As my husband passed the milestone birthday of 40, he thought it would be a good idea to get a physical exam as it had been several years since he saw a physician. Easy task, right? We soon came to find that the landscape of health care had been changing even faster than we thought. We had just moved and needed to establish care in a new area. Multiple phone calls ...

Read more...

In the United States, the health of African-Americans lags behind most other racial minority groups.  Compared to whites, black men and women face higher risks of chronic illness, infection, and injuries.  Taken altogether, the average life span for African Americans is six years less compared to whites.  If we can begin to acknowledge that health outcomes are often dependent on factors outside of the control of individual patients, their physicians, or their health ...

Read more...

An excerpt from Curing the Cancer in U. S. Healthcare: StatesCare and Market-Based Medicine. Clinical doctors can readily understand the continuing failure of the U.S. health care system. The attending physicians for Patient Healthcare–Washington, both legislative and executive branches–keep ...

Read more...

Climate change. Global warming. The greenhouse effect. Devastating wildfires, dangerous air quality. Catastrophic weather events and mass human migration. It all sounds like post-apocalyptic fiction except that it's real. Inside our air-conditioned offices and homes, it can still be possible to be optimistic. Maybe it's nothing out of the ordinary. Maybe it isn't our fault and would have happened without human activity. Maybe we don't know what will happen and ...

Read more...

Whenever I give a talk about health care, I ask the audience, “What is the worst addiction problem we have in the United States?” The answers are typically the same, and all are good guesses — alcohol, tobacco, opiates, and sugar are most frequently cited. I agree these are all terrible addictions that need to be addressed, but, in my opinion, the worst addiction in America right now is health insurance. That ...

Read more...

The World War II veteran, now in his 90s and receiving hospice for end-of-life care, was playing military anthems on his harmonica for fellow veterans. But the next minute, reliving the horrors of combat, he grew agitated and started to cry.  “Oh, all those bodies!” he suddenly called out. “Terrible, terrible! Oh, the bodies.” He finally blurted out what he had kept to himself for decades. Two days later, he ...

Read more...

Next in a series. I have developed a framework, which I call the Healthcare Incentives Framework, that helps me understand health care systems. It outlines the jobs we expect a health care system to do for us and identifies which parties in the health care system have the primary incentive to fulfill each of those jobs. This is helpful because, if we are unsatisfied with how ...

Read more...

I'm a healthy 48-year old, ASA physical class I anesthesiologist. At least I was healthy until an unintentional 20-pound weight loss over the summer, accompanied by an unquenchable thirst, insatiable appetite, blurry vision, and the bathroom frequency of an elderly prostatic. My lab workup would reveal a fasting blood sugar of 310 mg/dL, an A1C >14, positive urine ketones, low C-peptide, and glutamic acid decarboxylase antibody (GAD-65) level that was off ...

Read more...

Next in a series. In my previous post, I explained the basics of my Healthcare Incentives Framework, which enumerates the jobs we want a health care system to do for us and links them to the parties in the health care system that have the greatest incentive to fulfill those jobs. If you haven’t read that post, I recommend you read it first. For those ...

Read more...

A lot of media attention, including television, print, and online sources, is focused on various plans to revolutionize the delivery of health care in America.  Critics point to medical errors, waste of resources, and lack of access among the numerous factors requiring the replacement of our health care system.  To many politicians and think tank experts, the combination of government support programs (including Medicare, Medicaid, and Social Security disability) plus ...

Read more...

241 Pages

Most Popular

Join 150,000+ subscribers

Get the best of KevinMD in your inbox

Sign me up! It's free. 
close-link
✓ Join 150,000+ subscribers 
✓ Get KevinMD's 5 most popular stories
Subscribe. It's free.