“You’ve got some guts starting your residency pregnant!” I was that intern.
It was June 2011. A few months earlier, on Match Day—the day when the National Residency Matching Program releases results to applicants seeking residency in a specialty of their choice in the U.S.—I had found out that I’d gotten into my first-choice hospital residency program in pediatrics. I started my residency four months pregnant, and one of my attendings …
My friend and colleague, Alex Berezow, wrote a piece titled “Is the U.S. doctor shortage intentional?” The writers at ACSH share their work before publication to get feedback, and in the case of Alex’s latest, we disagreed. While much of what he wrote is factual, without the nuance of the setting, it fails to tell the entire story. So here is not so much my rebuttal but the rest of …
As the world emerges from COVID-19, we must remember there is a silent yet devastating health crisis: our diets. In this era, convenience reigns supreme, with ultra-processed foods infiltrating everyone’s lives, leading to surges in preventable diseases and deaths. This crisis is more than individual food choices; it is a systemic issue affecting millions, especially in low-income communities.
One of the biggest drivers of the crisis is the ubiquity of …
Most hospitals are now also requiring fingerprinting and immunizations, with some demanding double PPDs. Extra COVID boosters and proof of previous immunization for MMR, Hepatitis B, and Varicella are now required. They require current titers. COVID cards are no longer valid and also require a printout of where you received them. Hospitals are reaching a point where they will have no one to work.
Working in credentialing now and being on …
The evidence is clear: Proximity to fossil fuel infrastructure poses a significant cancer risk to millions of Americans. Studies consistently link exposure to pollutants like benzene, polycyclic aromatic hydrocarbons (PAHs), and particulate matter from fossil fuel facilities to elevated rates of lung cancer, leukemia, and other malignancies.
Alarmingly, 17.6 million Americans live in close proximity to active oil and gas wells, transportation pipelines, and processing facilities, …
It is no secret that we are making great strides in reducing the mortality of lung cancer. From improving screening rates which have reduced the chances of dying from lung cancer due to earlier detection, increased adoption of minimally invasive surgical techniques, and exciting new drugs that have been shown to improve survival even in metastatic disease, there is reason to be hopeful in what has usually been a devastating …
The evolving health care landscape presents a growing demand for skilled providers. To meet this challenge, health care leaders must prioritize innovation and explore solutions that leverage existing resources to deliver the high-quality care that patients deserve.
The U.S. health care system faces a looming crisis: a critical shortage of clinicians. The Health Resources and Service Administration predicts a shortfall of nearly 140,000 physicians by 2036. Compounding this issue, a …
My hearing precipitously declined four years ago. As a patient and practicing physician, I became dependent upon hearing aids. Thus, I was introduced to the off-putting business of hearing aids in America.
The American hearing aid market is estimated to generate between $3 to 4 billion per year annually. It is expected to grow six to eight percent annually as our population ages. Assistive listening devices can be a vast mystery …
“I’m sorry, but we’re unable to accept this patient into the program right now due to a shortage of Spanish-speaking workers.”
I have lost count of the number of times I’ve had to say this statement to the various referral sources that call me daily, requesting services for immigrant patients.
Jane is a single parent from Guyana. She traveled to New York to visit family with her daughter, who was …
Labor shortages have become a pressing concern across the health care sector, with the nurse staffing crisis looming large over hospitals and health systems nationwide.
A report from the Massachusetts Health Policy Commission illuminated the severity of the workforce challenges, revealing a doubling of vacancy rates for registered nurses in the state’s hospitals from 2019 to 2022. Despite concerted efforts, the problem persists, with health systems still resorting to costly pandemic …
Recent regulatory changes create a national staffing level for nursing facilities. Despite the much-needed rule change and the well-known stench of understaffed nursing homes that many Americans dread going to, most of the news cycle has portrayed this as a negative development. This is but one example where our patients are being manipulated into beliefs and actions that are contrary to their best health care interests. Recently, the same lies …
17th Street – nestled between Jackson Memorial, a major U.S. safety net hospital, and Camillus House, the largest homeless shelter in South Florida – is empty. There are no bicycles or tents belonging to the individuals who typically inhabit the area. There is no line outside of the Three Sisters where people usually wait for a meal. The street is quiet and desolate.
We visit 17th Street every Saturday morning with …
It is no secret that the U.S. lags greatly behind other developed nations in maternal health outcomes. When we hear the stories of women like Shalon Irving, who died three weeks after giving birth and whose pleas for help prior to her death were all but ignored, or the story of Kira Johnson, who was left hemorrhaging for ten hours in the hospital after what was supposed to be a …
In the not-too-distant past, health care was a local industry. If you saw a doctor, they were likely a solo practitioner. If you went to the hospital, it was probably run by a local religious order or non-profit. Health care leaders and board members shopped at the same stores as their patients did, socialized in the same community groups, and sent their children to the same schools. Today, though, health …
The medical alert blared over the hospital’s public announcement system. Someone was down in the medical office building. A medical team, including myself and a doctor, rushed with a portable cot to find a man in his early 30s unconscious on the waiting room floor.
The man hadn’t been feeling well and was waiting to see his doctor when he passed out. We whisked him to the ER, and I …
America’s health care system, much like Congress, is broken, and doctors have to be part of the solution. I don’t know a single doctor who doesn’t wish to improve our ability to increase access and the delivery of health services to our patients. Maintaining and/or improving the health of patients is our goal. That should be the goal of anyone associated with the health careRead more…
The U.S. infant mortality rate, children who die under one year of age, rose to its highest rate in two decades in 2022, up about 3 percent to 5.6 infant deaths per 1,000 live births.
At the same time, the nation’s neonatal mortality rate, infants who die in less than 28 days, increased by 3 percent from 3.49 to 3.58, and the post-neonatal mortality rate, infants who die between 28 days …
Since January 1, 2023, the Transparency in Coverage Rule required health insurance providers and health insurers to provide price information to participants in a publicly accessible place. This means consumers should, in theory, be able to go to any payer’s website and see what different doctors, hospitals, and health systems are charging for the same services. The law was meant to allow consumers the ability to shop for health care …
“Shoot! Shoot in the heart,” local Miami resident Donald Armstrong screamed while waving around a screwdriver on his front porch during the peak of a mental health episode. Despite pleas from his mother not to kill her son, Armstrong was tased and shot over a dozen times. A 911 call tragically escalated into a perilous encounter with the very people tasked to help.
Our …
There are frequent accusations against physicians and other health care professionals regarding their behavior and/or education: they cannot communicate, are misogynist, racist, and ageist, and are poorly educated, despite American physicians training longer than those in other developed countries. But are these complainants aiming at the most obvious, though not most significant, target? There are more pressing problems than patient-provider relationships, as serious as they are, weightier concerns that are …
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