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Neurologist Scott Abramson discusses his article “Why ‘the best physicians’ risk burnout and isolation.” In this YouTube-optimized episode, Scott reflects on the ancient Talmudic teaching that warns how pride and perfectionism can …
The woman sits across from me, hands folded around a list of her medications.
We review the cholesterol guidelines. I explain the evidence. She listens carefully, then says, almost apologetically, “Doctor, I know what the data says. I just don’t want to take another pill.”
There is no anger in her voice, only fatigue, the quiet exhaustion of someone who has lived long enough to know her own limits.
I pause, because this …
In my previous article, I examined why direct primary care (DPC) practices fail, focusing on financial modeling, compliance risks, and the gap between what’s legal and what’s sustainable. But there’s a more fundamental issue that precedes all of those concerns: market-model fit.
The direct primary care community loves to debate panel size, membership pricing, and model purity. We dissect what went wrong when practices fail. We blame insufficient commitment, poor …
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 …
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Board-certified pediatrician and certified coach Jessie Mahoney discusses her article, “Why don’t women in medicine support each other?” She explores how scarcity, competition, and cultural conditioning have discouraged women physicians from advocating …
I come to you with stories
I cannot name.
They press against my chest
waiting for a moment when
it feels safe
for them to be set free.
Pain is a language
I find difficult to speak aloud,
and the silence between us
feels like a waiting room
that will never empty,
pressing in on me,
catching my breath.
Two strangers,
white walls between us,
your eyes move toward the clock,
while mine look at my folded hands
resting in my lap.
I wonder
am I just a time …
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Certified coach and professor Kathleen Muldoon discusses her article, “The humanity we bring: a call to hold space in medicine.” She shares how her experience as a mother in the neonatal intensive …
As an internal medicine physician practicing in Southaven for more than eight years, I’ve learned one simple truth: Prevention is often more powerful than treatment. Every week, I see patients who wish they had come in sooner, before diabetes, hypertension, or heart disease quietly took hold. These conditions rarely appear overnight; they build over years of small imbalances in diet, stress, and lifestyle. The encouraging news is that small, steady …
The first day I walked into my residency clinic, I realized this was the part of medicine I understood the least. The waiting room was full, and every patient carried not just a diagnosis but the weight of a system already stretched thin. We learned to triage, to document, and to move quickly. But we did not learn how to lead, how to build continuity, or how to see the …
In modern medicine, the use of plain language is a fundamental clinical skill. This is especially critical when health decisions can profoundly affect a patient’s life, impacting their financial stability, ability to work, personal independence, and mental well-being, as well as their capacity for managing daily care, recognizing warning signs, and adhering to treatment plans. Considering the patient as a partner in their care, an informed decision can only be …
The service entrance doors slid to the right and, as Molly Humphreys and I exited the Berkeley Medical Center, we stepped into an unseasonably warm evening. “It’s the golden hour,” Molly said as we surveyed our surroundings and removed our masks, exposing flat faces with creased noses. Behind us stood a cold, somber hospital and we were engulfed in an empty parking …
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Internal medicine physician Rajeev Khanna discusses his article, “I passed my medical boards at 63. And no, I was not having a midlife crisis.” He shares his journey of studying for the …
Physicians hold one of the most essential and sacred trusts in every society: the care of human life. Yet across many developed nations, this trust is undermined by a growing culture of suspicion, litigation, sensationalism, and retaliation. When unethical malpractice lawyers hunt for profit, unfair regulators overreach with bureaucratic zeal, unprofessional journalists publish half-truths for headlines, or disgruntled patients weaponize complaints, the damage goes far beyond the doctor’s reputation. The …
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The Federally Qualified Health Center stands as perhaps the most eloquent institutional response to the perennial tension between medicine as market commodity and medicine as moral imperative. In the concrete reality of the FQHC (with its sliding-fee scales, its community governance structures, and its legislative mandate to serve the underserved) we find materialized those aspirations that have animated medical ethics since the Hippocratic tradition: that healing should flow toward need …
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Professor and patient advocate Edward G. Rogoff discusses his article “How to choose the right doctor for you.” In this episode, Edward explains why selecting the right physician is one of the …
When people discuss physician burnout, they often reduce it to a workplace issue: long hours, endless charting, electronic health records that seem never to end, and patient loads that test the limits of human capacity. The solutions we’re offered sound deceptively simple: take a vacation, practice gratitude, do yoga, and meditate more. It’s as if wellness could be squeezed into the fifteen minutes we have left after charting at midnight. …
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Physical therapists Kim Downey, Ziya Altug, and Shirish Sachdeva discuss their article “How physicians can reclaim resilience through better sleep, nutrition, and exercise.” In this episode, Kim, Ziya, and Shirish explain how …
“To practice medicine,” a mentor once told me, “is to live with the tension between what you can do and what you should do.”
I didn’t understand him then. I do now. It is two in the morning in a Chicago hospital. The unit hums with fluorescent fatigue. A man in his fifties lies gasping for air, his lungs crowded by metastatic cancer. His chart lists “full code.” His daughter, sobbing …
In 2025, Canada’s universal health care or Medicare system confronted a stark wake-up call. Many high-visibility service disruptions exposed the health care delivery model’s fragility and stress points. There were emergency room (ER) closures and specialty service interruptions.
In British Columbia, many hospitals repeatedly and increasingly closed their ERs for hours or days due to staffing shortages. The hospitals in large cities like Delta and Mission had multiple separate ER shutdowns. …
Racial diversity impacts health care delivery. North American nations like Canada and the U.S. are multi-racial. The U.S. addresses equity via programmatic and regulatory levers layered on a fragmented financing system: Medicaid, the Office of Minority Health’s National CLAS Standards for culturally appropriate services, and targeted maternal and community health initiatives. Nonetheless, persistent racial gaps in insurance, access, and outcomes underscore the limits of non-universal coverage, with maternal mortality for …
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