How the NHS, the Internet, and a local newspaper reunited my family

I would like to tell you all a story. It is very sad in parts but if you stick with it to the end I think it will be worth it. I want to tell you this story because if it were not for you, yes you reader, this story would be much sadder. Over …

When evidence says no, but doctors, patients, and the system say yes

There is an interesting article from ProPublica called When evidence says no, but doctors say yes making the rounds about the number of doctors who disbelieve, or don’t know, or don’t care about the medical evidence to the detriment of patients. I do not find any fault with the article. I rail against this daily. I have …

Dear Tom Price, I have some questions about my new pre-existing condition

Dear Secretary Price, This week I acquired a new pre-existing condition. In a sane world I should just be able to say I have pneumonia, but America is teetering on insanity when it comes to health care and I, like many, am worried about affordable access to health care and it is now your job …

I’m a doctor and I chose my job based on health insurance

Under the cloak of night, when dirty deeds are often done, the Senate started the small cancer that if left unchecked will grow and metastasize and kill Obamacare. One by one these brave lawmakers, oblivious to what might happen to others without the sterling health insurance that their jobs provide, gutted Obamacare. They even voted …

Donald Trump unveils plan to make abortion illegal again

Donald Trump released a letter dated September 2016 via the Susan B. Anthony List (SBA List) detailing his first actions against reproductive rights (see below for the full letter). His first four goals are: Nominating pro-life justices to the Supreme Court. This may not end abortion in 2017, but this is a defacto invitation for …

An American doctor experiences the NHS. Again.

Two years ago I wrote about my experience in a London emergency department with my son, Victor. That post has since been viewed > 450,000 times. There are over 800 comments with no trolls (a feat unto itself) and almost all of them express love for the NHS. I was in England again this week. …

Sharing some love for the NHS

The most notable way the U.S. differs from other industrialized countries is the absence of universal health insurance coverage – Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally, the Commonwealth Fund, executive summary   This summer I took my 11-year-old twins to England to visit family and we ended …

An American doctor experiences an NHS emergency room

You know it’s going to be one of those days when one of the first tweets on vacation inquires about the closest hospital. Victor, one of my 11-year-olds, had something in his eye courtesy of a big gust of wind outside of Westminster Abby. He was complaining enough to let me flip his eyelid and …

An OB/GYN’s opinion on the Supreme Court, Hobby Lobby, and contraception

The Supreme Court, in a 5-4 decision, sided with Hobby Lobby (and much of the religious right in the United States) and ruled that a closely held private corporation does not have to provide insurance coverage for certain birth control methods. Justice Alito, speaking for the majority wrote: “The owners of the businesses have religious objections …

The VA tragedy exposes the dark side of medical metrics

The Veteran’s Administration is under fire for covering up deaths. Men and women who were eligible for care languished on impossibly long waiting lists and even worse when some died waiting for care their deaths were covered up. This is horrific and everyone wants to know how this tragedy could have happened? Veteran’s hospitals have …