Primary Care

Health care price transparency: Why patients are bypassing insurance

Physician

February 26, 2026

I recently went to Quest Diagnostics for a TB test and a couple of basic labs my doctor ordered. At check-in, I recalled my insurance had changed in the new year and I did not have the updated information readily available. I did not have time to reschedule nor sort it out so figured I could pay cash and reconcile it later. That seemed reasonable, if inconvenient.

When I asked what …

Informed refusal vs. denied care: a dental case study

Aaron S. Rosenberg

Conditions and Diseases

February 25, 2026

I went in for a routine dental cleaning. It was never provided.

I’ve spent my career on multiple sides of health care, independent practice, hospital-owned systems, and health insurance, which has made me acutely aware of how incentives and operational norms can quietly shape care. Still, what happened during this visit surprised me.

After I was brought back to the exam room, I was told bitewing X-rays would be taken before the …

Agentic AI: the key to saving annual preventive exams

Sara Pastoor, MD

Physician

February 21, 2026

Annual preventive exams have been a staple of American medicine for decades. Yet despite their importance, preventive visits remain underutilized in American health care, which is no surprise in a system that centers sick care and incentivizes churning out services instead of improving outcomes.

In fact, only 60% of Medicare beneficiaries complete their annual well visits, and less than 65% of children under 19 complete their well-child check-ups. When …

Physician burnout: Finding peace in a broken health care system

Jessica Singh, MD

Physician

February 20, 2026

Among the people exiting the hospital, I could easily pick out the medical staff leaving their shifts. It wasn’t by their clothing or the time of day, but by the unspoken language of relief on their faces: a calm twinkle in the eyes or a gentle softness around the forehead and jaw. Dawn or dusk, the look was always there. I hoped I’d have it too when I left later …

The 3-2-1 method: a doctor’s guide to keeping New Year’s resolutions

Anthony Fleg, MD

Physician

February 19, 2026

Welcome to the first weeks of the new year. A great moment to check in.

How are you doing? How are you feeling? Energy level?

The first days of the new year come with a lot of excitement and a lot of pressure.

Excitement for the sense of renewal and becoming better versions of ourselves. Excitement in putting the last year to rest and starting with a clean slate. Excitement at putting down …

Systemic strain creates the perfect environment for medical gaslighting [PODCAST]

The Podcast by KevinMD

Podcast

February 13, 2026

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Otolaryngologist Alan P. Feren discusses his article “How system strain contributes to medical gaslighting in health care.” Alan explores why encounters that patients experience as dismissive or manipulative often stem from communication …

My wife wants me to retire

Sandy Brown, MD

Physician

February 13, 2026

At our yearly Christmas medical staff dinner this last year, our chief of staff asked all the doctors present who had been working at our hospital for five or more years to stand up. Quite a few of us rose. He then asked those who had been there 10 years or more to remain standing. After half of us sat down, he upped the ante to 15 years, then to …

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My wife wants me to retire

The necessity of getting lost to find yourself

Michele Luckenbaugh

Conditions and Diseases

February 11, 2026

We are born into corridors,
measured, labeled,
painted neutral,
walls rising before we learn how wide
our thoughts can stretch.

Lines are drawn early:
This is far enough,
this is acceptable,
this is where you stop.

We are told our ideas must sit quietly,
folded into boxes like unused maps,
that imagination is dangerous if it wanders,
that questions should behave
and answers should already be known.

Life, they say, is safest when it stays
inside the margins.

But something restless stirs
beneath the rules.
A pulse.
A whisper …

Employer-sponsored DPC: Why private equity is winning the infrastructure race

Dana Y. Lujan, MBA

Health Policy

February 11, 2026

More than a month after HSA-eligible direct primary care became available, independent practices remain unprepared for the operational complexity employer contracts require. The DPC community celebrated regulatory victory. Private equity prepared infrastructure.

That preparation became visible throughout 2025. Frontier Direct Care announced a $20 million Series B to expand its employer-sponsored DPC platform. Marathon Health, formed from the 2024 Everside merger, operates …

Simple choices prevent chronic disease [PODCAST]

The Podcast by KevinMD

Podcast

February 8, 2026

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Internal medicine physician Shirisha Kamidi discusses her article “Small habits, big impact on health.” Shirisha explains why prevention is often more powerful than treatment when addressing conditions like diabetes and hypertension. She …

Physician weight loss strategy: Why willpower isn’t enough in 2026

Archana Reddy Shrestha, MD

Physician

February 8, 2026

Shortly after Halloween, I hid my daughter’s candy haul.

