Skip to content
  • About
  • Contact
  • Contribute
  • What Physicians Say
  • My Book
  • Careers
  • Podcast
  • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Aging and dementia: what physicians say, in their own words
  • Artificial intelligence: what physicians say, in their own words
  • Be heard on social media’s leading physician voice
  • Cancer: what physicians say, in their own words
  • Children’s health: what pediatricians say, in their own words
  • Contact Kevin
  • COVID-19: what physicians wrote as it happened
  • Custom enhanced author page pricing
  • Diabetes and obesity: what physicians say, in their own words
  • Direct primary care: what physicians say, in their own words
  • DMCA Policy
  • End of life: what physicians say, in their own words
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • GLP-1 drugs: what physicians say about Ozempic and its successors, in their own words
  • Heart disease: what physicians say, in their own words
  • Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words
  • KevinMD influencer opportunities
  • Medical errors: what physicians say, in their own words
  • Medical ethics: what physicians say, in their own words
  • Medical malpractice: what physicians say, in their own words
  • Medical school: what students and physicians say, in their own words
  • Mental health: what psychiatrists and physicians say, in their own words
  • Nursing: what nurses and physicians say, in their own words
  • Opinion and commentary by KevinMD
  • Opioids: what physicians and pain patients say, in their own words
  • Physician burnout speakers to keynote your conference
  • Physician burnout: what physicians say, in their own words
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician personal finance: what physicians say about their own money, in their own words
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Physician suicide: what physicians say, in their own words
  • Physicians and administrators: what physicians say about who runs medicine, in their own words
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Primary care: what physicians say, in their own words
  • Prior authorization: what physicians say, in their own words
  • Privacy Policy
  • Private equity and corporate medicine: what physicians say, in their own words
  • Race and medicine: what physicians say, in their own words
  • Recommended services by KevinMD
  • Residency: what residents and attendings say, in their own words
  • Scope of practice: what physicians, nurse practitioners, and PAs say, in their own words
  • Subscribe to the KevinMD enhanced author page
  • Subscribe to the newsletter
  • Surgeons and surgery: what surgeons say, in their own words
  • Take-home messages: what physicians say when asked to leave one
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The electronic health record: what physicians say, in their own words
  • Vaccines: what physicians say, in their own words
  • Violence against health care workers: what physicians and nurses say, in their own words
  • What physicians say: the KevinMD records
  • Women in medicine: what women physicians say, in their own words
  • Women’s health: what physicians say, in their own words

If you want to truly fix a broken system, look at the patients

Linda Girgis, MD
Health Policy
June 24, 2017
Share
Tweet
Share

Dear Senators,

I know that the plan is to meet soon to pass the latest GOP health plan. The Affordable Care Act (ACA), also known as Obamacare, failed with a price tag of over a trillion dollars. Yes, this faulty plan is not sustainable as is. Yet, your proposed plan is just a rehashing of the failed elements.

While you look at the economics and short-fallings, I look patients in the eye every day, many times a day, and give them a pronouncement of this failed system. I am the one that gets to tell the overworked single mother that her child’s asthma inhaler is not covered by her insurance. What can she do? Wait until he has an attack and go to the ER further driving up further health care costs? What, senators, do you suggest I advise her?

And then there is the young man with little kids who has had hepatitis C since a teenager. He has heard of Harvoni and is excited that there may be a cure for him. Except his insurance won’t cover it, and he can’t afford it. In fact, few patients can afford the almost $100,000 price tag for 12 weeks of treatment.

Perhaps, Senators, if you saw drug addicted babies born to mothers who tried to come off drugs but were unable to get coverage for rehab services, you would look closer at what should be done with Medicaid. You see, when you shuffle federal dollars around to “fix” the economy, very real lives are being affected, from the first breaths of life. Isn’t a baby’s life more valuable than one-upping a faulty health care plan because it was drafted on the other side of the aisle?

While you shuffle the federal dollars around the health care checkerboard, you are missing what is truly broken in the health care system. Your focus on your political grandest blinds you to the patients the system is designated to serve. Who will care for them if you will not? These include the most feeble and sick members of the American society that you plan to leave ailing in the cold. These are the voters, who helped elect you to your current office.

