Oct 25, Hans Duvefelt
So many primary care patients have several multifaceted problems these days, and the more or less unspoken expectation is that we must touch on everything in every visit. Hans proposes that primary care physicians should do the opposite and work with patients to identify and improve a smaller, more manageable problem just to create some positive momentum. That may seem like an inefficient use of time, but it can be a way of creating leverage for greater change in the next visit.
Oct 28, Phuoc Le and Sam Aptekar
In the last fifteen years, we have witnessed dozens of natural disasters affecting our most vulnerable patients, from post-hurricane victims in Haiti to drought and famine refugees in Malawi. The vast majority of these patients suffered from acute on chronic disasters, culminating in life-threatening medical illnesses. Yet, during the course of providing clinical care and comfort, we rarely, if ever, pointed to climate change as the root cause of their conditions. Climate change is a public health emergency, and as guardians of the public’s health, it is our role as healthcare professionals to continuously stress the magnitude of the situation.
Oct 31, Adrian Gropper
The problem with HIPAA, and with Europe’s GDPR, is a lack of agency for the individual data subject. These regulatory approaches presume that all of the technology is controlled by our service providers and none of the technology is controlled by the us as data subjects. However, the new bipartisan Augmenting Compatibility and Competition by Enabling Service Switching (ACCESS) Act is a breakthrough, extending our right to choose a delegate to the digital institutions that are now deeply embedded in our lives.