In no other field is change received with so much resistance and skepticism than in medicine.  The oath taken by physicians to “do no harm” is profoundly ingrained in the medical culture that any deviation from tradition is regarded as near blasphemy. As a physician, I frequently catch myself relying on superstition and past experiences more than on evidence and proof of progress.  As the world is witnessing an unprecedented technological ...

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After writing about the coming demise of the Affordable Care Act, I began to think, again, about why it costs so much to deliver health care in this country. If it were cheaper, legislation to make health care a right, rather than the randomly distributed privilege it is now, would be so much easier. Medical costs doubled every decade from 1960 through 2000. This happened in tandem ...

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A month into Donald Trump’s presidency, it is clear we are in for a wild and dizzying ride.  As is typical in matters of opinion, post-mortem analyses on how we got here are frequent and varied. However, I believe the Affordable Care Act was the iceberg which sunk Hillary Clinton’s ship.  Sure, there were both real and fabricated scandals which dampened enthusiasm among potential Clinton voters.  There were the emails.  There ...

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It won't work. Obamacare works for the poorest that have affordable health insurance because all of the program's subsidies tilt in their favor. Obamacare doesn't work well for the working and middle class who get much less support -- particularly those who earn more than 400 percent of the federal poverty level, who constitute 40 percent of the population and don't get any help. Because so many don't do well under the law, ...

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I can envision a comprehensive design for health care in the United States that will expand access and control costs while conforming to our shared national values of personal responsibility, care for thy neighbor and free enterprise. After dozens of attempts to repeal, defund, delay or restrict Obamacare, the Republicans now have the opportunity to do all of the above. The problem is that it is not clear what should be ...

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I’m a member of the 25,000-strong medical school graduating class of Obamacare. We were pre-med college students during the debate over the Affordable Care Act (ACA) and began medical school during its implementation. We put ourselves into deep debt and studied late into the night with the promise that we would practice medicine in a system that promoted insurance coverage, reduced medical bankruptcy, and incentivized high-quality care. Increasingly, we see that promise ...

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America’s health care system is broken and no longer works.  Many practicing physicians are unhappy with the way insurance companies control medicine.  Most patients are unsatisfied with the benefits they receive from the health insurance companies and with the lack of choice they have in who cares for them.  Patients are frustrated with the exorbitant cost of prescription medicine.  They wonder why this system often doesn’t allow them to receive ...

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I was raised in a family that hates taxes. Not hates taxes as in, “Gosh, it’s too bad such a high percentage of my paycheck goes to the government.” More like: “How dare the government steal my hard-earned money and give it to undeserving moochers?” (Is there such a thing as a deserving moocher? Sorry, I digress.) The origins of this anti-tax sentiment are deeply ideological, steeped in a frothy mix ...

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Health care costs are out-of-control, and many patients can no longer afford medical treatment. The system is broken, but no real fixes are visible on the horizon. Sure, politicians debate the road health care should take and act like they are very concerned about the health of Americans. Truthfully, however, they are driven by political agendas corporate influence. Little discussion is given to what it would take to fix the ...

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It has come to pass: President Donald J. Trump. Are you scared? Are you planning to “resist” the policies you imagine President Trump will pursue by tweeting furiously with clever hashtags galore? Would you prefer to move my fastidious quotation marks from “resist” to “President”? This is, after all, the first President in a very long time to take office without the blessings and financial support of established “world order” ...

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