Policy

Unveiling the global pandemic threat: insights into risk factors and urgent measures for prevention

Policy
June 4, 2023

As the current COVID-19 pandemic continues to rage across the globe, many are left wondering when the next pandemic will occur. The reality is that pandemics are not a new phenomenon, and throughout history, we have seen numerous instances of infectious diseases causing widespread devastation.

While we cannot predict with certainty when the next pandemic will occur, there are certain circumstances under which they are more likely to occur.

One such circumstance …

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Why the WHO’s pandemic accord is critical for global health care

Policy
June 2, 2023

In a recent article in Health Affairs, U.N. Foundation vice president Peter Yeo and former Director of The Global Fund Mark Dybul, MD, broke down the elements and imperatives of a process underway to develop a better approach to pandemic preparedness. Currently in draft form, the “Pandemic Accord” is being shepherded by the World Health Organization at the behest of its 194 Member States after the global COVID-19 response called …

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The revolutionary Kaiser-Geisinger deal: How health care giants are reshaping the industry and empowering patients

Policy
June 2, 2023

Health care’s most recent billion-dollar deal took the industry by surprise, leaving medical experts and hospital leaders grappling to comprehend its implications.

In case you missed it, California-based Kaiser Foundation Health Plan and Hospitals, which make up the insurance and facilities half of Kaiser Permanente, announced the acquisition of Geisinger, a Pennsylvania-based health system once acknowledged by President Obama for delivering “high-quality care.”

Upon regulatory approval, Geisinger will become the first …

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Unveiling the intricate link between housing costs and health care

Policy
May 29, 2023

While housing costs have escalated, health care costs have not been left behind. According to the National Health Expenditure Account (NHEA), health care spending grew 4.6 percent in 2019, reaching $3.8 trillion or $11,582 per person. The correlation between these two factors is multifaceted.

When housing is unaffordable, it consumes a large chunk of a household’s budget, leaving little for health care. This can lead to skipped doctor appointments, unfilled prescriptions, …

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Uncovering the truth about racial health inequities in America: a book review

Policy
May 29, 2023

When I started my intern year, that is my first year of training in medical residency, I noticed something peculiar about the epidemiology of disease in our hospital. The Black patients on the medical wards would often present with the morbidity of their diseases almost ten to twenty years earlier than their white counterparts. A Black person with leg swelling and shortness of breath who presented with advanced heart failure …

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Why affirmative action is crucial for health equity and social justice in medicine

Policy
May 26, 2023

Harvard and the University of North Carolina at Chapel Hill are among the higher ed institutions involved in a U.S. Supreme Court battle over affirmative action that is expected to be decided this spring or summer. As a former appellate defender in the Gratz v. Bollinger affirmative action case in 1993, as well as an emergency medicine physician serving under-insured patients, I know firsthand how affirmative action …

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The untold story of Hispanic/Latino health: Why subgroup data matters

Policy
May 25, 2023

In 2000, the question, “Is this person Spanish/Hispanic/Latino?” emerged on the U.S. census, grouping these populations for the first time on a national scale. Prior to this, there was no consistent or comprehensive way to collect data on the Hispanic/Latino community, making it difficult to understand their demographics, needs, and trends. This question provided policymakers, researchers, and community organizations with data to make informed decisions regarding education, …

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Unmasking the brutal reality of gun violence in America: a call to action for unity and meaningful change

Policy
May 22, 2023

On the night of April 28, 2023, in a sleepy community 50 miles north of Houston, Texas, bullet-riddled bodies of five human beings, including an eight-year-old boy, lay lifeless, cut down in the most gruesome way. Their only sin was asking for a night of peace, but their request was met with the deafening sound of gunfire from a neighbor brandishing an AR-15. This senseless tragedy is yet another grim …

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Family physicians unite at the U.S. Capitol, seeking congressional support for Medicare reform and health care transformation

Policy
May 22, 2023

Picture this: Hundreds of family physicians and future family physicians arriving on the steps of the U.S. Capitol to share the top challenges they face and to ask their leaders to make a purposeful investment in primary care. They’ve earned the right to make this request through the hard work, long hours, and comprehensive care they’ve offered patients and their families across the country. They served on the front lines …

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Breaking down barriers: Illinois bill calls for cultural competency training for physicians to improve health care for LGBTQ+ community

Policy
May 13, 2023

Illinois HB 4654 is a bill requiring physicians to undergo cultural competency training focusing on caring for patients who identify as lesbian, gay, bisexual, trans, queer, and two-spirit LGBTQ2S+, or questioning LGBTQ+. This training is critical for ensuring that all patients receive the best possible care, regardless of their sexual orientation or gender identity in the state of Illinois. Even though the bill has been …

