We are visiting the grandparents in New York City for spring break.   Spring has been sporadic thus far, more of a series of trailers rather than the feature presentation.   The overhead warming lights and warm air greets us as we escape from the cool evening into the grandparent’s glittery apartment building.  Although this specific location is not near Times Square, it has the gold leaf on the ceiling and lights ...

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It’s been a long day at the hospital. Between rounds and writing notes, you’ve already skipped lunch.  In a spare moment, you manage to scroll through the news on your phone, and for once aren’t interrupted by a call or page. What you read makes you anxious, confused, or relieved -- or all of that and more. You like, retweet, share, maybe donate, and then return to your last chart ...

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Advocacy on the Hill can be a challenging, since it’s never clear how much a single person or small group of people can impact an issue. However, that fact alone should never stop anyone from doing advocacy work. Jessica Isom, Nkemka Esiobu, and myself had met with Dr. John Krystal (chair of the Yale psychiatry department) regularly to discuss about an advocacy day at the Capitol. We were three psychiatry residents, ...

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In any educational environment, there’s a set of buzzwords that create a common vocabulary. Medical students constantly hear about “bench-to-bedside research,” “evidence-based medicine,” and “compassionate care.” Meanwhile, business school students can’t stop talking about “aligning objectives,” “disruptive innovation,” and of course, “synergy.” One of the most frequently used phrases in both schools is “big data.” The idea is that with bigger, faster computers and new analytical techniques, we can now sift ...

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President Donald Trump in a recent press briefing with Australian Prime Minister Malcolm Turnbull announced, “Of course the Australians have better health care than we do - everybody does.” On the heels of the House narrowly passing the first in many steps toward Obamacare repeal and replace, President Trump’s comment caused a bit of a stir, to say the least. MSNBC was all over it. Chris Hayes interviewed fellow socialist Senator ...

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A physician friend commented recently that practicing doctors and nurses, the highly trained professionals who understand health care better than anyone else, are always too busy working to be involved in health care administration and reform. It is one of the most basic and profound problems affecting our health care system -- one of the reasons that health care in America does not get better. And it got me thinking. Once ...

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Johns Hopkins ophthalmologist Oliver Schein has found a simple way to save a half a billion dollars a year from our country's health care bill, with no negative effect on patient health. The only thing standing in the way is a stubborn government requirement. Seventeen years ago, Dr. Schein and colleagues published a study finding that cataract surgery patients who underwent routine preoperative testing -- such as ...

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I hope you read this letter. I doubt you will. I know you’re busy rebuilding Washington, reshaping the international order and doing a lot of other weighty stuff.  Full disclosure, I voted for you.  Not because you promised to repeal the Affordable Care Act, or because you tweeted at me about it, but because our health care system is hopelessly broken and requires an overhaul that does not simply convert ...

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Jimmy Kimmel recently delivered a 13-minute monologue that transfixed the nation.  He told the story of how his newborn son, Billy, was diagnosed with a potentially fatal cardiac anomaly, tetralogy of Fallot, and had undergone emergency surgery. He painted the picture of a sick child and a terrified family, who have the benefit of excellent care that ends well. He complimented the nurses and physicians who had ...

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Barely ten years ago, 350,000 completely preventable AIDS deaths occurred in South Africa because of their president’s obstinacy. He recommended that women treat their HIV with beetroot and lemon juice. It’s hard to believe until you realize the same thing just happened here. HJ Resolution 43 was just signed into law by President Trump, giving states the ability to reject federal grants (called Title X grants) to family planning providers and ...

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