Policy

Online eye exams spark legal battle over health care access

Policy
July 11, 2025

Brick-and-mortar stores must deal with online competition. Even health clinics face disruption from telemedicine. Yet optometrists have special protection in South Carolina.

When a telehealth company invented a safe and effective way for doctors to renew vision prescriptions remotely, political insiders rallied in Columbia to ban the service in South Carolina. Now, nine years later, the state-sponsored favoritism could end.

The South Carolina Supreme Court, which already rejected an attempt to …

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The One Big Beautiful Bill and the fragile heart of rural health care

Policy
July 7, 2025

President Trump signed into law the One Big Beautiful Bill Act (H.R. 1)—a 1,000+ page legislative thunderclap that had just cleared Congress, reshaping the landscape of American domestic policy as fireworks lit the sky. Branded as a domestic reset—heavy on tax cuts, defense expansion, and deregulation—it was not sold as a health care bill. But for those of us on the front lines of medicine, particularly in rural America, make …

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Why health care leaders fail at execution—and how to fix it

Policy
July 4, 2025

Health care leaders don’t have a vision problem. We have an execution problem.

Over the last two decades, I’ve seen countless strategic plans crafted with care, insight, and bold ambition. Mission statements get refreshed. Core values are realigned. Retreats are held. Vision decks are created and shared from the C-suite to the frontlines. And yet — within weeks — most of those plans fade into the background.

The problem isn’t poor leadership …

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Healing the doctor-patient relationship by attacking administrative inefficiencies

Policy
July 3, 2025

I have a great doctor. I’ve enjoyed his approach to providing care so much that I was greatly distressed when, at my last visit, he told me he was thinking of retiring early. While I consider myself fortunate to have a positive and dependable relationship with my doctor, fewer people now relate to that sentiment than before.

Gallup recently reported that America’s trust in professionals has declined, with overall trust …

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The hidden health risks in the One Big Beautiful Bill Act

Policy
July 2, 2025

In an age where bold language dominates headlines, it can be easy to overlook the real-world effects of complex legislation. But this is not just a matter of political branding. The proposed One Big Beautiful Bill Act has implications that, based on current research, could lead to substantial and preventable harm to public health.

As a fourth-year medical student with a background in public health, I’ve spent years studying how health …

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The CDC’s restructuring: Where is the voice of health care in the room?

Policy
July 2, 2025

As a surgery resident, I see the long shadow of poor public health every day — whether it’s a diabetic foot infection that’s gone too long without care or a hypertensive crisis that never should’ve happened. That’s why the proposed restructuring of the CDC and other federal health agencies is not just administrative news to me — it’s personal.

The argument for reform often leans on efficiency: Reduce bureaucracy, streamline oversight, …

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Choosing between care and country: a dual citizen’s Independence Day reflection

Policy
July 2, 2025

There’s a stretch of days at the beginning of July, between Canada Day and Independence Day, when I find myself holding my breath. It’s a liminal space that I know intimately as a professional, a mother, and a dual citizen. Born Canadian and naturalized American. Over the past several years, as I have come into the full realization of who I am as a parent of a child with complex …

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How fragmented records and poor tracking degrade patient outcomes

Policy
July 1, 2025

Medicine today is single-encounter oriented with documentation largely tailored for legal purposes rather than medical care. When an encounter ends, the physician must sign off the documentation and no further changes can be made; any corrections require another document that must also be signed off, but this is seldom done.

A further problem with current medicine is that many diagnoses are differential diagnoses instead of confirmed ones, which may be OK …

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How locum tenens work helps physicians and APPs reclaim control

Policy
June 16, 2025

Burnout isn’t a weakness—it’s a warning sign.

I recently spoke with a nurse practitioner looking for a lifestyle change that could give her more balance without stepping away from medicine.

“I love caring for patients,” she told me, “but I don’t even recognize my life anymore. My schedule runs me, not the other way around.”

