Traditionally, many medical students use the proverbial “last summer of their lives” to conduct basic/clinical research, shadow or go abroad. If you want to be a leader in health care or are simply unsure of what to do over the summer, you should try something more exotic and unexpected — work in finance or industry. Wall Street, big pharma and private insurers have long been the moral punching bags of clinicians ...

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The current conversation regarding health care reform in the U.S. is essentially pointless. It can be boiled down into four statements: Obamacare stinks, so we need to get rid of it; Obamacare doesn’t stink, so we just need to improve upon it; the insurance companies are to blame, so a government single-payer system is the best idea; the government is to blame, and only the free market can fix health ...

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American physicians deserve to be paid well for their work. As a physician, myself, I know what it takes to become a doctor in the U.S. Four years of late nights in the college library in hopes of achieving a GPA commensurate with medical school admission; then four years of medical school, which makes the college work load feel light in retrospect; then, in my case, three years of residency ...

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This week is National Primary Care Week, an opportunity to engage medical students and healthcare stakeholders in a national discussion around the tremendous role that primary care plays in our health care system. With so much debate about the high price of health care in the United States, too often one of the most effective methods of controlling costs is overlooked: primary care. A wealth of research continues to show that ...

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The news cycle over the last several days has been dominated by President Trump’s interjection into the row about NFL players refusing to stand during the national anthem.The media went into hysteria following his curse remarks, and a full-blown row has gone on to develop. Turning this issue into a national political one is a great shame on so many different levels, including not least the reality that ...

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An eleventh nursing home resident has died after an air conditioning failure following last week’s Hurricane Irma. The Rehabilitation Center at Hollywood Hills, located outside of Fort Lauderdale, was one of 160 nursing homes that had no electricity and no air conditioning, as power lines across the state were decimated by the storm. Yet, it was the only nursing home facility in the state of Florida where multiple deaths occurred ...

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Fatal police encounters can engender PTSD in non-white communities and forever impact interactions with police. In​ ​the​ ​last​ ​few​ ​years,​ ​we​ ​have​ ​witnessed​ ​in​ ​horror​ ​the​ ​erosion​ ​of​ ​trust​ ​between​ ​public​ ​servants charged​ ​to​ ​protect​ ​the​ ​community​ ​and​ the non-white ​communities​ they serve.​ ​The​ ​killing​ ​of​ ​Philando​ ​Castile​ ​and​ ​Charleena​ ​Lyles​ ​compounded the​ ​horror,​ ​as​ ​their​ ​violent​ ​deaths​ ​were​ ​witnessed​ ​by​ ​their​ ​young​ children,​ ​spouses and,​ ​for​ ​Philando,​ ​social​ ​media. ...

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The main character in the popular film Groundhog Day is caught in a time loop where he must repeat the same day over and over again. The U.S. Senate is now having its own Groundhog Day moment as it debates (yet again) a law to replace the Affordable Care Act. To add to the drama, Senator Bernie Sanders (I-Vt.) is promoting his single payer alternative popularly branded as “Medicare for All.” In a 
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Quality-based Medicare payment is far from a new concept. However, the Quality Payment Program (QPP), created by the Medicare Access and CHIP Reauthorization Act (MACRA), introduces a new vocabulary, complex requirements and fast-approaching deadlines. Physicians have little time left to successfully navigate the program and avoid penalties for 2017. A recent survey by the American Medical Association (AMA) ...

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Although I am now working part time, I still get my academy's monthly newsletter. I pretty much ignore the ads and any clinical studies that do not directly affect the work I am doing now, but I still find myself drawn to stories with a political bent. Namely, those stories that reflect the latest health reform controversy. The vast majority of these stories do not mention anything really new, just ...

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