Gun violence in America is a national emergency. We are tired of suturing closed bullet holes that our society refuses to prevent. Congress should return to Washington during the August recess and legislate universal background checks for all gun sales, establish so-called red flag laws nationally, and fund gun violence prevention research. As medical providers, we are gravely concerned about the impact gun violence has on our patients. Physicians are the ...

Read more...

Colorado’s ski resort areas in Summit County have a high cost of living, among the highest in the country. The people who visit these places — Keystone, Breckenridge and Copper Mountain ­— can afford it. Many of those who live and work there can’t, especially when they get sick. In addition to expensive rent, they pay some of the steepest health insurance premiums in the nation. Hospital costs are ...

Read more...

Pharmacy benefit managers (PBMs) including Express Scripts, CVS Health, and OptumRX are the subject of intense criticism by virtually everyone in medicine and politics. While the purpose of PBM’s group purchasing business model was intended to contribute to lower drug costs and premiums, many of their customers have not experienced these benefits. Instead, many patients are choosing not to take their medications or take ...

Read more...

In his response to mass shootings in El Paso, Texas, and Dayton, Ohio, President Donald Trump called for an expansion of state laws that temporarily prevent someone in crisis from buying or possessing a gun. A flurry of states have recently passed such laws — known as extreme risk protection orders — which allow a court to intervene when someone shows warning signs of impending violence. Although the laws are widely ...

Read more...

Sunlight is diminished by threatening clouds infiltrating the once azure blue sky, clouds that are framed in blackness indicating dangerous times ahead.  Nature's creatures are seeking refuge for they are wise to see the signs of impending danger.  If only man was wise enough to take cover. It was heralded as the dawning of a new age in health care for all: the electronic health record or EHR.  My interpretation and ...

Read more...

I wrote about this topic a few years back, but the recent outbreak of measles has once again ignited the debate of just what the government has the right to do or not do in compelling individual actions in support of public health. This is an old question, and it’s worth considering it in historical context. One aspect of the endless vaccine debate is the aspect of coercion some parents feel ...

Read more...

A career as a physician has traditionally been considered to be among the best vocations that talented students can pursue. That may no longer be the case. All too many doctors report that they are unhappy, frustrated, and even prepared to leave the profession. That should worry all of us. The physician burnout crisis is likely to affect our quality of care and our access to health ...

Read more...

When Michael Howard arrived for a checkup with his lung specialist, he was worried about how his body would cope with the heat and humidity of a Boston summer. “I lived in Florida for 14 years, and I moved back because the humidity was just too much,” Howard told pulmonologist Dr. Mary Rice as he settled into an exam room chair at a Beth Israel Deaconess HealthCare clinic. Howard, 57, has chronic obstructive pulmonary ...

Read more...

Something like one in seven people living in the U.S. have no health care insurance. In fact, the number of uninsured people has grown by 7 million since 2016. These numbers are atrocious. Embarrassing. Shameful, actually, in a country as wealthy as ours. We need to recommit ourselves to guaranteeing people access to affordable health care insurance.

And then we need to go one step ...

Read more...

Another emergency physician asked me what I think will happen if the “surprise bill reform” with a benchmark fix happens.  I told her privately, but I am sharing, so everyone can understand why I am working so furiously on a seemingly boring and crass issue of reimbursement.  I do believe that patients should be taken out of the middle and shouldn’t ...

Read more...

235 Pages

Most Popular

Join 150,000+ subscribers

Get the best of KevinMD in your inbox

Sign me up! It's free. 
close-link