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.

Advocacy

Healing Across the Divides: Peace Building Through Health, Part 2

Healing Across the Divides is based on the simple idea that all humans desire good health. And it was created because all Americans are engaged in the Middle East conflict, as Israel is the greatest ...
Stories

Mindfulness and the Societally Marginalized Person

Mindfulness, in its simplest construct, is generally defined as deliberate present moment awareness, without judgment, coupled with curiosity about what arises. Yet, this seemingly reasonable and scientifically studied approach to living fully, being authentic, and “embracing what is” translates into a minefield when the starkness of such ...
Reference

Addiction and Recovery: The Importance of Human Connection

From April 2020-2021, 100,306 parents, spouses, siblings, friends, colleagues, and neighbors in the United States died from fatal overdose—a 28.5% increase from the year ...

Reflections on Tribal Primary Care in America

California of the pioneers, peopled by progressives of campsites with bear lockers of pines and berries of easy cilantro in markets of walnut milk of ocean vistas and Apple of fires in the woods. Our tribal health community “We want you to trust us with your primary health care,” I tell the 60-year-old patient whose body mass index (BMI) is just past obese. He is a native man who studied the classics in college and has been working on a book for 25 years. He lives with two sons ...

From Redlining to Gentrification: The Policy of the Past that Affects Health Outcomes Today

In the 1980s, a set of historical city maps resurfaced to reveal a hidden facet of our neighborhoods—the redlined status. As it turns out, the implementation of these maps saved the housing sector and bolstered prosperity for some demographic groups but increased disparities in homeownership, wealth, and health for others. The structural inequalities set in place by federal policies over 80 years ago are still evident in communities today. As our ...

Sex Ed Isn’t Actually About Sex

As a teen in rural Appalachia, I didn’t know what I was missing when it came to my abstinence-only sex education. It wasn’t until I endured an emotionally abusive relationship as a young medical student that I began to question how I, as a strong, independent woman, could end up in something so psychologically toxic. After gaining the silent courage to leave that relationship, I did a deep dive into unhealthy relationships and how we, as a society, can prevent this type of violence. ...

Consequences of COVID-19: Addressing Social Isolation From Physical Distancing in Older Adults

Ms. B sits alone at home day after day, grieving. Ever since one of her loved ones died last fall in the midst of the COVID-19 pandemic, Ms. B has found herself struggling with feelings of depression and loneliness. Recently retired and isolated from her nearby family due to pandemic precautions, she has no one to talk to, no one to share her grief with. Ms. B tearfully ...

Evolving Concepts of Justice and Safety

Criminalizing survival Rachel stayed. She stayed to survive, and for that the criminal legal system labeled her a “frequent flyer.” When she called 911, she was lucky if she got a couple hours reprieve from her long-time partner’s life-threatening abuse before he returned home. He would often return home bragging about the arresting officer making a pit stop for him at a nearby ATM to make his bond—a common ...

Healing Across the Divides: Peace Building Through Health

Shortly after Healing Across the Divides began its work, the Israeli army had placed boulders at the entrance to Sinjil—a Palestinian town in the central West Bank—blocking it off from the outside world. A local Palestinian woman contacted me, persistently urging me to “tell President Bush to end the occupation.” And doing everything possible within my realm of control, I ...
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