Not because candy is evil nor because I’m trying to ban sugar from our house. But because I kept finding candy wrappers in random trash cans, and I realized that having a giant bag of candy sitting out was just too tempting for my family.

We have a similar rule with ice cream. We don’t buy it at the grocery store. If we …

AI censorship threatens the lifeline of caregiver support [PODCAST]

The Podcast by KevinMD

Podcast

February 6, 2026

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Certified coach and medical educator Kathleen Muldoon discusses her article “AI moderation of online health communities.” Kathleen shares the harrowing personal story of having her social media account disabled when an algorithm …

Primary care offers unexpected financial and emotional wealth [PODCAST]

The Podcast by KevinMD

Podcast

February 5, 2026

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Primary care physician Jerina Gani discusses their article “The hidden rewards of a primary care career.” Jerina challenges the common narrative that general practice is merely a stepping stone filled with paperwork …

When diagnosis becomes closure: the harm of stopping too soon

Ann Lebeck, MD

Physician

February 5, 2026

Medicine prides itself on early diagnosis and decisive treatment. We are trained to recognize patterns, apply categories, and follow pathways designed to reduce uncertainty. This approach saves lives. But there is a quiet point at which it can also cause harm.

That moment occurs when diagnosis becomes closure.

I recently spoke with a young woman in her 20s with endometriosis. She had done everything medicine asked of her: sought care, underwent surgery, …

Smart design choices improve patient care outcomes [PODCAST]

The Podcast by KevinMD

Podcast

February 3, 2026

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Physical therapists Ziya Altug and Shirish Sachdeva discuss their article “Why your clinic waiting room may affect patient outcomes.” Ziya and Shirish explore how the ambiance of a medical office significantly impacts …

Physician wellness is not yoga: Why resilience training fails

Tomi Mitchell, MD

Physician

February 3, 2026

Let’s talk about physician wellness.

Not the version that looks good in press releases or PowerPoint slides. I am talking about the lived, messy, heart-and-body version of wellness, the one that actually matters.

Because somewhere between the lavender oil diffusers and the “wellness committees,” the real meaning of physician well-being got lost. It has become a buzzword, something hospitals display proudly on banners and conference agendas, as if saying the word “wellness” …

Visual language in health care: Why words aren’t enough

Hamid Moghimi, RPN

Conditions and Diseases

February 3, 2026

Picture a “No Entry” sign or a speed limit. A simple red circle needs no translation for a driver in Tokyo, Tehran, or Toronto. That’s more than just convenience; it’s a global safety net.

But in health care, where a misunderstanding can be deadly, our communication hasn’t kept up. We still rely overwhelmingly on words, pages of dense text handed to patients who are stressed, exhausted, older, or struggling with a …

The milkweed and the wind: a poem on aging as renewal

Michele Luckenbaugh

Conditions and Diseases

February 1, 2026

The years pass without ceremony.

They do not always announce themselves.
Sometimes they slip by like quiet weather,
like afternoons we cannot later recall
except by the way the light
once rested against a wall.

Time moves like autumn wind,
unannounced,
persistent,
tender in its own indifferent way.

A milkweed stands in a field,
having grown tall without noticing
the exact moment it became mature.
Its green has deepened,
its stem stiffened with understanding.

Now the wind arrives,
and the pods open
not in grief,
but in readiness.

Each …

Women in health care leadership: Navigating competition and mentorship

Sarah White, APRN

Conditions and Diseases

January 31, 2026

In recent years, medicine has become more open about burnout, workforce shortages, and the challenges facing women in health care leadership. We write about mentorship programs, leadership pipelines, and the need to bring more women into ownership and executive roles. We celebrate women who build clinics, lead departments, and create space for others to rise.

What we talk about far less is what happens when women actually meet each other in …

Moral courage in medical training: the power of the powerless

Kathleen Muldoon, PhD

Medical Education

January 31, 2026

I have the great honor and privilege of coaching medical students throughout their training. In the past week, several students have shared experiences that have stayed with me: On clinical rotations, some shared stories of being referred to only as “student one” or “student two,” their humanity quietly erased. Others described managing food and housing insecurity while carrying the financial burden of medical education. Still others, particularly students with darker …

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