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Jay K. Joshi is a family physician.

Why patients and doctors are ditching insurance for personalized care

Jay K. Joshi, MD
Physician
April 29, 2025

As the traditional health insurance framework becomes increasingly inaccessible, physicians and clinical leaders are being called to rethink both how care is delivered and how it is paid for. Insurance companies are covering fewer services, raising deductibles, and narrowing networks. Patients are now forced to make health decisions based not just on need—but on affordability, timing, and bureaucratic feasibility.

In this emerging landscape, sustainable health care delivery must …

Read more…

Why patients and doctors are ditching insurance for personalized care

A consulting firm under fire: Examining a new criminal probe in opioid crisis

Jay K. Joshi, MD & Ron Chapman II, JD
Physician
June 21, 2024

Roughly a month ago, a prestigious consulting firm found itself, once again, in hot water for its involvement in allegedly contributing to the opioid crisis. We saw many of the same headlines competing for the top spot in our inbox.

“Justice Department is investing in an elite consulting firm.”

“Top management firm under criminal investigation.”

Beneath that, we saw a second layer of headlines, with a more scandalous tinge of corporate gossip.

“Former partner …

Read more…

A consulting firm under fire: Examining a new criminal probe in opioid crisis

Rise of mega payouts: Physicians are now the white whales

Jay K. Joshi, MD & Ron Chapman II, JD
Physician
April 4, 2024

In recent years, malpractice attorneys have intensified their efforts to target physicians, becoming more aggressive in their pursuit of legal action. This relentless pursuit can be likened to Captain Ahab’s relentless quest for the white whale in the famous novel Moby Dick. The landscape has become increasingly challenging for physicians, as recent tort reform legislation in numerous states is rolling back the protections they once enjoyed. This unsettling trend underscores …

Read more…

Rise of mega payouts: Physicians are now the white whales

Shielding physicians: the untold story of legal preparedness

Jay K. Joshi, MD & Ron Chapman II, JD
Physician
January 11, 2024

Federal and state regulators have intensified the scrutiny of physicians in recent years in response to mounting overdose rates and the corresponding rise in mortality. Many in health care see this as a good thing. They would be wrong.

Look no further than the many physicians who were acquitted or exonerated after being charged with prescription-related crimes. Their plight tells the untold story of the collateral damage inflicted on medicine as …

Read more…

Shielding physicians: the untold story of legal preparedness

How legal liabilities and skewed decision-making plague clinical encounters

Jay K. Joshi, MD
Physician
July 15, 2023

The opioid crisis continues to ravage communities, and everyone, including politicians and federal agents, has a plan. However, no one has an actual solution.

It’s time to examine the crisis from a more detailed perspective: the clinical perceptions that form during a clinical encounter between a physician and a patient. It is here that we see the true effects of opioid policy and understand why they are so ineffective.

At the end …

Read more…

How legal liabilities and skewed decision-making plague clinical encounters

Unmasking the truth: the shocking reality of the opioid epidemic and who’s really to blame

Jay K. Joshi, MD
Physician
June 7, 2023

An excerpt from Burden of Pain: A Physician’s Journey through the Opioid Epidemic.

Glide your hand over a piece of velvet and you notice the smoothness. You feel its aggregated smoothness, not the individualized roughness of each fiber. Each fleeting fiber, a prick of truth, is nullified, synthesized, and then magnified into the silky fluency of general perception—propaganda containing within it a concoction of ambiguities and assumptions, cooked with a …

Read more…

Unmasking the truth: the shocking reality of the opioid epidemic and who’s really to blame

Disparities in health care: How physician heuristics can negatively impact patient outcomes

Jay K. Joshi, MD
Physician
May 3, 2023

Every physician, regardless of their specialty, vividly remembers their experiences during grand rounds as a medical student or resident. A preceptor, senior resident, or attending physician would lead a pack of eager students and residents from room to room on the clinical ward. Suddenly, the pack would stop, and the questioning would begin.

“What are the top differential diagnoses?”

“What test do we need to order?”

These memories linger because they are how …

Read more…

Disparities in health care: How physician heuristics can negatively impact patient outcomes

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  • Most Popular

  • Past Week

    • The Blanket Sign: Recognizing difficult patient encounters in the ER

      George Issa, MD | Physician
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • The future of U.S. medicine: 10 health care trends in 2026

      Richard E. Anderson, MD & The Doctors Company | Physician
    • The passion vine: a lesson on restraint in medicine and life

      Rao M. Uppu, PhD | Conditions
    • The future of employer-aligned DPC and physician autonomy

      Dana Y. Lujan, MBA | Policy
    • American health care policy reform: Why we need a bipartisan commission

      Steve Cohen, JD | Policy
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Why medical school DEI mission statements matter for future physicians

      Aditi Mahajan, MEd, Laura Malmut, MD, MEd, Jared Stowers, MD, and Khaleel Atkinson | Education
  • Recent Posts

    • Physician neutrality: a beacon of ethics in a divided world

      Farid Sabet-Sharghi, MD | Physician
    • Pharmaceutical advertising dangers: Why drug ads hurt patients

      George Issa, MD | Physician
    • How to handle clinical disagreement with patients

      Muhamad Aly Rifai, MD | Physician
    • The economic shift from fee-for-service to direct primary care

      Dana Y. Lujan, MBA | Policy
    • The quiet paradox of physician mental health and medication

      Timothy Lesaca, MD | Physician
    • Why medicine ignores its Cassandras: a case study in health disparities

      Ronald L. Lindsay, MD | Conditions

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