Medicaid is the largest single health insurance program in the nation, spending more than $500 billion to serve the most vulnerable people with some of the highest need, including children, pregnant mothers, people with disabilities, the poor and the elderly living in nursing homes. Recent proposals to repeal and replace Obamacare – such as the American Health Care Act (AHCA) – would fundamentally change the Medicaid program. ...

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For years, health care reform has pursued the holy grail of higher quality at lower cost. I’ve always believed it’s achievable, and now it’s needed more than ever. The U.S. health care system is failing. Costs continue to increase faster than our nation’s ability to pay, and the quality of our outcomes lag those of most other industrialized nations. People increasingly ask me what concrete steps could make a difference. The ...

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While Thomas Jefferson may have written that “All men are created equal” in our Declaration of Independence, nothing could be further from the truth when it comes to health care in the United States. As a physician, I have pledged to ease suffering and heal those who are sick. However, I find that my job has become increasingly difficult over the last several years. The Affordable Care Act (ACA) has ...

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Single-payer health care remains the holy grail for Democrats seeking the ultimate in command and control government. Wealth redistribution on a previously unimaginable scale. The nanny state government controlling all aspects of everyone’s life, as few human activities don’t influence health in some way. Congressional Democrats are locked and loaded with federal legislation expanding Medicare to everyone. Specifically, this bill would provide, “all individuals residing in the United ...

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I'm a medical student. I spend every day of my life considering the well-being of my future patients, and the detrimental impact that various health care policy proposals will have. I'm not going to lie. The ACA has problems. It's not perfect, and I won't wave the flag and pretend it's the greatest thing ever. The reality is that the ACA plans are often cost prohibitive. The lack of a ...

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We are visiting the grandparents in New York City for spring break.   Spring has been sporadic thus far, more of a series of trailers rather than the feature presentation.   The overhead warming lights and warm air greets us as we escape from the cool evening into the grandparent’s glittery apartment building.  Although this specific location is not near Times Square, it has the gold leaf on the ceiling and lights ...

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It’s been a long day at the hospital. Between rounds and writing notes, you’ve already skipped lunch.  In a spare moment, you manage to scroll through the news on your phone, and for once aren’t interrupted by a call or page. What you read makes you anxious, confused, or relieved -- or all of that and more. You like, retweet, share, maybe donate, and then return to your last chart ...

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Advocacy on the Hill can be a challenging, since it’s never clear how much a single person or small group of people can impact an issue. However, that fact alone should never stop anyone from doing advocacy work. Jessica Isom, Nkemka Esiobu, and myself had met with Dr. John Krystal (chair of the Yale psychiatry department) regularly to discuss about an advocacy day at the Capitol. We were three psychiatry residents, ...

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In any educational environment, there’s a set of buzzwords that create a common vocabulary. Medical students constantly hear about “bench-to-bedside research,” “evidence-based medicine,” and “compassionate care.” Meanwhile, business school students can’t stop talking about “aligning objectives,” “disruptive innovation,” and of course, “synergy.” One of the most frequently used phrases in both schools is “big data.” The idea is that with bigger, faster computers and new analytical techniques, we can now sift ...

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I recently attended the annual Society of Hospital Medicine conference in Las Vegas. As a proud hospital medicine doctor, this organization has grown exponentially over the last decade, and thousands of hospital physicians from across the nation descended on the city for a few days of great learning and networking opportunities. However, away from the conference, this being Vegas, there had to be some time for fun as well. On Saturday evening, ...

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