If you want to truly fix a broken system, look at the patients, the sick and the elderly. Look at the children who can;t get something as simple as a generic asthma inhaler and spend nights awake because they can’t breathe through the wheezing. Where you send those federal dollars may be ripped right out of their lungs. Is your plan so grand that you will allow children to die for your accolades of feigned wisdom?

And when you look at the patients, investigate further what needs to be done to get them the health care that they need. They need medications they can afford, they need to have affordable treatments, they need access to doctors. Having health insurance guarantees none of those. If you were to delve further into economics, you would realize that the US is the only country on earth where its citizens file bankruptcy due to medical costs. Did you know that many who do file bankruptcy here actually covered by health insurance during the period they were receiving treatment? Your plan does nothing for those people. Perhaps if they were banks, you would bail them out because they would have larger coffers to offer up for favors.

Look at the cost of medications and imagine what it would be like for someone living paycheck to paycheck to pay these prices. If you can’t imagine that, then you have been rich too long and lack empathy. There have been Congressional hearings when public outcry was raised, but this was only a few instances of outrageous price gouging. What about the other medications that patients can’t afford yet, no one is raising their voices? Should we wait for the outcry or until more lives are lost? Or should we look at the pharmaceutical industry from now and work on a real solution that would greatly impact health care costs? Perhaps the reason that the medication monopolies continue is the fact that these are large companies with huge bank accounts. The diabetic teenager is nothing compared to them. He is lucky to just be able to get his insulin every month.

And then there are the insurance companies. The ones that are supposed to cover lives yet deny routine care based on costs. This is a conflict of interest if there ever was one. Have you seen the salaries of the insurance company executives?

It is not until we address the abuse of these large, rich companies can we even begin to devise a plan for fixing the health care system. Shuffle the federal funds around all you like, but you will just end up with another health care plan that is unaffordable and limits patients access to medical services. And what would you like those millions to do that will have their insurance dropped when your plan passes?

Senators, when you devise a fix to the health care plan, please put down your politics and ignore the power of the big corporations. Look at your spouses and children and your parents and imagine if they were sick and couldn’t get the treatment that was needed. Every patient out there is someone’s child or brother or sister or parent. Why are yours so much more important that the rest are sentenced to forage a wild forest for medical services? It is not until every single American citizen has access to affordable medical services will a plan succeed. As a doctor, I see the ravages the system takes on my patients every day. Please vote for the child with asthma to get his inhaler or someone’ s brother to be cured of hepatitis. The future health of the U.S. depends on it.

With regards,

Dr. Linda

Linda Girgis is a family physician who blogs at Dr. Linda.

Image credit: Shutterstock.com

ADVERTISEMENT

Prev

MKSAP: 28-year-old pregnant woman with a cardiac murmur

June 24, 2017 Kevin 0
…
Next

How to maintain a sense of accomplishment as a physician

June 24, 2017 Kevin 0
…

Tagged as: Health Policy and Public Health

< Previous Post
MKSAP: 28-year-old pregnant woman with a cardiac murmur
Next Post >
How to maintain a sense of accomplishment as a physician

 

ADVERTISEMENT

More by Linda Girgis, MD

  • Stand up and be heard. But don’t hate your doctor.

    Linda Girgis, MD
  • Why this physician believes in Santa Claus

    Linda Girgis, MD
  • Has health care lost its humanity?

    Linda Girgis, MD

Related Posts

  • How our health care system traumatizes patients

    Linda Girgis, MD
  • Patients alone cannot combat high health care prices

    Peter Ubel, MD
  • Are patients using social media to attack physicians?

    David R. Stukus, MD
  • To fix health care, ask patients to change their understanding of how a health care system should work

    Richard Young, MD
  • Our broken health system is your fault

    Anonymous
  • How health insurance affects patients: That means the transgender community too

    Gabriela Ramirez

More in Health Policy

  • The next child

    Medicaid managed care and the case for mutual stewardship

    Steven Merahn, MD
  • How to build a dementia care pathway, not a referral sheet

    Gerald Kuo
  • AI in prior authorization: 3 contract questions for 2027

    Matt Hasan, PhD
  • Private equity in medicine did not kill private practice

    Brian Hudes, MD
  • Why are fewer family physicians delivering babies?

    Frista Gradica
  • Local news and public health: the segment viewers missed

    Ronald L. Lindsay, MD
  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 11 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use Agreement
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

If you want to truly fix a broken system, look at the patients
11 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...