Why nearly 800 U.S. hospitals are at risk of shutting down

Policy
August 13, 2025

Over the past several years, each time a periodic U.S. hospital closures report is released, the number failing financial stress tests and at extreme risk of closing rises. The number now approaches 800 nationwide.

Meanwhile, many project that the just-passed One Big Beautiful Bill will rapidly increase these closures and further degrade health care access for American citizens.

Touted reasons for accelerating hospital closures, especially impacting …

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The unfiltered truth about surviving emergency medicine residency with purpose

Physician
August 13, 2025

Emergency medicine residency: where the pager announces before your coffee cools, and your personal life takes a number far behind sepsis alerts and trauma activations. Amidst this storm, there’s an unexpected survival manual—not found in Tintinalli’s or Rosen’s, but in Mark Manson’s self-help book, The Subtle Art of Not Giving a F*ck.

Manson argues that life’s meaning isn’t found in chasing positivity, but in embracing struggle, choosing your battles wisely, …

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How to safely undergo IVF with von Willebrand disease [PODCAST]

Podcast
August 12, 2025
YouTube video

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Renowned fertility specialist Oluyemisi (Yemi) Famuyiwa discusses her article, “When bleeding disorders meet IVF: Navigating von Willebrand disease in fertility treatment.” She explains that von Willebrand disease (VWD), the most common inherited …

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Summer’s dark side: How not to dim your fun

Conditions
August 12, 2025

It’s all fun and games until your health becomes one big puzzle to solve, and little do many people know what risks and hazards might surround us during our favorite summertime activities. I learned this personally after what should have been an innocent business trip turned into a year-and-a-half nightmare for me after contaminated water made me sick. I contracted bacteria that led to a secondary chronic inflammatory breast disease. What …

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Closing the diversity gap in Parkinson’s research

Conditions
August 12, 2025

When people think of Parkinson’s disease (PD), they often picture Michael J. Fox or Muhammad Ali, iconic figures who bravely shared their diagnoses. But the real face of Parkinson’s is much more diverse than what we see in the media, and the research that shapes our understanding of the disease has not caught up.

Despite affecting people of all racial and ethnic backgrounds, …

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Why primary care doctors are drowning in debt despite saving lives

Physician
August 12, 2025

I knew there was a cost when I chose to become a physician: The long hours, delayed gratification, the strained relationships. I could understand these things as familiar from my lived experiences. I knew there would be a financial burden, and having been raised by two immigrant parents, an electrician and a nurse, I was no stranger to the pressures of financial insecurity. I was fortunate too: my parents did …

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Why boredom is good for your brain and health

Conditions
August 12, 2025

A few weeks ago, I heard Michelle Obama say something that stopped me in my tracks:

“We have to learn to be OK with the regular days. The in-between. The parts of life that aren’t exciting.”

I thought of my kids in the back seat during a long car ride, sighing dramatically, claiming they were “literally dying” of boredom. I thought of patients sitting in a waiting room with nothing but their …

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How health care branding can unintentionally stigmatize patients

Conditions
August 12, 2025

I first grasped the disconnect between health care professionals and the public while designing a brochure for a cornea donation campaign.

My original concept featured a young boy smiling, wearing an eye shield—an approachable image meant to encourage public participation. But the overseeing specialist rejected it. He insisted instead on a clinical close-up of a post-surgical eye, sutures and all. To him, it represented medical success. To potential donors, it was …

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How interoperability solves the biggest challenges in health care [PODCAST]

Podcast
August 11, 2025
YouTube video

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Physician executive Steven Lane discusses his article, “Why interoperability is key to achieving the quintuple aim in health care.” He explains that true interoperability is not just about technology but about aligning …

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The hidden cost of racism in sickle cell disease treatment

Conditions
August 11, 2025

Sickle cell disease (SCD) is frequently referred to as an invisible disease and is often overlooked due to a lack of research and overall resource shortages resulting in substandard clinical care. Part of the problem is difficulty objectively identifying SCD characteristics due to lack of laboratory markers and poor objective pain indicators. This disease mainly affects African American populations. Systemic marginalization of stigmatized populations results in less funding; and therefore, …

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How to lead from the heart in a system that rewards the intellect [PODCAST]

Podcast
August 10, 2025
YouTube video

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Pediatrician and certified coach Jessie Mahoney discusses her article, “Why the future of medicine depends on leading from the heart.” Drawing from her experience leading a workshop for women cardiologists, she explores …

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How humor builds trust in pediatric oncology

Physician
August 10, 2025

“Dr. Who?” the child asked.

“Dr. Hijano,” I said. “But you can call me Dr. Diego. Like Go Diego Go! Dora the Explorer’s cousin, the one with the baby jaguar who saves the rainforest.”

A pause. A smile. And just like that, the ice broke. In pediatric oncology, that is no small thing.

I work in a pediatric cancer center, most often in the bone marrow transplant unit. When people hear this, they …

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What a dying patient taught me about compassion in silence

Physician
August 10, 2025

I remember a night during my first year of residency in oncology when I was on call. It was after midnight, and I was sitting at the ward counter.

I often struggle to sleep during night shifts, especially when I’m the only doctor on call. I prefer to stay at the counter because I dread the thought of some terrible thing happening and not being able to reach the ward in …

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When the clinic becomes the battlefield: Defending rural health care in the age of AI-driven attacks

Physician
August 10, 2025

The message came through before dawn: “Our EHR is down. No access to patient charts.”

In a rural clinic, that is not just a technical inconvenience. It is the mother who drove forty miles before sunrise to get her child’s asthma medication, the farmer who left the fields to review his lab results, the elderly patient who cannot make another trip for months. When systems go dark, there is no backup …

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Poorly targeted patient outreach is wasted outreach

Conditions
August 10, 2025

The phone call from my insurance carrier came in unexpectedly one morning. “We see that you’ve just been discharged from the hospital …”

I blinked. I had neither been admitted nor discharged from any hospital. When I pressed for details, the caller claimed her records showed I’d been hospitalized for more than a month. Why? For which condition? She didn’t have that information, she told me. Only the dates.

My first thought: …

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Ending burnout through structure, not gimmicks

Physician
August 10, 2025

The truth is not hiding. We have known for decades what allows physicians to thrive and what erodes their well-being. The science has been published, the interventions described, and the solutions tested. What we face is not a crisis of knowledge; it is a crisis of action.

I was reminded of this recently when an emergency physician preparing a talk on wellness asked me for help. She wanted to share with …

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The silent burnout epidemic among parents and doctors

Physician
August 10, 2025

For years, I didn’t realize the name for what I was experiencing as a primary care pediatrician was burnout. I just thought I wasn’t enough—not good enough, not hardworking enough, not experienced enough. That self-doubt didn’t stay confined to my role as a doctor; it crept into how I felt as a parent, a spouse, a community member.

Nothing ever felt like enough. So I did what I was trained to …

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How AI is finally fixing the electronic health record [PODCAST]

Podcast
August 9, 2025
YouTube video

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Physician executive Laura Kohlhagen discusses her article, “Here’s what providers really need in a modern EHR.” She argues that since electronic health records were originally designed for billing and …

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