Twenty years ago, Congress made a commitment to its children when it created the Children’s Health Insurance Program, recognizing working parents who earned too much to qualify for Medicaid still couldn’t afford health insurance for their kids. For pediatricians who remember, the practice landscape was a great deal different then. So many children were uninsured that pediatric emergency rooms were filled with children who needed routine school physicals and regular ...

Read more...

Devastating. That alone cannot fully describe the extent of the destruction of property, the displacement of tens of thousands of residents, the injuries and loss of life in the wake of Hurricanes Harvey and Irma. As Americans, our hearts ache for those affected by the flooding. As a medical student, former international development worker in Afghanistan and EMT in South Africa, I also lay awake thinking about the many infectious ...

Read more...

As I approach the end of my medical school training, I want to take a moment to reflect upon the invaluable education that my classmates -- novices in medicine but rich in life experiences -- have provided. Nearly all of us identified with the common struggle of medical school: late night study sessions, difficult days, and the general balancing act of focusing on work as well as our own wellness. All ...

Read more...

A pediatrician husband recently wrote here in KevinMD about the stark differences in assumptions about work-life balance for men and women, in "What does your husband think of you being a surgeon?"  Then I came across another article on Medscape by a male cardiologist, whose wife is also a physician, entitled, "The gender gap in cardiology is embarrassing." Both men’s wives delayed their medical training, and ...

Read more...

We humans can’t help but shove as much as possible into one minute, one hour, one day. We’re rewarded for doing it, too. Society says that the more you check off your list, the more productive you are. And by default, then, the more productive you are, the more successful you are. So, we rush. We search for ways to skip steps and still get the same result. We fill ...

Read more...

There is a 4,300-strong grassroots movement known as “Save Our Hospital” gaining notoriety in Albert Lea, Minnesota. This story is symptomatic of the fact that hospital consolidation has slowly become a national pastime. With declining revenue under the Affordable Care Act, mergers increased by 70 percent, leaving small communities scrambling for health care access. The latest casualty in the “hospital-consolidation-for-sport” trend is Albert Lea, a small ...

Read more...

I entered the room to see a face that I recognized. As soon as I looked at my chart, I immediately knew this patient. I saved their life last year. I know this because the patient told me so. The teachers and mentors that I was privileged to learn from and train with 25 years ago emphasized the essential principle of osteopathic medicine — we make physical contact with our patients. ...

Read more...

As Congress returns from its summer recess, the health care debate is sure to heat up … again. And over the past few months, the debate has had a significant impact on public opinion. A recent report describes how Americans currently view the ACA. According to national polls, over 90 percent of Americans would change the current law. Most Democrats would expand ACA coverage while most Republicans ...

Read more...

What should you do if an insurance company denies a test?  Record the name of the denying physician in the chart and take the burden of the denial off of your shoulders and onto the shoulders of a faceless, algorithm-following insurance clinician.

Is the practice of medicine a different experience for male and female physicians? Two recent studies from athenahealth suggest that it is -- in ways that should make us rethink what we value in health care. The first study found that male physicians are more productive than their female counterparts. In an analysis of 47 million visits on the athenahealth network in 2016, male physicians generated 30 to 40 percent more ...

Read more...

249 Pages

Most Popular