Joshua Mirrer, MD

Joshua Mirrer is a reconstructive plastic surgeon.

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Latest articles

Physician voices

Institutional distrust in health care: Why a doctor lost faith

Joshua Mirrer, MD

March 24, 2026Mar 24, 2026

Faith implies trust: confidence in an idea, a system, or a set of principles. In religion, it often requires adherence to divine authority, shaped by interpretation and tradition. Over time, those traditions can harden into dogma, discouraging curiosity and resisting ideas that challenge the prevailing worldview. This is not unique to religion. Any system that depends on belief risks the same fate.

When contradictions within a belief system become impossible to …

Conditions and diseases

The economics of prevention: Why an ounce is worth a pound

Joshua Mirrer, MD

January 21, 2026Jan 21, 2026

We repeat the phrase "an ounce of prevention is worth a pound of cure" as if it were a folksy reminder to eat better or get a flu shot. But taken seriously, it is not a medical cliché. It is…

We repeat the phrase “an ounce of prevention is worth a pound of cure” as if it were a folksy reminder to eat better or get a flu shot. But taken seriously, it is not a medical cliché. It is an economic law. And it exposes a devastating flaw in how modern societies choose to spend money.

Prevention is not the opposite of cure. Cure is essential, lifesaving, and often extraordinary. …