Archive

Perspectives in Primary Care features writing from practitioners, activists, and community members representing organizations, practices, and institutions across the United States and around the world.

Food Access via Small Stores on Navajo Nation: COVID-19 & Beyond

It’s a calm sunny day as I sit with John McCulloch in front of his store in Teec Nos Pos, Arizona. The store has served his community since 1905. The English name Teec Nos Pos is derived from the Navajo T'iisnasbas, a name inspired by a grove of trees growing in a circle in the area. As we sit and talk, community members file in and out of the store. They’re greeted with large florescent posters asking customers to wear a mask while in the store, to stay home if they feel sick, and to respect the maximum occupancy level of eight people in the store at one time. ...

African Americans Are Disproportionately Exposed to Extreme Heat

Climate change is a threat multiplier. This is a fact I know to be true. I also know that our most vulnerable populations, particularly environmental justice communities—people of color and/or low socioeconomic status—are suffering and will continue to suffer first and worst from the adverse effects of climate change. Case in point? Extreme heat. After reading the Killer Heat Report, most people probably used ...

Racial and Ethnic Disparities in COVID-19 Mortality Among Children and Teens

Due to early misconceptions that COVID-19 didn’t lead to severe disease or death in children, US state surveillance dashboards were not set up to track the course of the pandemic among age-specific groups. Over time, state reporting for children has gradually improved, and The COVKID Project has been synthesizing and sharing data for children and teens since late April 2020. Although 49 of 50 states now report COVID-19 case counts by age (with New York being the exception), only 2 ...

The Inner Bully and the Burden of Charting: A Dose of Self-Compassion May Be the Best Medicine

If you are a physician, this may sound familiar: I can feel that old resentment bubbling up as I sit down to chart on a beautiful summer Saturday afternoon. Seventy-two hours and I have to get all the charts done or they will close themselves automatically, and my name is added to the departmental “late charts” email list. My daughter is waiting for me to take her to her mall. It’s always hanging over me, and I can’t stand the stress. The minute I login, I hear the familiar self-critical voice and internal task master who whips me to get the job ...

Eye Care Globally Amidst the COVID-19 Pandemic

As COVID-19 continues to wreak havoc—infecting more than 33 million people globally—it has also caused significant disruptions in eye health services, with a particular emphasis on ophthalmologic care for cataracts. This disruption is alarming, especially since untreated cataracts are the

20 Years of Mifepristone: Medication Abortion in the Time of COVID

Despite 20 years of safety data, mifepristone—the first of two medications used in medication abortion—remains subject to ...

Ensure Access to Care & Protect Patients from Immigration Enforcement at Medical Facilities

There are numerous barriers immigrants face when trying to access medical care in the United States. Unfortunately, the threat and presence of immigration and law enforcement at healthcare facilities is one of them. Immigrants, communities of color, and border residents often fear being questioned, ...

A Health Equitable COVID-19 Response Starts with Housing Justice

It’s the middle of the month, and rent is almost due again. An estimated 30-40 million people are at risk of eviction in the next several months—and

The COVID-19 Pandemic: Now is the Time for Primary Care to Address Loneliness

With more than 6 million diagnosed cases and nearly 200,000 deaths in the United States, the novel coronavirus is our nation’s most pressing public health crisis. And further, physical distancing measures have resulted in significant