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Mar 24

My new

@JAMAHealthForum

piece on physician professionalism, health care quality, and what we can do to address the fundamental drivers of burnout:

Burnout, Professionalism, and the Quality of US Health Care

This Viewpoint discusses the consequences of physician burnout and offers insights for its prevention.

Mar 19

"The aftermath of pandemics requires as much focus and response as the start. And the United States’ leadership is crucial."

@Atul_Gawande

Opinion | The Aftermath of a Pandemic Requires as Much Focus as the Start

The pandemic diverted resources from essential health needs of all kinds. Now America must rally the world to invest in recovery.

I joined

to discuss a new FDA-approved nasal spray for people with migraines. The spray acts fast, targets a molecule associated with inflammation, and should be available in July.

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CNN This Morning

@CNNThisMorning

Mar 14

Pfizer says the FDA has approved a new nasal spray as a rapid treatment for migraines in adults. @DhruvKhullar has the details:

1:16

1.5K views

My latest

on the COVID lab leak debate—what we know and what to do about it:

Lab Leaks and COVID-19 Politics

The latest report on the origin of the virus behind the pandemic is still inconclusive, but there are lessons to be learned from it.

Payment Policy Changes and Medicare Payment to Physicians

Feb 28

Link to the study from

, and

here:

This retrospective observational study compares simulated changes in Medicare evaluation and management (E/M) payment policy with observed changes in total Medicare payments to US office-based...

editorial on

et al's important new study on recent Medicare policy changes and primary care payment. If payment reflects priorities, there's little doubt we undervalue primary care. Some ideas on how we might change that:

Payment, Priorities, and Primary Care

If payment reflects priorities, there can be little doubt that the US dramatically undervalues primary care. Primary care is widely recognized as the foundation of an effective health care system,...

I joined

to chat about my new

article on the promise and perils of using A.I. in mental health care.

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CNN This Morning

@CNNThisMorning

Feb 28

Can AI be used to treat mental illness? Dr. @DhruvKhullar joins to discuss his latest piece in @NewYorker:

1:16

3.2K views

In this week's

, I write about the converging worlds of algorithms, chatbots, and mental health care. Can artificial minds help heal real ones? What do we stand to gain, or lose, in letting them try?

Can A.I. Treat Mental Illness?

New computer systems aim to peer inside our heads—and to help us fix what they find there.

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The New Yorker Radio Hour

Feb 24

As the COVID-19 pandemic approaches its fourth year, the physician

@dhruvkhullar

examines which strategies worked to control the virus, and talks with the C.D.C.’s director about the problem of misinformation. Listen here, on #NewYorkerRadio.

link.chtbl.com

Profiles, storytelling and insightful conversations, hosted by David Remnick.

Feb 17

I had a chance to join

@AudieCornish

and

@kaitlancollins

this morning to chat about mental health, Senator Fetterman, and Bruce Willis's dementia diagnosis.

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CNN This Morning

@CNNThisMorning

Feb 17

New this morning: Sen. @JohnFetterman is in the hospital after checking himself in for clinical depression treatment. We discuss with @DhruvKhullar:

4:03

4.4K views

Our new

paper on Medicare's MIPS program👇 We find that MIPS is no better than chance at identifying good performance on various outcomes, and that PCPs who care for vulnerable patients may be at risk for penalties even when providing high-quality care.

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Amy Bond

@amy_m_bond

Dec 6, 2022

MIPS, Medicare’s largest value-based payment system, influences $ for ~1 million clinicians Today in @JAMA_current, @DhruvKhullar, @wschpero, Casalino, Zhang & I show that MIPS is ~ as effective as chance at identifying high- vs low-performing PCPs jamanetwork.com/journals/jama/

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Nov 9, 2022

John Fetterman has won the Senate race in Pennsylvania. Revisit

on the attacks on Fetterman, which were troubling “because health status is almost never the thing that differentiates a competent politician from an incompetent one.”

What Voters Can and Can’t Learn from John Fetterman’s Stroke

Health is rarely the thing that differentiates a competent politician from an incompetent one.

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William Schpero

@wschpero

Nov 4, 2022

Medicare and Medicaid allocate ~ $24 billion in subsidies to safety-net hospitals each year. In a paper out today in

@JAMANetworkOpen

@ChatterjeePaula

and I show these subsidies are biased against communities of color. 🧵⬇️ 1/N

Structural Racial Disparities in the Allocation of Disproportionate Share Hospital Payments

This cross-sectional study examines the allocation of Medicare and Medicaid Disproportionate Share Hospital payments by race.

