Why humanity in medicine requires peace with a spine

Conditions
December 15, 2025

This past year, I’ve found myself in many different rooms (on podcasts, in boardrooms with legislators, and in conversations with program directors at medical schools and hospitals) talking about what humanity truly means in clinical and caregiving professions.

I hear back from my third- and fourth-year medical students about how this work shows up for them in clinics, auditions, and residency interviews. They describe moments when an intentional emphasis on humanity, …

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The loss of community pharmacy expertise

Conditions
December 15, 2025

Walk into most community pharmacies today and you’ll notice something off. The pharmacist who used to remember your name and medication history is gone. The one who caught that dangerous drug interaction last year? Also gone. In their place, a rotating cast of temporary faces, each one just trying to survive the shift.

This isn’t about a labor shortage. We have pharmacists. What we’re losing is something else entirely. Expertise, continuity, …

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How should kratom be regulated? [PODCAST]

Podcast
December 14, 2025
YouTube video

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Retired nurse practitioner Heidi Sykora discusses her article, “The case for regulating, not banning, kratom.” She provides an evidence-based perspective on why kratom (Mitragyna speciosa) should not be treated as a dangerous …

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Physician leadership communication tips

Physician
December 14, 2025

Let’s be honest. Most frontline clinicians don’t wake up worrying about CDC updates. They’re worrying about whether the ED has enough staff, or whether the patient they discharge will receive the follow-up care they need.

So when another vaccine recommendation or public policy update drops, often contradicting the last, it’s no wonder people roll their eyes. The problem isn’t that clinicians don’t care about public health; it’s that the messaging often …

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Why senior-friendly health materials are essential for access

Conditions
December 14, 2025

I have spent years working with older adults in community and home-based care. During that time, I learned that one of the most stubborn barriers to health is not a rare disease, a complex guideline, or even a lack of services.

Sometimes, the barrier is a piece of paper. A flyer that an 80-year-old cannot read because the font is too small, a brochure filled with medical jargon that confuses more …

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Why developmental and behavioral pediatrics faces a recruitment collapse

Physician
December 14, 2025

For two months I have staged testimony, written op-eds, and amplified coalition voices about the collapse of developmental and behavioral pediatrics (DBP). This piece is an epilogue, a reckoning with a specialty that once held promise but now clings to aspirational posters instead of actionable reform.

The poster problem

The Society for Developmental and Behavioral Pediatrics (SDBP) recently circulated a flyer titled Critical Outcomes in DBP. Page 2 lists “Solutions” to the …

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Valuing non-procedural physician skills

Physician
December 14, 2025

No matter the specialty, the best doctors make it look effortless and “easy.” Whether it’s suturing a jagged laceration, reading an MRI spine with multi-level degeneration, or delivering a ten-pound baby with shoulder dystocia, the most skilled physicians can handle it without breaking a sweat. But we know it took many years of training, proficiency, feedback, and improvement to master their craft.

I’m not going to argue that surgical procedures are …

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How genetic testing redefines motherhood [PODCAST]

Podcast
December 13, 2025
YouTube video

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Family physician Rebecca Thompson discusses her article, “The weight of genetic testing in a family,” an excerpt from her book. She shares a profoundly personal story from the memoir about a woman …

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The life of a physician on call

Physician
December 13, 2025

The moon was full, the stars shone bright
I thought I’d settle down for the night
Upon my soft pillow my head got caught
Until a phone call stirred me from my foolish thought

On Friday night of weekend call
One patient had refused it all
When Pit was offered, she said, “No way!”
Internals too were brushed away.

We waited calmly, full of grace
For natural labor to take its place

And sure enough, on Sunday’s eve
After a day …

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Why smoking is the top cause of bladder cancer

Conditions
December 13, 2025

Bladder cancer is one of the most common cancers worldwide, yet it often receives far less attention than other smoking-related cancers. According to the GLOBOCAN global cancer fact sheet, bladder cancer is among the top 10 most frequently diagnosed cancers globally, with more than half a million new cases diagnosed each year worldwide. It occurs significantly more often in men than in women, and the risk rises steadily with …

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Why AI in medicine elevates humanity instead of replacing it

Tech
December 13, 2025

When I trained in medicine, the learning path was predictable. Long nights of memorizing anatomy. Standing beside seasoned physicians in hospital hallways. Slowly absorbing the craft of diagnosis through repetition and proximity. It was an apprenticeship built on pattern recognition, intuition, and accumulated wisdom.

