My totally wrong expert predictions for health care in 2025

Policy
January 27, 2025

January

In a blistering commentary, the American Medical Association’s flagship journal, JAMA, condemns the corrosive effect on patient care of the profit-seeking practices of health insurers. Separately, the organization announces that it’s selling the 13 journals in its JAMA Network to a private equity firm for $375 million “in order to enhance our mission of promoting the betterment of public health.”

February

Quickly following up on a campaign pledge to slash the federal …

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From the waiting room to billing: How small changes improve patient care [PODCAST]

Podcast
January 26, 2025
YouTube video

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Denise Reich shares powerful insights as a patient advocate, highlighting the importance of front desk staff, accessibility, accurate billing practices, and the impact of small changes on patient care. This episode dives into …

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4 hacks to improve patient experience in your practice

Conditions
January 26, 2025

“The doctor was wonderful, but her staff …” “The receptionist was so rude. I won’t be back.” “They never sent the referral even though I called several times.” Ever seen reviews like these?

No matter how good a doctor you might be, you’re not the one making the first impression at your practice. Your office staff and their practices set the tone of the visit. Their conduct can make or break …

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How a quiet Sunday in the ER turned into a powerful lesson in female resilience

Physician
January 26, 2025

It was a Sunday, and the day was bright and sunny. I was the only doctor on duty in the emergency room that day. On Sundays, our hospital typically has only a few staff members present, as most are off for the holiday except for those who are on call.

Interestingly, there were only two patients in the ward that day. All the other patients had been discharged. For the first …

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Medical malpractice lawsuits: the hidden cost of social bias

Physician
January 26, 2025

I write these words after a full week of jury deliberation in the Daniel Penny trial. I now realize that what I have been describing about medical malpractice litigation is a signal of a much more serious problem infecting the social order of the entire country. It goes far beyond 85,000 medical malpractice lawsuits filed per year and even the inability, or the unwillingness, of finders-of-fact to discriminate between a …

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What early retirement taught me about burnout and purpose [PODCAST]

Podcast
January 25, 2025
YouTube video

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Susan Landers shares her heartfelt journey as a neonatologist navigating the challenges of burnout, the rewards of practicing medicine, and the complex emotions surrounding early retirement. From her intimate experiences in the NICU …

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10 transformative ideas to redesign a broken health care system: a doctor’s perspective for a more efficient, cost-effective and patient-focused system

Policy
January 25, 2025

The U.S. health care system is an inefficient maze of bureaucracy, redundancies, and waste. As a practicing physician, I see firsthand how these inefficiencies frustrate both providers and patients, inflate costs, and undermine the quality of care. If we are serious about transforming health care into a system that works for everyone, we need bold, outside-the-box solutions. Here are just some of the most glaring inefficiencies I see that could …

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Why superheroes never get sick: the mask connection

Conditions
January 25, 2025

A daily dose of sarcasm to trigger some thought, and to ask some serious questions we all should be able to discuss peacefully. These are not necessarily my personal beliefs, lest I need to be attacked at some point by misinformation protector professionals.

But let’s start here: I’ve never known Batman, or Robin, for that case, to ever get ill. And I am old enough to remember racing home to catch …

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Humanity’s crossroads: peace or nuclear war?

Policy
January 25, 2025

“We are here to make a choice between the quick and the dead …”

With these solemn words, Bernard Baruch, a trusted advisor to U.S. presidents, addressed the United Nations (UN) Atomic Energy Commission in June 1946. Less than a year had passed since the bombings of Hiroshima and Nagasaki, and the world stood at a crossroads. Baruch’s message was clear: humanity could either embrace the hope of global peace …

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How the Medicare Prescription Payment Plan transforms health care [PODCAST]

Podcast
January 24, 2025
YouTube video

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Brian Whorley, a health care executive, dives into the groundbreaking Medicare Prescription Payment Plan (MPPP), exploring its potential to revolutionize medication adherence and patient outcomes. With 54 million beneficiaries eligible, this initiative promises …

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How the patriarchy shaped medicine and why it’s time for change

Physician
January 24, 2025

Journalist Te-Ping Chen wrote about the nature of a physician’s career in a recent featured article in The Wall Street Journal where older physicians criticize the younger generation as being less committed to their patients. The article is titled: “Young Doctors Want Work-Life Balance. Older Doctors Say That’s Not the Job.”

