The Association of American Medical Colleges (AAMC) predicts that at least 139,000 doctors will be needed by 2033, particularly in rural and low-income areas. In an attempt to address this need, states have been replacing physicians with non-physician health care providers and reducing physician oversight.
I’ve seen it firsthand.
One day in the ER, a patient came in fatigued and dehydrated. He had been to his …
“I’m sad you are leaving! But I’m sure you had your loans forgiven by coming here! So I am happy for you!”
A colleague said this upon learning I was leaving to pursue a fellowship. Her comment stung. As a non-citizen with private student loans, I don’t qualify for federal loan repayment programs. I came to work in a Federally Qualified Health Center (FQHC) because I wanted to.
Each year, a very …
At the same time that gun violence becomes the leading cause of death for children in the U.S., lawmakers and political pundits caution the public against turning gun violence into a political issue. Yet as Jelani Cobb writes in the New Yorker, the mass killing of children is always already a political issue.
Furthermore, as so many have articulated against the backdrop of decades of …
As we are all processing the horrific events that occurred in Texas, as a psychiatrist and advocate for individuals suffering from mental illness, I beg you not to state this individual was mentally ill. We do not know enough information to come to this conclusion.
We know that individuals with mental illness are not more violent than peers without mental illness. We need to lean into the research, look at other …
Nineteen children were killed in a mass shooting in Texas. I have barely escaped the pandemonium of the pediatric emergency department to scarf down a bowl of pasta when I hear the announcement on the breakroom TV. My stomach drops. Again? How is it possible?
I step back into the ED and immediately am called over by an agitated mother whose infant came in with respiratory distress 30 minutes earlier. Any …
On May 14, 2022, ten people were fatally shot with three injured at a Tops Supermarket in Buffalo, NY, constituting the second most deadly mass shooting this year at the time of writing. As the number of mass shootings and fatalities continues to climb each year with alarming frequency, researchers and policymakers have sought to examine the factors contributing to an increased incidence of deadly domestic terrorist …
It is too early to hear the narratives from the families of the 19 children slain this week at Robb Elementary School in Uvalde, near San Antonio, Texas. But narratives from the 1993 Long Island Rail Road shooting, the 2012 Sandy Hook massacre in Newtown, Connecticut, and 16 other deadly gun violence events have just been published by Red Penguin books. From Bullet to Bullhorn is the …
If I were writing a book about what it’s like to be a visionary pediatrician speaking up for children’s health, I would title it, The Hate We Get.
A few months ago, I received a death threat comment on a TikTok video I posted advocating for COVID vaccines.
My college-aged daughter called me, “Mom, I saw your TikTok video. That’s so scary. I’m so sorry.”
“I expected it. I’ve had worse.”
I did a …
Health care has fooled us into believing a number of myths that—taken at face value—sound logical and true. Here’s one of the most pervasive and dangerous myths: Pharmacy’s value comes from convenience and access. And here’s another one: 90-day fills, and automatic refills on prescriptions improve medication adherence and patient health.
It’s not surprising that people might champion the efficacy of these tactics. It feels easier to get 90 days of …
A few years ago, my rural town expected the addition of a “J-1,” or foreign, physician. This addition was meant to alleviate the work of my father, who had been the only neurologist at our underserved hospital for the past few years. And yet, with this J-1’s arrival, my father and his office soon found themselves struggling with more work than ever before.
As many rural physicians can attest, this behavior …
The leaked Supreme Court draft opinion in Dobbs v. Jackson Women’s Health Organization has produced mixed emotions, including amongst health care providers. If the Supreme Court does indeed strike down the rights afforded women in Roe v. Wade almost 50 years ago, it is expected that many if not most states will ban abortions outright or significantly limit women’s access to abortions. If this occurs, as physicians, we should have …
Recently, the New England Journal of Medicine published “Oral Health for All — Realizing the Promise of Science,” authored by some of the most respected officials in dentistry and medicine, including the U.S. Surgeon General. They declared the pressing need to address the “global public health threat” of inequitable dental care. With a surprisingly populist title, it was refreshing for a public health dentist to see a …
This spring, in my culminating semester of PA school, I took a course entitled “Health Care Delivery Systems.” After 30-something months, the end was in sight, and I was not particularly excited for another serious class while I was wrapping up rotations, studying for my boards, and writing my master’s paper.
However, as soon as I started working on the class assignments, I realized this class might deserve a higher rank …
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The 2022 Medscape poll on physician burnout confirms what has been painfully obvious to doctors on the frontlines of COVID-19: Their burnout is intensifying.
According to the survey of 13,000 doctors, the nation’s most burned-out physicians are those in emergency medicine (60%) and critical care (56%). Medscape, a leading health care publication, describes burnout as “long-term, unresolvable job-related stress that leads to exhaustion, cynicism, and …
The reason I pursued PA school pertained to a loved one’s cancer diagnosis. During the trials and tribulations of the diagnosis and treatment, I learned a lot about our health care system. I witnessed the work of phenomenal PAs as they took care of my loved one, which inspired me to pursue my degree as a PA. During this time, I also promised myself that I would do my best …
There are no two ways about it: The health care system in the United States and Canada is failing. Few want to talk about a dirty little secret, but the facts are clear. Health care costs are rising at an unsustainable rate, and millions of Americans are uninsured or underinsured. The system is not accountable to the people it is supposed to serve.
Having experienced both the Canadian and United States …
Early in the COVID-19 pandemic, Lorna Breen, MD, a New York City emergency room doctor, committed suicide following weeks of incredible stress she endured at work. Nearly two years later, the Dr. Lorna Breen Health Care Provider Protection Act was signed into federal law, providing federal grants to support programs and training on reducing health care worker burnout.
While this legislation is an important step forward, it is not enough.
Two years …
As the momentum to mitigate food insecurity continues to unfold, we need a stronger emphasis on ensuring better food sanitation and safety in economically disadvantaged and under-resourced communities. For example, the closing of 400 Dollar General Stores in several states and a grocery store closure on Chicago’s West side due to rodent infestation are of concern, especially for communities who are already dealing with …
The U.S. government took an important step forward to help address the high incidence of health care professionals’ burnout, depression, and suicides. On March 18, 2022, President Biden signed the Dr. Lorna Breen Health Care Provider Protection Act into law. The law outlines several requirements for the Department of Health and Human Services (HHS). Key among them are to:
“We need to address the underlying preventable factors that cause more Black Americans to die of heart attacks and strokes and suffer from high blood pressure and diabetes complications than white Americans instead of focusing on non-existent biological differences. I would like to see the scientific disciplines unite to …
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