How President Biden’s cognitive health shapes political and legal trust

Conditions
July 6, 2025

In the realm of American politics, discussing the mental fitness of a sitting president – or the performance of a former one – is as delicate as it is critical.

As a psychiatrist, I am profoundly aware of the ethical constraints outlined by the Goldwater Rule, adopted by the American Psychiatric Association (of which I am a Fellow). Psychiatrists’ ethical responsibility is to refrain from making specific clinical diagnoses without Read more…

Decoding your medical bill: What those charges really mean

Finance
July 6, 2025

Most people don’t read their medical bills—they panic over them. After all, receiving a multi-page statement full of confusing codes, unexplained charges, and unclear payment instructions isn’t just frustrating—it’s intimidating. I’ve worked with countless individuals who feel helpless in the face of these documents, unsure of what they owe, why they owe it, or whether the charges are even correct.

This confusion isn’t just common—it’s systemic. As a patient advocate and …

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The emotional first responders of aesthetic medicine

Conditions
July 6, 2025

When people think of Botox and filler, they think of vanity. Frozen foreheads. Pouty lips. Women chasing youth. Injectors chasing cash. They don’t see the woman who finally escaped her husband after 20 years of abuse, coming in not for attention but for control. They don’t see the mother burying her child, hoping that looking “normal” on the outside might steady the chaos inside. They don’t see the cancer survivor …

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Why testosterone matters more than you think in women’s health

Conditions
July 6, 2025

Menopause is finally having its moment in the spotlight, thanks to high-profile women breaking the long-standing taboo around discussing this life stage. Yet, while discussions around hormone replacement therapy (HRT) have increased, one critical component remains largely overlooked — testosterone.

Traditionally seen as a “male hormone,” testosterone is equally vital for women’s health, playing a key role in mood, energy, libido, muscle mass, bone density, and cognitive function. Yet, …

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A mind to guide the machine: Why physicians must help shape artificial intelligence in medicine

Tech
July 6, 2025

I do not fear artificial intelligence—nor do I revere it. What I feel toward the rise of intelligent systems in medicine is something quieter: a tempered trust, a measured hope. I recognize their immense potential, but I also hold firm to the belief that the deepest work of medicine happens not through automation, but through human connection. There is a quiet power that lives between symptom and story, between numbers …

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How subjective likability practices undermine Canada’s health workforce recruitment and retention

Physician
July 5, 2025

In the face of worsening health workforce shortages, Canada must shift from a culture of personal likability to a system of objective qualifications or merits in recruiting and retaining physicians. While team cohesion and interpersonal compatibility are essential, an overemphasis on “fit” or likability excludes talented physicians, particularly immigrants and racialized minorities, who may not share the cultural background, communication style, or social behaviors preferred by decision-makers. This practice undermines …

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How veteran health care is being transformed by tech and teamwork

Conditions
July 5, 2025

Veterans deserve the highest-quality health care our nation can offer, but fulfilling this promise often means overcoming major challenges. About 9 million veterans receive care through the VA, with a third living in rural areas far from VA facilities. Meeting their needs requires innovative solutions that combine expertise, technology, and strategic partnerships.

Why VA’s holistic model outpaces traditional care

The VA stands apart with its integrated, long-term approach to care. Unlike the …

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Why judgment is hurting doctors—and how mindfulness can heal

Physician
July 5, 2025

Judgment pervades medicine—of patients, colleagues, and ourselves.

We’re trained to judge, disguised as caring, standards, and competence. It’s seen as essential to being a “good physician.” We do it so instinctively, we rarely question it.

But we should.

The culture of judgment in medicine

Judgment is baked into our training: The scrutiny of rounds, the competition of grades, the pressure of evaluations. It’s in our language: “noncompliant,” “failure to thrive,” “incompetent cervix.” Even our …

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Why medical schools must ditch lectures and embrace active learning

Education
July 5, 2025

When I was a medical student, some enterprising classmate started a note taking service so we wouldn’t have to take notes on our own. He set up a tape recorder and transcribed the notes for distribution the next day. One day, our professor showed up with a tape recorder, set it up on the table in front of the lecture hall, and turned it on. The result was an electronic …

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Why helping people means more than getting an MD

Education
July 5, 2025

“Why do you want to be a doctor?”

