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George F. Smith is an internal medicine physician and author of Tales from the Trenches: A life in Primary Care.

Medicine in 1926: What being a doctor was really like

George F. Smith, MD
Physician
March 7, 2026

Even with all the incredible advances in medicine over the past 70 years, there remain severe deficits in the care of many serious deadly diseases. Pancreatic cancer, multiple sclerosis, glioblastoma, Alzheimer’s, ALS, and ovarian cancer easily come to mind in that desperate category.

However, let’s get a perspective of what it was really like to practice medicine a hundred years ago. What kind of doctors were there? What did they do? …

Read more…

Medicine in 1926: What being a doctor was really like

How blaming women for a baby’s sex persisted through history

George F. Smith, MD
Physician
January 13, 2026

It doesn’t take much to understand that women have had it tough throughout history. While seemingly in our age there is near parity (with many women heads of state in Mexico, Italy, Moldova, Iceland, etc.), they only gained the right to vote in the U.S. 105 years ago (with the 19th Amendment to the Constitution), which was 50 years after Black men in 1870 (the 15th Amendment). There have always …

Read more…

How blaming women for a baby’s sex persisted through history

The Silicon Valley primary care doctor shortage

George F. Smith, MD
Physician
November 25, 2025

Not long ago, a friend told me, “I switched insurance and can’t find a doctor who will take me.” Another said, “I left Kaiser after going on Medicare and now no one will see me.” These aren’t isolated complaints. They’ve become the new reality in Silicon Valley: It’s easier to buy a multimillion-dollar home than to find a new primary care doctor.

I saw this problem firsthand before I retired from …

Read more…

The Silicon Valley primary care doctor shortage

Silicon Valley’s primary care doctor shortage

George F. Smith, MD
Physician
November 3, 2025

Not long ago, a friend told me, “I switched insurance and can’t find a doctor who will take me.” Another said, “I left a leading integrated health plan after going on Medicare and now no one will see me.” These aren’t isolated complaints. They’ve become the new reality in an affluent U.S. region: It’s easier to buy a multimillion-dollar home than to find a new primary care doctor.

I saw this …

Read more…

Silicon Valley’s primary care doctor shortage

Why regular exercise is the best prescription for lifelong health

George F. Smith, MD
Conditions
July 16, 2025

An excerpt from Tales from the Trenches: A life in Primary Care.

For nearly four decades in medical practice, I’ve been asked countless times about the best supplements or vitamins for improving health. Despite widespread hopes that pills can unlock vitality and longevity, the truth is less glamorous and far more powerful: The single best prescription for health is regular physical activity. Exercise, not supplements or medications, is the most …

Read more…

Why regular exercise is the best prescription for lifelong health

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  • Most Popular

  • Past Week

    • Politics and fear have replaced science in U.S. pain management [PODCAST]

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    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

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    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • The hidden math behind physician hiring costs and recruitment

      Timothy Lesaca, MD | Physician
  • Past 6 Months

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      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

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    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
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      The Podcast by KevinMD | Podcast
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    • Why measuring muscle mass matters more than tracking your weight [PODCAST]

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    • Independent medical practice: Why private clinics are essential

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    • How hindsight bias distorts clinical medicine

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      Joshua Mirrer, MD | Physician

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