A recent report by Merritt Hawkins, the physician recruiting firm, includes two key revelations about the impact of the COVID-19 crisis on physicians: Merritt Hawkins’ searches on behalf of prospective employers have dropped by 30 percent since March 31, and up to 35 percent of practices in some markets might soon close because of their unsustainable financial losses. As of late May, visits to physicians—both in-person and ...

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As CNN and other outlets report, rates of COVID-19 have been overwhelming Imperial County, California, for the past two months. Bordered to the west by San Diego County, to the east by Arizona, and to the south by Mexico, the rate of new infections and deaths are higher here than anywhere else in California. Local hospitals have been flooded, and a federal field hospital ...

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Earlier this summer, the Trump administration announced new rules that would eliminate asylum eligibility for people arriving from countries where COVID-19 is "prevalent," even if they are fleeing for their lives. This is the latest in a string of anti-immigrant policies being pushed forward during the pandemic under the guise of public health. As physicians who care for migrants within and outside of the United States, ...

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Spoiler alert: If you are looking for the “right” answer as to whether or not your school should reopen for in-person teaching or if you should send your kid to school (versus virtual learning), you will not find that answer below.  But you will find some factors to consider in making a decision for your family. Given that I am in multiple Facebook physician groups and parenting/community groups, my Facebook feed ...

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Is it possible to have it all?  Can you have a job that you love, helping people and using your brain and hands all at the same time; plus, a family, with a spouse and children, that you are always there for?  Is it possible to have a balance between your work and your family live while working as a medical practitioner? I would argue, it depends.  About 15 years ago, ...

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With the news that nearly 6 million Americans have lost their employer-sponsored health due to COVID, it is finally time to ask ourselves: is the “American Model” of health care working? The “American Model” is a system of fragmentation: one in which changing jobs can mean lapses in insurance, moving to a new state can mean losing Medicaid eligibility, and getting a raise can mean financial ruin ...

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Five years ago, if you asked oncologists at my practice to name the list price of a given chemotherapy agent, most wouldn’t have known--unless they were executives, maybe. Pharmaceutical reps rarely talk about costs. The EMRs don’t give list prices. And when we input drug orders back then, no cost analyses were offered. These days, those same oncologists can quote efficacy and cost data chapter and verse for a variety of ...

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As a medical student, I have discussed with classmates and faculty how to handle a potential patient interaction on vaccinations. Learning how to handle a patient who may be misinformed may be best through experience rather than lectures. During the COVID-19 pandemic, this experience may come sooner and be more commonplace than I previously expected. While anti-vaxxers currently make up a small percentage of the United States, their
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As we all grapple with what it means to live in society battling a global pandemic that is so fundamentally altering the way we interact with one another, we are faced with several questions we haven't faced before in our lifetime: how are we going to move forward from this? What does a post-COVID-19 world look like? When will we be able to go back to "normal"? While all of these ...

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As protests broke out on the streets of downtown Cleveland and the National Guard camped outside the hospital, I delivered a beautiful, Black baby boy. In some ways, that night was like any other night. Another vaginal delivery, another moment filled with love and joy that I had the privilege of sharing with a family. But this delivery felt different. Medically, the patient was fine. My checklist of assessments after the ...

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