acp new logo A guest column by the American College of Physicians, exclusive to KevinMD. Although I work for the American College of Physicians, I’m writing this as a general internist who has practiced both primary care and hospital-based medicine for over 25 years. Hopefully by now, you are aware of Better is Possible: The American College of Physicians’ ...

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I became a physician to help people. So isn't fighting for issues that help protect my patients such as racial equality, LGBTQ rights, gender pay equity, access to health care, and education all part of patient care? Don't my patients want to have a doctor who is fighting for them both in the office and outside it? When I started working as a resident physician and later went on to my attending ...

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109. This is the number of people who died each day from firearms in the U.S. in 2017, the most recent year for which the CDC has published data. It is a staggering number, one that deeply damages the fabric of communities and tears families apart. What's perhaps most disconcerting is that this number – 109 – may not come as a shock. We have become so numb ...

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Currently, in America, there are only three legal groups of prescribers, the physicians (which include MDs, DOs, DPMs), the nurse practitioner (NPs), and the physician assistant (PAs). The first class of physician assistants, in 1965, was also the year of the first class of nurse practitioners. Today there are nearly 300,000 NPs In America and 123,000 PAs. PAs are outnumbered almost three to one, and the trend, with the rapid rise, and ...

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As a child, when I first read The Little Prince and saw the picture of the boa constrictor swallowing an elephant, I would often ponder what it felt like to be the elephant. Later in seventh-grade science class, when I learned of amoebae and how they surround and digest neighboring life forms for their sustenance, the same wonder followed. Enlightenment to what it feels like to be subsumed came to ...

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Readers of my articles know that no one has been more critical of Obamacare's flaws––particularly over the impact the program has had on middle-class consumers in the individual health insurance market. And, readers already know that no one has been more supportive of the Medicaid expansion from the very beginning. Now, the Trump administration wants to give states the option to abolish the open-ended federal funding of Medicaid ...

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 Working in urgent care, I've started supervising some of the other providers at sites other than my own -- 19 sites in all in Pennsylvania and Delaware -- so I hear about a lot of patient situations.

The urgent care site where I work is in an affluent area.  Most of our patients are employed or retired and have health insurance, though I have certainly encountered a number of patients ...

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Gun violence has become a public health epidemic. Despite countless deaths in mass shootings over the last two decades, the Dickey Amendment—a provision inserted into the 1996 spending bill which blocked federal funding for research on gun violence—remains on the books. While every politician, media pundit, and policy expert “know” the solution, the answers are not that simple. In reality, the factors which have fueled the rise in gun violence across ...

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Protecting your lifestyle starts with protecting your income. Disability insurance provides a solid foundation for your financial future by providing you income when you’re unable to work due to an illness or injury. When most people hear the word “disability,” they immediately think of accidents. But the reality is that 90 percent of disabilities are actually caused by illnesses. Disability insurance is more complex than other types of insurance. We recommend ...

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Spiraling costs, poor quality outcomes, and inequities in access to care are driving significant and long overdue changes to the way health care is administered and managed in the United States. And while the U.S. spends more on health care per person than other wealthy countries, its health outcomes are no better than those in other developed countries. In fact, it performs worse in several health metrics, including life expectancy, infant ...

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