Public Health & Policy
A physician’s perspective on the crisis in Massachusetts health care
I am a surgeon from a family of surgeons, all based in Massachusetts. Throughout my career, I have faced many challenges, both in and outside of the operating room. Like most doctors, I am saddened by the current collapse of our system in general and my own hospital in particular, which is facing closure due to mounting debt owed to private equity. For the record, I have been warning my …
Voting from the hospital: How emergency ballots give patients a voice
Voting is one of the most fundamental rights in our democracy, and yet it can be incredibly challenging. Getting to your polling station, waiting in line, remembering to request your absentee ballot, checking your voter registration status—it is not a straightforward process. If you suffer from an unexpected illness or injury and find yourself hospitalized, it can feel impossible to make your voice heard and participate in an election. Fortunately, …
Why climate change threatens our children’s future: hurricanes, floods, and a call to act
As Valencia, Spain, reels from devastating flash floods and the U.S. Southeast recovers from hurricanes Helene and Milton, I, like many other parents, look at my own kids with increasing concern about the ailing world they will inherit.
If a climate haven like Asheville, North Carolina, lying 2,000 feet above and 300 miles away from the ocean, can be swept away by a single catastrophic storm, how can we possibly keep our children safe?
Scientists have shown that ocean warming due to …
The hidden $935 billion problem in U.S. health care no one is talking about—and how to solve it
“Waste is worse than loss. The time is coming when every person who lays claim to ability will keep the question of waste before him constantly.”
– Thomas Edison
The escalating challenge of waste in U.S. medicine
The U.S. health care system is struggling with inefficiencies and waste that weaken its effectiveness, thus reducing accessibility and sustainability as a whole. According to a study by JAMA, between $760 and $935 billion is wasted …
Health care reform requires better access and quality: dialysis as an example
Having spent two years in Oxford as a Marshall Scholar in the mid-1970s, I came back to medical school believing in a national health service—i.e., Medicare for all. But I learned firsthand that a monopoly can provide access without ensuring quality. When quality isn’t the priority, there’s no hope for lowering costs or alleviating suffering.
Medicare is already the single payer for dialysis and has failed patients miserably. As a result, …
Voting as a physician: How my parents’ story inspired me to advocate
My parents, both physicians, embody the American story. After completing medical school in Iran, they were recruited to the U.S. in 1968 to fill the gap left by doctors sent to Vietnam. Building a life from the ground up, they became pillars of their patients and communities — and our family, too. In 1992, they became citizens, finally gaining the right to vote, and they’ve never missed an election since, …
How financial incentives transform health care [PODCAST]
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We sit down with Taylor J. Christensen, an internal medicine physician and health policy researcher, to discuss his health care incentives framework. Taylor explains how restructuring financial incentives can encourage providers and insurers …
A prescription from the next generation of doctors: Vote early
As future medical professionals, we see the real-life consequences of political decisions in emergency rooms, hospitals, and clinics. Despite a growing recognition that voting is directly linked to better health outcomes, however, health professionals are voting at lower rates than the national average. It’s time that we make a change this election.
We see patients denied essential services due to bureaucratic hurdles, such as insurance coverage gaps for life-saving medications …
The duty of health system boards to prioritize organizational culture, workforce development, and career pathways
Recently, I interviewed Dr. David Morris, a physician in Ireland and CEO of Verity Barrington, along with Geoffrey Roche, director of workforce development for Siemens Healthineers. Our conversation focused on successes in health care in both Ireland and America, and the lessons we can share to improve the system. A critical part of our discussion revolved around the role of health care boards. Geoffrey posed a pivotal question: “Where are …
How food marketing to kids is harming their health and what we can do [PODCAST]
We can prevent another Apalachee High School, if we have the courage to act
Hearing about the school shooting last week at Apalachee High School in Georgia, I couldn’t imagine the gut-wrenching pain that the victims and the local community felt as yet another mass shooting tore apart families.
The tragedy reminded me that no one is safe from the horror of gun violence. As a pain physician, I’ll never forget hearing one of my patients say, “If I don’t get the pain fixed, I …
Why doctors must take charge to save our failing health care system
I recently wrote an article about the problems with our broken health care system, ending with a call for doctors to help develop solutions. In follow-up, here are some possible solutions to consider before the system self-implodes. There is concern that, without any changes, Medicare will run out of funding by 2031. Here are a few things that I think could help.
Address physician burnout
It’s real, and COVID-19 made it …
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A lack of specialized care continues to shortchange Medicaid moms who face the greatest threat from the maternal mental health crisis
In the shadow of America’s maternal health crisis, Medicaid mothers are fighting an uphill battle against systemic neglect. Many of these mothers are facing a cruel reality: the more they need help, the harder it is to get.
It is far from uncommon for new mothers in the United States to find themselves thrust into the throes of postpartum depression after welcoming a new life. Most of them, about three-quarters, …
Full Medicaid expansion needed to retain Georgia’s physicians
Georgia was ranked 5th worst place to practice in a recent Medscape article (“Best and Worst Places to Practice 2024”), using five criteria: physician compensation, cost of living, malpractice premiums, the health of the state’s residents, and physician burnout levels. As current and future physicians and health advocates, this column will add context by detailing our experiences practicing in Georgia.
The article identified challenges that Georgia physicians encounter. Particularly concerning is …
Climate change is exacerbating diseases in vulnerable populations in America and abroad
As climate change advances, it has amplified a variety of diseases globally, especially in under-resourced countries and communities. This article summarizes three of these consequential trends. The first is that wildfires and industrial pollution are worsening respiratory diseases. Second, hotter climates are increasing the incidence of infectious diseases such as malaria, and lastly, heat waves are increasing the risk of various diseases, disrupting public services, and causing unprecedented amounts of …
Why is our health care system going down the drain and no one seems to care?
I want to express my frustration with the state of health care in the United States, particularly in the context of my own experiences within the system. Over the past 12 years, I have submitted articles to KevinMD advocating for quality patient care and fair working conditions for health care professionals. I have urged hospital administrators to reevaluate their operations to improve patient and staff satisfaction and the overall efficiency …
The hidden estate tax: How the SECURE Act could impact your heirs
When planning for retirement, most of us focus on building a nest egg that will support us in our golden years. We diligently contribute to our 401(k)s, IRAs, and other retirement accounts, hoping to maximize our savings and minimize our tax burden. However, the passage of the SECURE Act and SECURE Act 2.0 have introduced new rules that could significantly affect how your retirement savings are passed on to your …
Medicare’s cobra effect: How a well-intentioned policy spiraled into a health care crisis
In the sweltering heat of 19th-century colonial Delhi, legend has it that cobras were taking over the streets. To eliminate the dangerous snakes, British officials offered a bounty for every dead cobra brought to government offices. Soon, locals began breeding and killing cobras for profit. When British officers caught wind of the scheme, they ended the program immediately. In response, the breeders released their now-worthless snakes back into the streets, …
How Australia’s deadliest creatures and groundbreaking medicine make it unique
Australia is a very beautiful and unique place. I first went to Sydney in 1996 to present some research I had accomplished together with a much more brilliant and capable research physician. I was able to ride the monorail, now gone I’m told, and travel to the Outback, or at least the edge of it. My wife and the two oldest still at home at that time went there a …
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