The major point of discussion was the definition of a career in medicine as a “calling” versus a “job,” …

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How to thrive as a physician during the U.S. health care collapse

Physician
January 24, 2025

Yes, I said it. Health care is a dumpster fire—a meme-worthy catastrophe of epic proportions. It’s the chaos that future comedians and historians will roast with gusto, leaving us shaking our heads in embarrassed agreement. My somewhat cynical sense of humor is helping me mentally process the dumpster fire that is the current U.S. health care system. But as bleak as it feels, there’s a glimmer of hope. When health …

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Why being mistaken for a student is my secret weapon in medicine

Physician
January 24, 2025

“Are you the medical student?” the resident asked me in between bites of his vegetable lo mein. We were in the hospital conference room, and I was sitting at the table by the projection screen while he was scarfing down a quick meal before the noon lecture. “Actually, I’m the attending,” I replied. He paused with fork in hand and turned beet red. “Sorry,” he murmured.

I couldn’t blame him for …

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When assumptions in health care lead to devastating consequences

Conditions
January 24, 2025

It is heartbreaking to recount the journey my husband and I have been through. My husband, an award-winning triathlete, and I had a rich and vibrant life together. We traveled extensively, taking nine trips in 2014 alone, including attending the World Triathlon Finals in London, visiting Paris, cruising the Hawaiian Islands, and enjoying a helicopter tour. Even in his late 80s, he had a strong spirit, shaped by years of …

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How integrative medicine saved a family doctor [PODCAST]

Podcast
January 23, 2025
YouTube video

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Jeffrey Gladd shares his transformative journey from burnout to a thriving career in integrative medicine. Discover how shifting from treating symptoms to addressing whole-person care changed his life and practice. From battling burnout …

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How belief and prayer uncover the hidden power of healing

Physician
January 23, 2025

Have you ever thought of someone, and then a few minutes later, they called or texted you?

Have you ever felt or had a whole conversation in your mind to later be told that is exactly what someone was saying about you at the same time, even though you were physically in a different place?

How can that be? Is it merely a “coincidence,” or are these beautiful hints from the universe …

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Critical care in critical moments: Anesthesiologists play a vital role in maternal health

Conditions
January 23, 2025

Maternal mortality crisis in the U.S.

The U.S. faces a significant maternal health crisis, with alarmingly high maternal mortality rates compared to other developed nations. As of 2022, the overall maternal mortality rate was 22.3 deaths per 100,000 live births, with a disproportionately high rate of 49.5 deaths per 100,000 live births among Black women. These figures starkly contrast with much lower rates in countries like Germany, Australia, Japan, and Sweden.

Maternal …

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How America’s health care system depends on international doctors

Physician
January 23, 2025

The current U.S. medical education and health care systems undeniably benefit from the immigration of talented international medical graduates (IMGs). Many of my favorite teachers, residents, and colleagues have been IMGs. However, the longstanding U.S. reliance on immigrant physicians raises questions about what policies best support both domestic and international priorities moving forward.

Beyond medicine, the immigration of talented scientists and engineers has also sparked recent public debate. Elon Musk recently …

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The HEARTS Act: Empowering schools to save lives

Policy
January 23, 2025

Every year, sudden cardiac arrest (SCA) claims the lives of thousands of students and student-athletes in the United States, making it one of the leading causes of death. The condition is particularly insidious as it often strikes without warning, leaving schools and communities grappling with preventable tragedies. While student-athletes are at a higher risk due to the physical demands of sports, SCA can affect any student, highlighting the urgent need …

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How to use biomarkers to boost your healthspan and longevity [PODCAST]

Podcast
January 22, 2025
YouTube video

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In this episode, John Thomson Smith, a physician executive, explores the science of longevity and the critical role of healthspan in living a vibrant life. He discusses how tracking key biomarkers, such as …

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