Esther Yu Smith, MD
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Physician voices

I recently heard an insurance CEO say at a meeting of our state medical association that "the physician community is our product." What struck me almost as much as the phrase itself was that no one in the room appeared…
I recently heard an insurance CEO say at a meeting of our state medical association that “the physician community is our product.” What struck me almost as much as the phrase itself was that no one in the room appeared to challenge it.
Perhaps the phrase was intended as corporate shorthand for network strength, partnership, or market value. But language matters, especially when it comes from institutions that increasingly control payment, …
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Why the physician community is not an insurance product
Physician voices

Today I am a urologist, a cardiologist, a psychiatrist, a rheumatologist. But truly, I am a rural family medicine doctor in one of the most underserved counties in the country. And I am tired. I do not pretend to have…
Today I am a urologist, a cardiologist, a psychiatrist, a rheumatologist. But truly, I am a rural family medicine doctor in one of the most underserved counties in the country. And I am tired.
I do not pretend to have the depth of each specialist. What I have is necessity, a toolkit built on scarcity. Practicing medicine on an island, where specialists are rare, calendars are full for months, and visiting …
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The hidden depth of the rural primary care shortage
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