Feb 24, Matthew Holt
Since Saturday’s Nevada primaries, confusion seems to be reigning about how Bernie Sanders seems to be winning. Time (and not a lot more of it) will tell who actually ends up as the Democratic nominee. The key here is the main policy differential between the progressive and moderate sides, Medicare For All. It comes down to whether everyone is in the same state-run single payer system (a modified and expanded version of Medicare) or whether the private employer system is left as it is, with expanded access to something that looks like Medicare (the public option) for everyone else.
Feb 25, Mike Magee
In our modern world of “fake news”, concrete actions carry far greater weight than words ever did, and the caring environments we are exposed to in training are formative. They shape our future capacity to express trust, compassion, understanding and partnership. What if our mentors are able to “voice” and “model” professionalism, and even appear to be “practicing” professionalism, but the system itself makes it impossible for them and for their students to realize true professionalism?
Feb 26, Hans Duvefelt
For Swedish-born family physician Hans Duvefelt, Swedish healthcare seemed competent but a bit uninspired and rigid, but a medical school class trip to the Soviet Union in 1977 showed him a healthcare system and culture even more eye-opening. But more and more, practicing primary care in America has become rigid. This hampering of improvisation with bureaucratic red tape in how you meet individual patients is becoming reminiscent of that class trip, where people mattered as populations, perhaps, but not as individuals.