A Country Doctor Writes

JULY 1, 2025

I wrote this when I was working for a fairly traditional primary care office, a Federally Qualified Health Center, which did have a somewhat preferential pay rate from Medicare and Medicaid, in part because we offered sliding feee to uninsured patients, in part because we offered a few “enabling services” as the bureaucrats call it.

Primary Care 233

Primary Care Patient-Centered Government Family Doctor 233

Common Sense Family Doctor

MARCH 18, 2025

Dr. Smith shares the stories of several patients he met during residency and his early years in practice who illustrate the bad outcomes that accompany not attending to patient's emotions and focusing solely on their physical problems. The first few chapters discuss the problems with mental health care in the U.S.

Mental Health 52

Mental Health IT Primary Care Primary Care Physician 52

Common Sense Family Doctor

MARCH 23, 2025

Now the Department of Government Efficiency is trying again, threatening 90% staff reductions that would decimate the agency. Nonetheless, its work has often been politically unpopular and unheralded outside of a small community of health services researchers and patient advocates. spends on health care more wisely or efficiently.

Healthcare 52

Healthcare Patient-Centered Primary Care Illness 52

Common Sense Family Doctor

JUNE 20, 2025

HHS has traditionally relied on panels of non-government experts to guide its work in prevention, and after the DOGE-driven cuts that resulted in the departure of 20 percent of its workforce , it needs outside help more than ever.

Chronic Disease 92

Chronic Disease Diabetes Screening Vaccination 92