A Grave Prognosis for the Affordable Care Act
Shambolic “repeal and replace” attempts are no longer needed to render a grave prognosis for the Affordable Care Act, the law that provides medical coverage for 45 million Americans. The most virulent threats are proliferating in the judicial system. More
Another Hospital Billing Trap
We needed a X-ray to rule-out a fracture so opted for an urgent-care center, which did it quickly and efficiently. As the three employees closed up shop for the day, I reflected on how urgent-care centers filled a perfect niche between the ER and the impossibility of snagging an immediate orthopedic appointment. But this is health care in America, and nothing ever closes up tidily. Two weeks later a bill arrived…. More
Covid Vaccine Heebie-Jeebies
Few patients seem to have specific reasons for declining the Covid vaccine. There’s just a vague hedge, or an abashed, “I don’t know, I just don’t.†It’s as though they have a communal case of the heebie-jeebies. More
It Shouldn’t Be This Easy to Lose Health Insurance
Why do Americans even have to “remember†to get health insurance every year? We don’t ask citizens to remember to enroll with the fire department every year, or to remember to sign up for electricity service or water. More
“Frontline Workers”
Even after Covid-19 is tamed by the forthcoming vaccines, health care workers will still be frontline workers. Because you never know what will show up tomorrow. More
Medical Errors during the Covid Crisis
There’s no doubt that what went right during the Covid pandemic was far greater than what went wrong. But things did go wrong, and part of the professional commitment that has been so justly lauded entails an honest reckoning of our shortcomings. More
Coronavirus: Why Doctors and Nurses Are Anxious and Angry
The story of the coronavirus is still being written. The stories of polio, Ebola, H.I.V. and measles — all, alas, still in progress — remind us that public health is an ongoing, never-let-’em-up-from-the-mat effort. Narrow vision, data ignorance, image-conscious decision-making and truncated memory are the very elements of contagion. No amount of Purell can sanitize that. More
The Impressive Profits of Nonprofit Hospitals
Seven of the ten most profitable hospitals in America are nonprofit hospitals. Is this an oxymoron? The real question surrounding nonprofit hospitals is whether the benefits to the community equal what taxpayers donate to these hospitals in the form of tax-exempt status. More
The Daily Exploitation of Medical Staff
Corporate medicine has milked just about all the “efficiency†it can out of the system. With mergers and streamlining, it has pushed the productivity numbers about as far as they can go. But one resource that seems endless — and free — is the professional ethic of medical staff members. More
The Insulin Wars
Insurance companies and drug manufacturers have come upon an ingenious business plan: They could farm out their dirty work to the doctors and the patients. When there’s an E. coli outbreak that causes illness and death, we rightly expect our regulatory bodies to step in. The outbreak of insulin greed is no different. More
Prescribing Democracy
“There cannot be any doubt,†Dr. Rudolf Virchow wrote in 1848, that the recent typhus epidemic was a result of “poverty and underdevelopment.†His prescription was “free and unlimited democracy.†Hmm–a prescription for democracy. Not something you get at your average doctor’s visit. But maybe that’s what we need. More
Nursing Juliet
A dog is both Rorschach and receptacle, a two-way highway for love unbounded and unadulterated. In a world that relentlessly enforces limits, the love of a pet is a refuge for unconstrained emotion, especially for a child. More
A Doctor’s Responsibility
“Excuse me, sir,†I imagine the scenario playing out, “do you mind if I barge in on your life to see if I can save your life?†At what point does concern morph into presumption? The line between kindly interventions and condescending ones can be perilously thin. More
Doctor Visit Guide
Going to the doctor isn’t most people’s favorite activity. I often get asked by friends and family how to make the most of a medical visit. Here’s my advice, and it’s basically the same whether you are the patient, or a family member or a caregiver of the patient. More
Patients vs Paperwork
Like some virulent bacteria doubling on the agar plate, the EMR grows more gargantuan with each passing month, requiring ever more (and ever more arduous) documentation to feed the beast. It’s time to take action. More
