Archive | Health Care Reform


Reflections on Dirty Snow and Political Hyberbole

When in Brooklyn I enjoy myself in a variety of uniquely urban ways. (I was back in the big city this week so that Debbie could meet with several book coaching clients.) I get my exercise by taking my three and five-year-old granddaughters to and from their respective preschools. This may not sound like much, but a […]

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Pencil erasing an "error"

The Angst of the First-time Author

This was a difficult summer. It was the first summer of my new persona as a writer. Outwardly it appears to have been luxuriously loaded with visits and weekend trips. Inwardly it was littered with insecurities, frustrations, and the angst of authorship. Having explored the world during my Gap Year and having dipped my toe into […]

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Unethical Doctors and the Business of Medicine

A recent article in the New York Times brought back memories of unethical behavior in my former medical community and made me infuriated about the current practices of “medicine as a business.” The article, After Surgery, Surprise $117,000 Medical Bill From Doctor He Didn’t Know by Elizabeth Rosenthal, tells the story of Peter Drier, his cervical disc surgery […]

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It Is Time to Reset Expectations About Immortality

I have recently spoken with two smart people who have optimistic views about future advances in medical technology that might enable cures for cancer, viral infections, paralysis, organ regeneration, etc. Invoking stem cell therapy, nanotechnology, spectrophotometry, genetic manipulation, immunomodulation and other biotechnologies, they argue for dramatic progress, if not Ray Kurzweil’s coming singularity (when “humans transcend biology”). […]

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3d rendered illustration of a polyp removal

State-of-the-Art Screening Saves Lives, But At What Cost?

When I finished my medical training I joined a generation of internists and sub-specialists who believed the next great advances would be in prevention of death by early diagnosis and treatment. A large part of our medical practice involved screening for “problems.” After 32 years of practice I came to the conclusion that screening for […]

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