“You’re a doctor. You’re a doctor. Goddammit, you’re a doctor, man! You’re a doctor, so say so, and that’s the message, and we’ll follow you,” Jon Lovett shouted to an audience member on Pod Save America. The listener was an internal medicine resident who, in early May, asked how young physicians could better advocate for their patients. I heard this before the House of Representatives voted on the American Health ...

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As a physician, I often forget how much I know.  But there are things that remind me just how different our own experience as doctors is from those who don’t spend their days and nights taking care of the ill. I do a lot of work for television, helping writers and directors to create medically plausible stories and scenes.  I used to get worried that I might get the dose of ...

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The Senate version of the Republican health care bill lays bare the priorities of America’s current political leadership. It is not pretty. The new bill demonstrates the Republicans’ entirely unbalanced view of government and fiscal policy, where monetary value trumps all other values, and where only the wealthy are worthy of a helping hand. These are the new values of the Republican leadership as evidenced by the new bill. We once ...

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President Trump told a group of Republican Senators that the House-based American Health Care Act is “mean” -- and on this he surely called it right! How else would one describe a bill that would take health insurance away from 23 million people, allow states to waive rules requiring insurers to cover people with preexisting conditions at no extra charge, and raise premiums and deductibles to the oldest and ...

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Dear Senators, I know that the plan is to meet soon to pass the latest GOP health plan. The Affordable Care Act (ACA), also known as Obamacare, failed with a price tag of over a trillion dollars. Yes, this faulty plan is not sustainable as is. Yet, your proposed plan is just a rehashing of the failed elements. While you look at the economics and short-fallings, I look patients in the eye ...

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Any physician who firmly believes in the ethical principles of beneficence and justice will recognize the legislation recently passed by the United States Congress known as the American Healthcare Act (AHCA) as a moral travesty. The bill’s provisions to shift costs from the wealthy to the impoverished, diminish protections for individuals with pre-existing conditions, and strip away essential health benefits for patients are cruel measures that run directly counter to ...

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In our recent paper criticizing how industrial quality improvement has been misapplied to primary care, we didn’t just complain, we made suggestions for a better way forward. This was under the assumption that regulators and payers will continue to insist on some kind of numeric reporting of outcomes by physicians or practices whether physicians like it or not, or whether it’s really useful and fair or ...

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President Trump campaigned on repealing and replacing Obamacare. Congress, when campaigning for reelection every two years, promised the same. Yet Congress can’t seem to get the job done. First, they needed the House, then the Senate, finally the White House. All delivered to GOP control by the voters. With the reasonable expectation of repeal and replace. Yet nothing from Congress but a dial tone. The House passed an Obamacare-lite bill, tweaking ...

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Medicaid is the largest single health insurance program in the nation, spending more than $500 billion to serve the most vulnerable people with some of the highest need, including children, pregnant mothers, people with disabilities, the poor and the elderly living in nursing homes. Recent proposals to repeal and replace Obamacare – such as the American Health Care Act (AHCA) – would fundamentally change the Medicaid program. ...

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An excerpt from Distracted: How Regulations Are Destroying the Practice of Medicine and Preventing True Health-Care Reform. If you want to learn what is wrong with the American health care system, just follow ...

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