health coverage in America

Thirteen years ago, as a student in New York City, I marched across the Brooklyn Bridge to implore my colleagues to fight for universal health care. That day, I enunciated what has become my personal mission by saying, “We need universal coverage…

Why is age only a concern regarding surgeons, and not government officials?

Older surgeons are coming under increasing scrutiny as their competence and ability to practice medicine are called into question especially since many continue to work in their 60s and 70s. The New York Times addressed this in a recent article entitle…

The medical profession can help heal divisions as well as diseases

Medicine need not be confined to the role of cultural bellwether, a sheep with a bell on its neck that reveals where the whole flock is headed. Along with other professions such as law, clergy, and education, medicine can and should play the leadership…

Doctors and patients should be wary of health care mega-mergers

Over the past year, multiple mega-mergers were announced in health care. The four largest ones being: 1. On March 18, 2018, Cigna announced that it was acquiring Express Scripts for $68 billion in cash and stocks. The deal was closed on December 20, 20…

Political correctness and the taboo topics in medicine

I write for several publications, and I’m always pitching to new venues.  Recently I pitched an idea to an editor.  I wanted to write about gun research from the perspective of a rural physician. In particular, I wanted to ask what might physicians say…