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Primary care for all Americans

Common Sense Family Doctor

Don Berwick's dire warning about the existential threat of greed on the failing American health care system seems to be coming true, to the extent that the brazen assassination of an insurance company executive in midtown Manhattan elicited far more outrage about delayed or denied care than sympathy for his family's loss.

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Migraine headaches: diagnostic and treatment tips

Common Sense Family Doctor

An article on acute migraine headaches in the April 2025 issue of American Family Physician reviewed current treatment strategies for acute migraine headaches, which “account for … 3.6 Scores that indicate MIDAS grades III and IV should prompt clinicians to consider targeted migraine medications rather than simple analgesics.

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Direct-to-consumer advertising distorts prescription drugs’ benefits and costs

Common Sense Family Doctor

In 1998, a Letter to the Editor in American Family Physician expressed concerns about the relatively new practice of pharmaceutical advertising directly to patients. The annual price of risankizumab is $288,000, so this is still a huge bargain for the company given the potential returns. If it did, why give it for free? But it is not free.

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Pathways to primary care for underserved communities

Common Sense Family Doctor

Several past colleagues in the family medicine department at Georgetown recently published an informative scoping review of specialty disrespect in the medical learning environment. in 2023-24. A research letter in JAMA Network Open reported that in 2015 and 2020, graduates of U.S. and 3.6%, respectively, in 2008-09 to 14.3%

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For family medicine workforce, HHS reorganization plan receives a failing grade

Common Sense Family Doctor

The sub-headline from a Medscape news article said it all: "Anesthesiology Still Hot, Family Medicine Is Not." Before becoming a core faculty member at the Lancaster General Hospital Family Medicine Residency Program , I spent more than 15 years teaching in Georgetown's family medicine department. growth in the U.S.

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Food for thought on food as medicine

Common Sense Family Doctor

Michael Pollan's pithy "eat [real] food, not too much, mostly plants"), and has received positive reviews in publications ranging from NPR to Family Medicine. for the 11 million families headed by single parents who often work two or more jobs to get by and have fewer options for buying groceries. Good Energy for the Budget-Conscious"?)