Well, it’s that time of year again. Fall is near, and ‘tis this season for more pay cuts from CMS and insurance companies. Are there any other health-related professions that receive across the board pay cuts? I know of none. The U.S. health care mega-complex includes not only physicians, but hospital administrators, legions of hospital vice-presidents, insurance company executives, elected politicians, federal employees at CMS, hospital employees, pharmacists, nurse practitioners, physician ...

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More than anything, Willie needed a place to pee. Elaine needed help walking. Willie is homeless; Elaine is affluent.  They both needed someone to listen to them and help them find solutions to their most pressing everyday challenges.  That’s called “co-production of care.” When Willie found out he had congestive heart failure, his doctor put him on beta blockers with diuretics. The medications made Willie feel better, but there was one problem:  Because of ...

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As Sen. Bernie Sanders prepares to introduce a universal health care bill in the next few weeks, many progressives who support a universal single-payer program worry about its effects on abortion access. Can we win Medicare-for-all while protecting hard-won reproductive rights? As a woman of color, a reproductive rights advocate, and graduate student of public health, I recognize the importance for marginalized groups to stand in solidarity for ...

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An executive summary of "A radically patient-centered proposal to fix health care in America." The political theater over health care reform has quieted after yet another ugly show. A productive dialogue about big ideas seems impossible in our hyper-partisan climate. No matter which party holds power, any significant proposal is quickly met with fierce opposition from a variety of political and business interests. So, for many decades, America has ...

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I took a great continuing education course recently, and had an opportunity to review some useful skills and fascinating cases. Because health care knowledge areas expand more quickly than most and keeping current is an integral part of doing these jobs well, it was easily worth the time. The cost seemed unreasonable, but I was only superficially interested in that anyway; like most, I'm fortunate that my employer offers a generous ...

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Alex Wubbels, the head nurse at the University of Utah Hospital’s burn unit, was arrested for refusing to draw blood from an unconscious patient.   She was absolutely correct, since it was against hospital policy, and constitutional law, to do so. ZDoggMD dedicated an episode of his Facebook Live show, Incident Report, highlighting the travesty:
“Sir, you’re making a huge mistake because you’re threatening a ...

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An excerpt from the CEO's Guide to Restoring the American Dream: How to deliver world class healthcare to your employees at half the cost. I often think about a question that should make us all step back a bit. Why are millennials—the largest American generation in history—the first generation to think life won't be better for them than their parents? ...

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Despite assurances over the course of his presidency that undocumented immigrants brought to the United States by their parents would be protected by this administration, President Trump has announced recently that he is considering ending the deferred action for childhood arrivals (DACA) program. DACA was announced by former President Obama in August 2012 as an initiative providing individuals who came to the United States as children and who meet certain other ...

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Congratulations on the new job! After countless, grueling hours of juggling school with the rest of your life, you’ve finished and secured a job, a huge accomplishment indeed.

Negotiating your compensation package can be a nail-biting, heart-racing all around anxiety-producing experience.  While some of this anxiety might just stem from inexperience with negotiating a contract, you might also be worried about not knowing what to ask for as a new nurse ...

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Last week a physician friend recommended watching the movie the Big Short. The description given to me was that it was a great movie that was all about a bunch of guys who saw the 2008 financial crisis coming. Sure enough, that very weekend, I planned a night in to get take out and watch it on Netflix. And it sure didn’t disappoint. Starring Ryan Gosling, Steve Carrell, Christian Bale, and ...

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