What I did not learn was how to practice medicine in a world increasingly shaped by artificial intelligence. That education came much later. It arrived quietly at …

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Accountable care cooperatives: a community-owned health care fix

Policy
December 13, 2025

After the longest government shutdown in U.S. history (one triggered by battles over health care funding) the core issue remains unresolved. Neither political party has produced a durable solution. The Centers for Medicare and Medicaid Services (CMS) projects U.S. health care spending will reach nearly $9 trillion by 2035, consuming 20 percent to 22 percent of GDP. The Congressional Budget Office projects that without significant changes in policy, …

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Why physician business literacy matters

Physician
December 13, 2025

Most physicians practicing medicine today were trained to diagnose and treat patients, not to navigate one of the most complex industries in the world, an industry characterized by ever-changing payer contracts, evolving reimbursement structures, complex and sometimes mystifying coding, and challenging operational realities. Despite the lack of training, these same physicians and providers are leading multimillion-dollar businesses and are expected by their health systems to reduce costs, improve outcomes, and …

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New data reveals the massive pay gap for women ER doctors [PODCAST]

Podcast
December 12, 2025
YouTube video

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Emergency physician Resa E. Lewiss and health care executive Jake Horowitz discuss their article, “Why women ER doctors earn $21,000 less than men.” They reveal staggering new data that shatters the myth …

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How regulations restrict long-term care workers in Taiwan

Conditions
December 12, 2025

Last month, a daughter called our care center in panic. Her mother, who lives with early dementia and mobility problems, needed support immediately. She had already contacted five agencies. All of them gave the same answer: “We have caregivers, but they are not allowed to work here.”

Not because the workers lacked skills. Not because the families were difficult. But because recent regulations now restrict long-term care workers to a single …

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A physician’s tribute to his medical technologist wife

Physician
December 12, 2025

At a northern U.S. Air Force base, it did not take long for the hospital administration to realize that the Red Cross volunteer in pediatrics (my late wife Kathy) was no ordinary civilian. With her two-year degree in medical technology and a bachelor’s in biology, plus board certification through the American Society for Clinical Pathology, Kathy quickly caught the attention of Capt. Humphries, the chief of the hospital laboratory.

Unlike most …

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Does medical training change your personality?

Physician
December 12, 2025

Something very distinctive happens once students complete medical school and residency: some of them start acting like excrement. Not all, but enough that most of us have witnessed the transformation. Maybe you’ve noticed it in your mentees, or in the children of friends and colleagues who went into medicine. Maybe, uncomfortably, you’ve wondered if it happened to your own children. And, if you’re like me, reflecting at the tail end …

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Why U.S. health care costs so much

Policy
December 12, 2025

The U.S. has the lowest health care quality ranking compared to other high-income countries. According to the Centers for Medicare and Medicaid Services (CMS), the U.S. spent approximately $4.9 trillion on health care in 2023. This means that almost one out of every five dollars spent in the U.S. goes towards health services. Despite this high spending, the U.S. consistently has a lower life expectancy compared …

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Why the expiration of ACA enhanced subsidies threatens health care access

Policy
December 12, 2025

Just over 40 days into the longest government shutdown in American history, the rope snapped. The enhanced premium tax credits that kept 22 million Americans insured will expire on December 31, 2025. Premiums are soaring, protections are vanishing, and the safety net is unraveling. Americans are already reeling from gutted SNAP benefits. Now they’re losing health care coverage too. The Congress has made it clear that the most vulnerable are …

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The crisis of doctor suicide in Australia

Physician
December 12, 2025

This morning, I woke up to a message from a friend that he had seen on social media a colleague he went to university with had, a few days ago, died by suicide. Last week, I had an email in my inbox from a young doctor in a training program informing me four of their trainee colleagues in the last 24 months have died by suicide. The week before, my …

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