To my dear patients, This has been a difficult time to be an American. I will never forget my walk through Central Park on the morning after the election; I have never felt New York so flat and somber. This election has brought out the worst in many. I have seen its ramifications in people’s health and fear that it may continue to have an impact. I want to express my ...

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I have a memory of feeling overwhelming anger and animosity as a 10 year old. I was holding my father’s spot in the checkout line at Walmart in rural Illinois as he ran to grab the paper towels he had forgotten. He quickly darted back in line into the spot that I had saved him as he knew leaving me surrounded by candy for longer than a couple of minutes ...

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Like many of you, I have experienced a turmoil of emotions since Tuesday night’s presidential election.  Sadness, anger, fear, disgust, and uncertainty have permeated my thoughts since I learned of our new reality.  What does the future hold?  What will the consequences be for my gay, minority, and Muslim friends, family, and patients?  How will this affect the vulnerable children that I care for every day? As I began to process ...

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The world is not going to end.  We witnessed a revolution earlier recently.  The people have spoken, and they chose the anti-establishment, street smart, government shrinking candidate who bucks the status quo.  We find ourselves in uncharted territory, with an unpredictable President-elect, who has unclear plans for health care.  Here is what we do know.  Mr. Trump is a successful entrepreneur.  Forbes describes the entrepreneurship pathway as having no ...

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While health care was a hot topic during previous presidential races, not much attention was paid to it in our current one. For the most part, many people think that Obamacare cannot continue as is: It costs too much, only a few insurances are now participating eliminating the market competition and laden with poor coverage with high deductibles. The world watched with bated breath as Donald Trump surprisingly won the ...

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On the election day that made Donald Trump the next president of the United States, I traveled to Lancaster, Pennsylvania to give a lecture. Long a conservative political stronghold, Lancaster County was dotted with "Make America Great Again" campaign signs, forecasting Trump's comfortable 47,000 vote margin there, which ended up being more than two-thirds of his 68,000 victory margin in Pennsylvania, one of the states that effectively decided ...

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According to recent research, a hug a day could keep the doctor away. According to another study, Twitter can predict the chance that people will experience heart attacks. A normal blogger would look at these two findings and tell a story about the relationship between stress and health. I’m not normal. I looked at these two studies and came to a different conclusion -- that we ...

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I have written before about predictions of the actual costs of Obamacare and the probable death spiral of increasing costs and decreasing participants. Several recent reports have brought more clarity to the cost realities. Recently regulators across the country approved rate hike requests by Obamacare insurance companies even greater than they originally asked for. For example, Pennsylvania regulators approved rate hikes of 33 percent, which was ...

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In her home country, everything is free. However, there is a catch -- certain services are only available to those who pay for private insurance. Those who are on the “free plan” sometimes must wait months for procedures. My patient said she knew many people who died on the list waiting for procedures. So, which is better: Free rationed care where people may suffer consequences waiting in line or overpriced care ...

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Americans spend more per capita on medical care than just about any other country and, yet they often have little to show for it. Americans have worse access to care than people in other countries, and are often less likely to receive primary care services, like preventive therapies and screening tests. Determined to address these problems, Medicare leaders have been testing out new models of primary care, hoping to find ...

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