I recently finished my geriatric psychiatry rotation. As a medical student and aspiring psychiatrist, I had the opportunity to participate in the care of those suffering from acute psychosis, depression, bipolar disorder, depression, and more — many of whom were dealing with suicidal ideation. While an engaging experience, I am worried. The climate crisis puts these patients at great risk. I’m a novice to climate advocacy. I’ve long considered myself to be someone ...

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Vote. These four letters reflect one of the most powerful actions in human history – the act of choosing who represents you and your beliefs. As an immigrant child and naturalized citizen, I was not born with the right to vote in the United States of America. Yet, I remember the day I first voted. As I walked into the polling site, I remembered how my grandmother in India offered ...

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Before he was another Black man shot by police, Jacob Blake could have been my patient. In Waterbury, Connecticut, where I practice as an internist, his shooting has left me to consider the health effects of the exposure of violence on his sons, who watched in horror from the back seat of the car as their father was shot eight times in the back by a white officer of the ...

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Academic medicine generally encompasses a tripartite mission of research discovery, clinical innovation, and the next generation of physicians and scientists' education. It is the ethics and social justice principles, practices, policies, and innovation that advance research and education in the health sciences, ultimately improving the health and well-being of all. This is its socially responsible mission. Yet, it seems chief diversity officers, equity practitioners, and scholars everywhere have ...

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If a core goal of our nation is to have the healthiest population possible, then we need to rethink, regroup, and restore our commitment to health practices and processes that are aligned with this mission. We are currently investing our precious social and economic capital into a health care system that is wildly inefficient, too expensive, confusing, and failing most of us. As costs continue to spiral upward, the patient ...

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Care. I do not believe we have ever heard more about care at a presidential nominating convention than in this year's Democrat convention. "Patriotism," "justice," "bravery," "strength"?  For sure.  But "care"? Scarcely a word. Yet we now hear that the role of the president is to "care about and for the people" he governs. Socrates spoke of the task of a ruler to care for his subjects as the shepherd who cares ...

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After three months of physical therapy, her doctor told her that it was time to get an MRI. She had already paid off her annual deductible, meaning the imaging test would “only” cost her the $150 co-pay. An imaging center near where she worked charged $1,500 for the test. Just two miles away, another facility would have just charged only $900 for the same test. She arranged to go to ...

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It has been eight years since I registered patients to vote in the Bronx. I remember the clinic, nestled in a busy commercial neighborhood with its modest windowfront facade. Inside, the flyer was posted everywhere. Among quilts of signs and reminders, it vied for attention with its large block letter logo, “I VOTE, I COUNT.” In the waiting room, our team approached patients to ask, “Are you registered to vote?”. I ...

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A recent edition of Pediatrics has some disturbing research: “Trends in Capability of Hospitals to Provide Definitive Acute Care for Children: 2008 to 2016.” What the paper really does is document what many of us who work in referral hospitals have noted for some time: More and more community hospitals are transferring children who appear in their emergency departments to other, larger facilities instead of admitting them to ...

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If the Democrats capture the White House, keep the House, and take over the Senate, the Biden health care outline stands a good chance of being enacted. The Biden health care proposal directly takes on the big things that haven't worked in Obamacare. Here are the things that are most broken in Obamacare:

  • The individual health insurance premiums and deductibles are, and have from the beginning of the program, Read more...

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