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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As with most everyone else, I am watching the presidential race with something akin to amusement and horror alike. And as with many people, I feel that the U.S., as a nation, failed to find a suitable candidate for this presidential election. While there does need to be some test for fitness for office, I remain aghast at the medical speculations and facts being leaked about the presidential candidates. Reading this ...

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Recently, a federal audit found that the Obama administration has illegally redirected funds related to collections from the Affordable Care Act that, by law, should have been deposited in the U.S. Treasury. President Obama, under the guise of executive order, used these tax dollars to bail out insurance companies that have experienced hundreds of millions of dollars in losses due to their participation the Affordable Care Act (ACA) exchanges. In their ...

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I well remember being bullied on the school bus. On many cold, wet mornings (a large portion of the year in West Virginia, by the way), I found my junior-high self sitting in front of high school juniors and seniors who turned their class rings upside down, then used them to hit lesser life forms on the top of the head in a whipping motion. Turning around in pain and ...

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My dad is a locally famed and sincere career politician. All my life I have seen him value public service over personal wealth.  As a young lawyer, he worked in Washington DC for the Department of Justice during the civil rights movement, and he often shares stories of his tour of duty in 1960’s Alabama. After that service, he came back to West Virginia where he has been elected to ...

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For all the media’s (and candidates’) attention to candidate health over the course of this presidential campaign, we seem to be spending precious little time in the presidential debates discussing the candidates’ actual health plans. Those on the left have “diagnosed” Mr. Trump as unhinged and mentally unstable, calling attention to a narcissistic personality consistent with a DSM diagnosis, though in violation of the “Goldwater Rule.” They have further raised the 
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For me, the saddest part of the 2016 presidential election is not that we have two of the most disliked presidential candidates in history but that so little attention is being paid to health care. You may have noticed that health care rarely comes up in campaign speeches or in debates, and when it does it’s often scripted empty promises. Donald Trump has a plan entitled “Healthcare Reform to Make America ...

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There is lots to love about American health care. We have some of the best clinicians in the world, as evidenced by the huge number of people who come to the U.S. from other countries when they are sick. Yet the American people are less satisfied with their health care system than are citizens of the majority of other developed countries. Why do people in the land of the Mayo Clinic ...

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Helping our patients make better health decisions can be a challenge. Whether we aim to get them out of bed in the hospital or off of the couch at home, factors contributing to follow-through may be complicated, and the best strategies to facilitate the right choices are seldom clear. As providers, we would hope that a long and healthy life would serve as the most powerful incentive for behavior change, but ...

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The school year is back in session, and our student health center is busy.  As a college health doctor, I have been able to watch the rollout of the Affordable Care Act (ACA) among this population. Since its passage, more of our students are now insured, but many unique challenges still persist for this population. Young adults have historically demonstrated high rates of un-insurance. An estimated 30 percent of those 19 ...

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