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Oct 24, 2022

Any serious neurologic event inevitably raises concerns about whether a candidate can perform the duties of office,

writes. But, although such concerns can be legitimate, politicians’ medical histories are also easily misused.

What Voters Can and Can’t Learn from John Fetterman’s Stroke

Health is rarely the thing that differentiates a competent politician from an incompetent one.

New ⁦⁦

⁩ on John Fetterman and what voters should know about candidates’ health. It’s not that health should be off-limits, but health status is almost never the thing that differentiates a competent politician from an incompetent one.

What Voters Can and Can’t Learn from John Fetterman’s Stroke

Health is rarely the thing that differentiates a competent politician from an incompetent one.

Revisit

’s profile of a trauma surgeon in Boston as she reflects on the most challenging and emotionally taxing period she has ever faced. nyer.cm/CW6k3k0

Viewpoint from

describes several proposals to mitigate the role of social media in medical misinformation from the

@ABIMFoundation

's 2022 Forum. ja.ma/3COJUD1

Oct 8, 2022

During the first year of the pandemic, when reports of coronavirus reinfections started to trickle in, the phenomenon was considered exceedingly rare,

writes. It’s now clear that we’re all likely to be infected multiple times. nyer.cm/msiivRs

Sep 23, 2022

Medical misinformation is as ancient as medical care, but social media has intensified its speed, reach, and consequences. My

@JAMA_current

piece on potential avenues to confront new variants of an old problem:

Social Media and Medical Misinformation

This Viewpoint describes several proposals to mitigate the role of social media in medical misinformation from the ABIM Foundation’s 2022 Forum, including algorithmic adjustment, misinformation...

Sep 18, 2022

A once-in-a-century virus demanded trade-offs. Now we seem to have arrived at another judgment,

writes: the value of normalcy exceeds that of caution.

Living with Our Pandemic Trade-Offs

After two and a half years of COVID, we seem to have arrived at another judgment: the value of normalcy exceeds that of caution.

Standing Committee on Evidence Synthesis and Communications in Diet and Chronic Disease Relations...

Bruce Y. Lee

@bruce_y_lee

Sep 13, 2022

Looking forward to our virtual

@theNASEM

@NASEM_Health

Sept 21 workshop on "Best Practices for Effective Nutrition Communications." This will cover key issues in science, nutrition & health communications w/ an all-star line-up. For details & to register:

nationalacademies.org

Eric Topol

@EricTopol

Aug 24, 2022

The BA.5 bivalent booster is rolling out just after Labor Day in the US, as we learned this evening nytimes.com/2022/08/23/us/ Here are some thoughts on the potential merits and disadvantages for this plan

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Aug 22, 2022

Recent polio outbreaks could be more than a temporary setback,

writes: “They could undermine years of hard-won progress that very nearly eradicated the virus globally.”

The Preventable Tragedy of Polio in New York

Polio is one of the few diseases that can be eradicated—but faltering vaccination rates could undo years of hard-won global progress.

Kenneth Cole

@kennethcolereal

Aug 22, 2022

Polio is one of the few diseases that can be eradicated—but faltering vaccination rates could undo years of hard-won global progress. newyorker.com/news/daily-com via

The Preventable Tragedy of Polio in New York

Polio is one of the few diseases that can be eradicated—but faltering vaccination rates could undo years of hard-won global progress.

: plan is less sweeping than originally envisioned, but the fact that it passed "despite the opposition of the drug industry...makes it, in a sense, even more of a statement about what’s politically possible in reforming the health system."

Opinion | Big Changes Are Coming for Health Care Costs

America is determining the shape of health care affordability into the future.

Rishi Wadhera, MD MPP

@rkwadhera

Aug 7, 2022

1 in 4 Americans can't afford their prescription medications The Senate just passed a *historic* bill that will tackle this 'affordability crisis' by allowing Medicare to: ▪️Negotiate drug prices ▪️Limit ⬆️in drug prices ▪️Cap out-of-pocket drug spending at $2000/yr

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Aug 6, 2022

We can hope to defeat monkeypox even with an imperfect response,

writes. “But doing so will still require a level of commitment and coördination that, in the decades since we eradicated smallpox, humankind has seldom sustained.”

