Internal medicine, American health care, and especially medical education

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Glorious golfing experience

Almost home after 4 days of glorious golf at Bandon Dunes on the Oregon coast. Vacations often induce great expectations.

Taking vacation

On a golfing vacation, focusing on my game, not politics. Taking time to refresh, enjoy, and stay fit.

Money matters

A public option can help uninsured patients access affordable care, prevent hospitalizations, and make economic sense.

A political lament

If you are still reading, thanks for allowing me to vent. We should resurrect Henry Clay – known as the Great Compromiser.

What caused the pancreatitis?

A 68-year-old male with diabetes, hypertension, coronary artery disease, and prior pancreatitis presented with severe abdominal pain

One way universal coverage can save costs

An ER doctor admitted a patient for evaluation due to system inefficiencies. Universal coverage and better primary care could reduce unnecessary hospitalizations.

Can we measure quality?

We need patient centered care rather than check-box care. We need to rediscover the caring in patient care.

The semantics of primary care

I fear we have lost the context of the term primary care. We know the content, but they do not. And they make the big decisions.