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Breaking the cycle of racism in health care: a call for anti-racist action

Policy
May 10, 2023

May 25th marks the anniversary of the brutal murder of George Floyd. I remember feeling numb when I first heard the news. Then, some days later, the tears filled my eyes, then came my anger. It is frustrating that we still live in a world filled with so much ignorance and the complicit attitudes of individuals who gain from their white privilege. However, the experience of George Floyd, and the …

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The growing threat to transgender health care: implications for patients, providers, and trainees

Policy
April 30, 2023

The ACLU is currently tracking over 400 anti-LGBTQ bills this legislative session, the highest number on record. Over 150 of these pertain to transgender people, including many targeting health care for transgender youth.

As of April 2023, thirteen states have passed laws or policies banning gender-affirming care for youth, while more than fifteen others have introduced similar bills and policies. These actions may forbid or criminalize evidence-based medical treatment for …

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Here’s how to fix the public health system in the U.S.

Policy
April 29, 2023

Today, the current health care ecosystem is broken and in need of an overhaul. To start, this country’s high cost of health care is not sustainable, preventing millions of Americans from accessing important health care services. The recent ruling will only exacerbate this to remove requirements for preventive screenings from the Affordable Care Act. Further, there are vast omissions of care provided to individuals in historically marginalized communities. These inexcusable …

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Poverty: America’s disease with devastating consequences

Policy
April 29, 2023

I need to tell you about John (not his real name). He is a Cameroonian immigrant who came to the U.S. on a student visa. He waited tables in a popular pub in downtown Houston to earn a little change and support himself through school. Hardworking, courteous, and gregarious, John wears the most infectious and charming smile you have ever seen.

It didn’t take long for him to get noticed by …

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America’s ailing health care system: How it’s failing patients and doctors

Policy
April 27, 2023

As painfully revealed by the coronavirus pandemic, the American health care system is ailing, plagued by the inefficiencies and greed of big business and for-profit medicine.   It is not unlike the virus, attacking vital organs one by one until the whole is weakened. In more grave cases, the severely ill can’t survive. In much the same way our health care system is killing Americans. The sickness is proving incurable, for …

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Why HIPAA isn’t enough to protect your health data

Policy
April 27, 2023

After all the hours spent in HIPAA training over the years, physicians and other health care workers might think of HIPAA as a powerful regulation. It’s true that HIPAA does require health care workers to follow a number of rules, with pretty harsh penalties for violations. But from a patient’s perspective, how well does U.S. law protect overall health information privacy? Unfortunately, not very well, and things are getting worse.

The …

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How lack of access to clean water is devastating developing countries

Policy
April 24, 2023

Maybe dogs aren’t the only ones drinking water from a toilet bowl. In the United States, we have easy access to clean water. We use culinary water to do our dishes, bathe, wash our cars, and even fill our toilets. Most Americans don’t ever consider the possibility of running out of drinkable water; the same can’t be said for the friends I made in the Philippines. Let me tell you …

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Binary medicine harms our gender-expansive patients

Policy
April 24, 2023

The first time I saw a preceptor use the American College of Cardiology’s atherosclerotic cardiovascular disease (mercifully, ASCVD) risk calculator, I was hooked. As a first-year medical student, data nerd, and aspiring primary care provider, I love a good diagnostic tool. Watching as he entered our patient’s pertinent medical history, I ran down the list of risk factors for cardiovascular disease we’d just learned in my …

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Medicine and history: a seemingly unlikely but necessary duo in understanding COVID-19 disparities 

Policy
April 21, 2023

“Hispanic community makes up more than half of coronavirus cases in Southwest Michigan county” was the headline in the newspaper that caught my eye in August 2020 – that infamous year that the nation went into lockdown to prevent the spread of what was still a new and emerging virus.

It shocked me to realize that only three counties west of my Southcentral Michigan home, Latinos were …

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When cute is actually harmful: It’s time to end the in-store tricks that hurt our kids’ health

Policy
April 20, 2023

In a grocery store recently, a friend’s young child gave a big hug to a brightly colored, meter-high plastic cartoon mascot for a well-known candy brand standing at the end of an aisle surrounded by many bags of the candy on sale.

“Aww, that’s so cute!” was the mother’s first reaction.

Then it dawned on her – it wasn’t cute at all.

It was, she realized, very effective and invasive marketing. Not only …

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CME Spotlights