What’s at Stake in the Fight Against Monkeypox

There’s still time for a forceful global response to shape the future of the disease.

JAMA Health Forum

@JAMAHealthForum

Aug 4, 2022

This cross-sectional study found few hospitals demonstrated high performance across all 3 value-based programs (HVBP, HRRP, HAC). Hospitals penalized by all 3 programs were more likely found in Black communities & Southeastern US.

@rkwadhera

@dhruvkhullar

High-Performing and Low-Performing Hospitals Across Medicare Value-Based Payment Programs

This cross-sectional study examines the number and characteristics of hospitals that performed well or poorly across 3 Medicare value-based programs in fiscal year 2020.

Aug 2, 2022

“If signed into law, the bill…could enable the country to cut its net greenhouse gas emissions by roughly 40 percent below 2005 levels by the end of this decade.”

How the New Climate Bill Would Reduce Emissions

The bill’s big tax incentives for low-carbon technologies could allow the country to cut its greenhouse gas emissions by roughly 40 percent below 2005 levels by the end of this decade.

The New Yorker Radio Hour

joins David Remnick on #NewYorkerRadio to discuss the escalating climate crisis in New Delhi, where the heat is making some lives all but impossible. Listen here.

link.chtbl.com

Profiles, storytelling and insightful conversations, hosted by David Remnick.

Nice

perspective from

& Jeffrey Panzer on "solution shop" vs "production line" work in health care—and why a frameshift is needed promote both physician and patient wellbeing.

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Christine Sinsky

@ChristineSinsky

Jul 31, 2022

The Solution Shop and the Production Line — The Case for a Frameshift for Physician Practices | NEJM nejm.org/doi/full/10.10

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Scott Gottlieb, MD

@ScottGottliebMD

Jul 30, 2022

My New York Times essay: “Focus CDC on its core mission of outbreak response. And imbue it with a national security mindset. If CDC’s mission were more tightly focused, Congress might be willing to invest it with authority to do that targeted mission well”

Opinion | Monkeypox Is About to Become the Next Public Health Failure

The outbreak doesn’t bode well for America’s response to future pathogens.

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Chris Hayes

@chrislhayes

Jul 26, 2022

This is almost too much to process, but very important to do so

In hospitals, in schools, and on the streets, high temperatures have transformed routines and made daylight dangerous.

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355

Jul 29, 2022

We can hope to defeat monkeypox even with an imperfect response,

writes. “But doing so will still require a level of commitment and coördination that, in the decades since we eradicated smallpox, humankind has seldom sustained.”

What’s at Stake in the Fight Against Monkeypox

There’s still time for a forceful global response to shape the future of the disease.

On this week’s ⁦

⁩ Politics and More podcast, I chat with ⁦

@michaelluo

⁩ about monkeypox—the virus, our response, and what comes next:

podcasts.apple.com

‎The Political Scene | The New Yorker: Did the U.S. Miss the Chance to Stop Monkeypox? on Apple...

‎Show The Political Scene | The New Yorker, Ep Did the U.S. Miss the Chance to Stop Monkeypox? - Jul 28, 2022

Bill McKibben

@billmckibben

Jul 26, 2022

Truly important account of what this year's epic Indian heat wave felt like for the poorest people, from

. "I felt like I swallowed a space heater."

In hospitals, in schools, and on the streets, high temperatures have transformed routines and made daylight dangerous.

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173

Rishi Wadhera, MD MPP

New

study w/

We find that <5% of US hospitals demonstrated high performance (top quartile) across all 3

@CMSGov

P4P programs These findings seem to imply that very few hospitals provide high quality care globally... /1

High-Performing and Low-Performing Hospitals Across Medicare Value-Based Payment Programs

This cross-sectional study examines the number and characteristics of hospitals that performed well or poorly across 3 Medicare value-based programs in fiscal year 2020.

Jul 25, 2022

India, which is home to one in every six people on earth, has emitted just over three per cent of greenhouse gases—and yet it will be among the nations most ravaged by the climate.

reports on the country’s unprecedented heat wave.

In hospitals, in schools, and on the streets, high temperatures have transformed routines and made daylight dangerous.

In this week's

, I write about India's unprecedented heat wave. "The heat has created a rise in physical, psychological, and social symptoms," one doctor told me. "We have damaged the environment so much. Now the environment is damaging us."