In the United States, there is clear evidence that minority populations continue to be underrepresented in clinical research related to new therapies for common and serious long-term medical conditions such as type 2 diabetes (T2D). This is despite these same populations facing a continuing and disproportionate burden of T2D, which shows no signs of abating. Black people have one of the highest rates of T2D (13.2 percent), a rate almost twice ...

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Primary care is on life support. COVID-19’s toll on American health care extends beyond the hospitals and medical workers besieged by infection. An equally insidious but less-visible crisis is engulfing primary care, the long-neglected foundation of our health care system. Given the role of America’s largest corporations in providing health care benefits, the C-suite should be on high alert.

As growing numbers of patients postpone appointments over concerns about ...

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acp new logo A guest column by the American College of Physicians, exclusive to KevinMD. The recent occurrence of widespread civil unrest in the context of the coronavirus pandemic has challenged us as physicians about our appropriate role in dealing with both. The response of doctors to the pandemic has been fairly straightforward.  The central role of individual physicians ...

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Across the globe, the month of March became a turning point for the COVID-19 pandemic. Amidst daily clinical updates, dramatic increase in cases, and rapid policy changes, International Women's Day – an observance that allows gender equality to take the spotlight – came and went. Since March, COVID-19 worsened existing health disparities, further exacerbated by unacceptable police brutality, Read more...

Every day since George Floyd’s death, I have read to my five-year-old, brown-skinned boy about reasons to love his skin. After reading a book that explained how black and brown-skinned people are not always treated fairly, he asked, “Does that mean white people are mean?”

As we discussed ways that systemic racism plays out in society, this was exactly the generalization I feared. In the process of explaining how ...

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In the wake of George Floyd’s death and the rush of similar stories from around the country, many have called to “defund the police.” While critics paint this as a reactionary response to high-profile incidents, the phrase deserves deeper consideration than that. The killings of George Floyd, Ahmaud Arbery, Breonna Taylor, and countless others are not isolated incidents. They are symptoms of a systemic flaw in our criminal justice system. ...

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First and foremost, a mental health crisis is a medical emergency well within the sector of public health. Therefore, the question of who should respond to mental health emergencies is one in which physicians and all medical providers should have a say. Medical providers should not only be aware of the systems in place to respond to mental health crisis but must advocate for patient safety as a measurable outcome ...

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“I used to shoot people like you,” the patient said to me. He was one scary Vietnam vet, and I was one scared second-year resident.  Though not Vietnamese, I figured correcting him wouldn’t matter.  As an Asian American (Chinese on my dad’s side, Japanese on my mom’s), I’d experienced racism and bigotry before, and from different races, not just white.  Even as a doctor, I understood I ‘d still encounter it.  ...

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1. Thou shalt first become comfortable with having uncomfortable conversations with thyself, before ever trying to have them with any other person. At this point in our earthly lives, we must — as a matter of urgency — get into that space of vulnerability and face our fears and insecurities. Dig deep to figure out why we are uncomfortable and get past that point with intention and focus. 2. Thou shalt educate ...

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I fixed my gaze across a sea of white coats, scrubs, and face masks, as I took a knee in front of my institution’s hospital. A photographer was walking around capturing historical moments while we spent 10 minutes in silence to remember all the black lives lost due to intolerance and racism. Over the past couple of weeks, I have gotten a surge of emails from my institution’s faculty and administration, ...

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