Ask any pre-med that question, and you’ll probably hear the same answer: “I just want to help people.”

I’ve said it, too—more times than I can count. But lately, I’ve started to question what that phrase even means. Not because I’ve lost faith in medicine, but because I’ve learned that helping is more complex, layered, and humbling than I ever imagined.

As the host of …

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How digital tools are reshaping the doctor-patient relationship

Tech
July 4, 2025

In this era of digital revolution in health care, the traditional physician-patient relationship is undergoing a significant transformation. Digital tools, including telemedicine, electronic health records (EHRs), artificial intelligence-based diagnostics, and various fitness applications, are reshaping how patients and clinicians interact and manage health together. While these innovations surely provide efficiency and accessibility, they also present significant challenges to the fundamental aspects of medical practice: trust, empathy, and human connection. As …

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Why evidence-based management may be an effective strategy for stronger health care leadership and equity

Physician
July 4, 2025

In the current complex health care landscape, health care leaders are frequently challenged to make management decisions that are effective but also equitable. Numerous leadership transitions are occurring in Canada’s health care systems because of leadership failures. In British Columbia, multiple health care leaders were replaced in the first half of 2025. David Eby, British Columbia’s Premier, declared, “The anxiety that I have is that the people who see the …

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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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Residency match tips: Building mentorship, research, and community

Education
July 4, 2025

The residency match process is one of the most defining and often most daunting milestones in a medical student’s journey. It represents the culmination of over eight years of dedication, sacrifice, and hard work in pursuit of a dream many of us have nurtured since childhood.

Building a strong application is challenging for everyone. Whether you’re navigating personal doubts, managing financial strain, lacking mentorship, or simply trying to figure out the …

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From Founding Fathers to modern battles: physician activism in a politicized era [PODCAST]

Podcast
July 3, 2025
YouTube video

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article, “Physician patriots: the forgotten founders who lit the torch of liberty.” Muhamad calls for a remembrance of the five physician-patriots—Dr. …

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From stigma to science: Rethinking the U.S. drug scheduling system

Meds
July 3, 2025

In 1971, President Nixon initiated a battle that would reshape the United States: The War on Drugs. As a key part of that campaign, he enacted the Controlled Substances Act (CSA), which authorized the Drug Enforcement Administration (DEA) to categorize modern-day controlled substances into 5 “schedules” based on their “medical use, potential for abuse, and safety or dependence liability.” They range from Schedule I, which are substances with no …

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The gift we keep giving: How medicine demands everything—even our holidays

Physician
July 3, 2025

What’s the least glamorous thing you’ve ever done as a physician on a holiday?

Let me start.

One year, I spent Christmas Day in the library.

Not sipping cocoa. Not gathered with family in matching pyjamas. Not basking in the warmth of laughter or the gentle hush of snowfall outside a glowing window.

I was alone. In a silent room. Under sterile fluorescent lighting.

And I wasn’t escaping into fiction—I was studying for board exams, …

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The promise and perils of AI in health care: Why we need better testing standards

Tech
July 3, 2025

There is substantial enthusiasm around the advancements of AI in health care, as exemplified by the media attention for the new HealthBench release from OpenAI and similar recent studies from Google (MedPalm2, AIME). Market enthusiasm often leads us to believe that we’re on the brink of AI doctors treating patients worldwide. However, while these developments represent interesting technical progress, they fall short of demonstrating readiness for clinical application.

The stakes …

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From burnout to balance: a neurosurgeon’s bold career redesign

Physician
July 3, 2025

When a neurosurgeon tells you she thinks she might want to leave surgery for interior design, you listen closely.

Not because it’s outrageous, but because it’s honest. Many physicians carry similar longings. They wonder whether it’s OK to want a different life.

In medicine, conformity is expected and often a means of survival. Especially for women in male-dominated fields. The unspoken expectation is to blend in, push through, and never question the …

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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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