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Historian and ethicist Nigel Cameron discusses his article, “C. Everett Koop’s fearless fight against the tobacco industry,” drawn from his biography of the former U.S. surgeon general. He recounts how C. Everett …
During Trump’s first address to Congress, he continued to promise economic reform. In the wake of the administration’s brazen attempts to cut costs, we have watched in awe as combat veterans are fired from the VA, lifelong civil servants are left jobless, all while hearing the continuous insistence that the government must become more “efficient,” even in the face of Read more…
I grew up in Pickens, South Carolina—a small, poor Appalachian town burdened by health struggles.
In school, I saw food insecurity long before I had the vocabulary for it. Classmates ate honey buns and chips for breakfast, and lunch trays held processed food, pre-packaged meat, and syrupy fruit. For many, it was their only meal of the day.
Years later, while shadowing physicians in nursing homes and hospitals, I began to hear …
When I was a kid, my dad and I used to go on regular weekend hikes up to Henninger Flats at the Eaton Canyon Natural Area in Altadena, California. When we made it to the top, we would sit at one of the wooden benches overlooking the San Gabriel Valley, enjoying our midhike snack, usually a fruit of some sort and a handful of trail mix. On a clear day, …
In a nation where the Hippocratic Oath stands as a sacred covenant, one expects the temple of healing to be a fortress of precision, expertise, and unerring competence. Yet, a recent pilgrimage to an academic hospital in our fair city unveiled a scene more akin to a comedy of errors than a sanctuary of science. I am a physician, though I refrain from proclaiming as much to my own doctors, …
Pope Francis passed away this morning at the age of 88. Just weeks ago, he had spent 38 days hospitalized at Rome’s Gemelli Hospital for what was described as “double pneumonia,” before returning to his Vatican apartment to recover.
Had he been an American hospitalized in the U.S., he might not have made it even that far.
As both a geriatric doctor and a patient, I have seen firsthand how the U.S. …
A few months ago, the longshoremen’s union shut down 14 ports along the East and Gulf Coasts. This strike of dockworkers was costing the American economy up to $5 billion per day. The strike lasted 3 days, and there was an agreement to suspend the strike and continue negotiations in early 2025.
One of the issues pertained to restricting the use of automation and artificial intelligence (AI) to load and unload …
The health, judicial, and socioeconomic disparities among ethnic minorities are pervasive, and vaccination rates are key among them. The inequities among marginalized groups are largely driven by social determinants of health, education, and access to care. The United States has a well-documented history of these inadequacies, strengthened even further by the COVID-19 pandemic in 2020, leading to higher mortality and …
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Health care executive Jeffry A. Peters discusses his article “Ending physicians’ addiction to unhappiness,” focusing on the systemic factors fueling widespread dissatisfaction among doctors. Jeffry outlines how declining reimbursement, increased patient volume, …
An excerpt from Dr. Koop: The Many Lives of the Surgeon General.
“I was the salesman for pediatric surgery. I have the knack of talking to an audience and convincing [them] about what I’m saying is true.”
– CEK
The early 1950s witnessed an extraordinary burst of professional activity on the part of the young surgeon, still in his 30s, as the American Academy of Pediatrics (AAP) …
The recent focus on the Canada-U.S. border has led to frequent confusion between human smuggling and human trafficking. Smuggling involves people moving across international borders. In most cases, irregular migrants who are smuggled into the country consent to assistance. Human trafficking, on the other hand, involves the exploitation of people for sex or labor through coercion, regardless of geographic movement.
Continued conflation of these terms will undoubtedly harm anti-human trafficking efforts …
The term “core competency” was coined by management experts C.K. Prahalad and Gary Hamel in their influential 1990 article titled “The core competence of the corporation,” published in the Harvard Business Review. Prahalad and Hamel defined core competencies as the unique capabilities or advantages that a company possesses, which are critical to its ability to achieve competitive advantage and long-term success. These competencies are not just about the skills or …
A familiar ding echoes from blue scrub pants. My conditioned frontal cortex reflexively shoots my hand to the back pocket. Fingers encircle a black smartphone. A ricochet of notification vibration still tickles my right buttock. Several semi-autonomous thumb swipes ensue. The joy of Microsoft Outlook’s blue glow reveals a new email—one of nearly a hundred emails jostling for self-importance that day. But this one is different. The ominous phrase “Effective …
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An excerpt from Dr. Koop: The Many Lives of the Surgeon General.
In spring of 1946 the young Koop was sent to Boston for several months to spend time with the giants of the nascent field of pediatric surgery, William E. Ladd (1880–1967), and his trainee and successor Robert Gross (1905–1988). In his survey of the history of the discipline, Judson Randolph …
In his deluge of executive orders, Trump once again is focusing on health care cost transparency.
Efforts to open the lock on health care costs began in 2019 under the Trump administration with mandated publication of hospital price lists, called chargemasters. These price lists are arbitrary, as they have no relation to the contracted …
An excerpt from Dr. Koop: The Many Lives of the Surgeon General.
“I have learned that, when an idea’s time has come—and it is on your watch—you must seize the moment.”
– CEK, Glasgow speech
It would take C. Everett Koop, M.D., Sc.D., just an hour—one very well-prepared hour—to overturn nine months of obloquy and ridicule. In the process, he re-ordered the public face of …
Before a discussion of entitlements and welfare programs is started, a primer on the fiscal situation of the country seems appropriate. Service on the national debt is now second only to Social Security as a government expenditure. The debt is now about $36 trillion. Government revenues are 18 percent of GDP. Spending is 25 percent of GDP. Seventy-six percent of spending has been mandatory, leaving 24 percent as discretionary. The …
Health care systems worldwide are grappling with access, efficiency, and sustainability challenges. In Canada, the debate over public versus private care is especially charged, and nowhere is this more evident than in Quebec. The province has the highest number of physicians practicing outside the public system in the country—yet they still account for only 2 percent of all doctors. Instead of vilifying these professionals, policymakers should be asking: What lessons …
The tragic and shocking murder of the UnitedHealthcare CEO has ignited a nationwide conversation about the flaws in the health care system, often accompanied by misdirected anger toward physicians. The rhetoric suggesting that physician salaries are the root of the problem oversimplifies a complex issue and distracts from systemic failures.
Physician salaries account for only about 8 percent of …
The moment I was born, my future was decided for me—I was going to be a doctor. My mother had made up her mind, and from that point forward, my path seemed clear: medical school, residency, patient care for life. That was the blueprint.
For many physicians, this is the only path we have ever known. Medicine is not just a career; it is an identity, a commitment, a calling. But …
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