For her, locum tenens wasn’t a detour but a lifeline. Within months, she regained control of her time, …

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Why Medicaid cuts should alarm every doctor

Policy
June 11, 2025

As a pediatrician and public health advocate, I’ve spent my career serving families whose lives often depend on a strong safety net. Medicaid is that safety net. It provides care for over 70 million Americans — including children, pregnant women, seniors, and people with disabilities.

Right now, federal policymakers are considering dramatic Medicaid cuts that would threaten coverage for millions. This is not just a policy debate. It will spark a …

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Why physician voices matter in the fight against anti-LGBTQ+ laws

Policy
June 1, 2025

In a time when anti-LGBTQ+ legislation is proliferating across the United States, targeting everything from gender-affirming care to inclusive science education, many physicians are facing a new ethical frontier. More than ever, the duty to protect patient health extends beyond the clinic walls. When policy threatens the well-being of entire communities, an inclusive and affirming exam room is no longer enough. It is time for doctors to speak up and …

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The silent toll of ICE raids on U.S. patient care

Policy
May 28, 2025

It is standard practice to start opinion pieces with a powerful anecdote that “hooks” the reader and lures them in, winning their attention by appealing to their humanity. However, this highlights the exact issue posed by the recent revocation of immigration rights in the U.S.; we do not know the stories that most need to be told right now. Instead, we have to tell of the patients who did not …

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What Adam Smith would say about America’s for-profit health care

Policy
May 25, 2025

Over 80 percent of people are discontented with their medical insurance, whether provided by the government, their employer, or a commercial company. Common complaints are cost, increasing prices, and limited or rejected coverage. Regardless of the insurance’s source, we, the citizens, pay the bill through higher co-payments, deductibles, or premiums. Thus, their future payments increase when people request increased coverage for specific treatments, tests, or conditions.

However, individual desires are not …

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The lab behind the lens: Equity begins with diagnosis

Policy
May 14, 2025

Another day, more slides pass under my lens. Each represents a patient, a family, friends, uncertainty—maybe the beginning of a journey they are soon to realize, maybe it is the end of a journey. Each is unique.

These are turbulent times we live in. Deep divides separate our country. However, under the microscope there are no politics, no labels or preconceptions. The rainbow of colors the cells illuminate shines bright for …

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Conflicts of interest are eroding trust in U.S. health agencies

Policy
May 8, 2025

Why has faith in government health agencies never been lower? Because conflicts of interest (COIs) have never been higher.

At the FDA, concerns about drugmakers “buying” drug approvals go back to passage of the Prescription Drug User Fee Act (PDUFA) in 1992. Since then, the many doctors with research and speaker grants, drug stocks, and past employment with drugmakers heighten concerns. Worse, many major drug trials that claim to show …

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When America sneezes, the world catches a cold: Trump’s freeze on HIV/AIDS funding

Policy
May 1, 2025

On the 20th of January 2025, President Donald Trump signed an executive order that initiated a freeze on foreign aid, including the President’s Emergency Plan for AIDS Relief (PEPFAR). This abrupt suspension of funding has triggered a global health crisis, undermining decades of progress in combating HIV/AIDS and endangering millions of lives across the globe.

PEPFAR and its global success

Launched in 2003 under …

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A surgeon’s late-night crisis reveals the cost confusion in health care

Policy
April 29, 2025

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…

The school cafeteria could save American medicine

Policy
April 27, 2025

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 …

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Native communities deserve better: the truth about Pine Ridge health care

Policy
April 26, 2025

Driving through South Dakota after visiting the Badlands, I entered the Pine Ridge Indian Reservation. As a medical student at GCSOM in Scranton, PA, I rarely see Native American communities. I was shocked by the poverty and neglect. How had I never heard of Pine Ridge?

Pine Ridge Reservation was established as a prison camp before a deadly massacre.

Pine Ridge Reservation was established in 1889 as Camp 334 for …

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