6+ hour, 8+ min ago  (711+ words) Kevin MD. com We live and work in a sick society. I know this isn't a revelation as much as a cruel reality. The disparity between those with means and those without is noticeable in every available metric dissecting the spending…...

9+ hour, 7+ min ago  (658+ words) The recent argument that physicians should abandon insurance-based care because the economics no longer work is not wrong, but it is incomplete. The strategist's view focuses on reimbursement, overhead, and the arithmetic of survival. Those pressures are real. But the…...

11+ hour, 8+ min ago  (401+ words) The government's misguided attempt to address the opioid overdoses did more than change prescribing practices. It changed the relationship between doctors and patients, and not for the better. Before receiving opioid pain medication, many patients today are required to sign…...

13+ hour, 7+ min ago  (188+ words) When a clinical trial starts to struggle, the conversation almost always turns to enrollment, with recruitment numbers running low and retention becoming increasingly difficult to maintain as timelines slip and pressure mounts. Sponsors and study teams begin asking how enrollment…...

1+ day, 4+ hour ago  (430+ words) Kevin MD. com The definition of a "doctor" is shifting in a way that feels increasingly fragmented. Growing up with a father who practiced for decades as a primary care physician before pursuing a residency in pediatrics, my baseline understanding of…...

3+ day, 8+ hour ago  (427+ words) Health care spending in the United States reached about 18 percent of GDP in 2024, totaling $5. 3 trillion, or roughly $15, 474 per person. That's dramatically higher than peer countries, which average around 11 percent. Yet patient outcomes haven't kept pace. Two major, interconnected problems stand…...

4+ day, 6+ hour ago  (466+ words) A brief history: from generalism to fragmentation and its costs For most of intellectual history, breadth was a virtue. Leonardo da Vinci, Benjamin Franklin, and Alexander von Humboldt ranged freely across disciplines because knowledge had not yet been partitioned into…...

5+ day, 7+ hour ago  (334+ words) From 1992 to 1995 I was a GI fellow. Nothing on the market made clinical sense for endoscopy reporting. The tools available were designed by people who had apparently never performed a procedure or written a note for one. I met a…...

5+ day, 11+ hour ago  (398+ words) In an earlier essay, I discussed doctoral training and research careers from the perspective of student choices and career incentives. Here, I consider a related but different question: Has the expansion of higher education been accompanied by comparable improvements in…...

1+ week, 1+ day ago  (665+ words) A conference table. Six to ten people around it. A health care startup is being evaluated for a multimillion-dollar investment. The people in the room are smart, with MBAs from top programs, former management consultants, ex-bankers who pivoted into health…...