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How to make a terrible, horrible, no good, very bad bill even worse

It’s BACK—the terrible, horrible, no good, very bad bill to repeal and replace the Affordable Care Act (ACA).  Last month, I blogged about how the bill, called the American Health Care Act, was the worst legislation for health care of any that

What’s the difference between health care in the U.S. and Haiti? Not much.

“How long have you had the bleeding?” “About seven years,” my patient replies stoically. Ange€™s angular face no longer retains the beauty of her youth. The sharp lines around her mouth speak of a long life packed into a brief 42 years.

Give your body a real immune boost

The human immune system is an amazing thing. There are thousands of microorganisms — millions, maybe †that are lurking out there, eager to make you sick. You breathe them in. They’re in every bite of food, and all over your hands

Are nonprofit hospitals a fairy tale?

Nonprofit hospitals have higher profit margins than most for-profit hospitals after accounting for their tax obligations. 3900 (62 percent) of U.S. Hospitals are nonprofit and therefore tax-exempt — they pay no property tax, no federal or state income tax and no sales tax. An article

To be an oncologist today is to be a part of a revolution in medicine

When I was a resident, my colleagues chided me for wanting to be an oncologist. Back then (and it pains me to be old enough to use that phrase, by the way), oncology was thought of as a field of futility. We administered toxic

After 100 days: 5 things we learned about health reform

For much of the first 100 days of the new Congress and administration, the news has featured health care and the frequently rancorous debate on its future. Will the Affordable Care Act (ACA) be repealed, replaced, revised or remain essentially intact? Will funding

The vaccine study you’ll never see

I’ve seen a lot of social media posts or comment threads that say we don’t have any studies to prove that the CDC’s vaccine schedule is safe or effective.| As a pediatrician, the first time I read that, I was surprised. But now, I

If pharmaceutical companies don’t restrain themselves, someone else will

Imagine that you are gasping for breath, literally on the verge of death. Then someone injects you with a medicine and — miracle! — you are perfectly healthy again. Would you pay $300 for that injection? The treatment is epinephrine; your illness

MACRA penalized this doctor for going the extra mile for his patients

We’ve taken care of Jane and her son, Sam, for a long time (the names are fictitious, but the rest of the story is true, and the real patient approved this story, in case you were wondering). At first, the focus was Sam,

Never forget the patients we do not see

In medicine, we speak of “seeing patients” when we are rounding in the hospital or caring for those who come to our clinics. But what about those people who may be sick but do not seek care? What is our responsibility to the