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.

The Answer to Full-Spectrum Clinical Care Amidst the COVID-19 Pandemic: Family Medicine

Her eyes were tired but happy above her surgical mask. Her breathing was quick, as she sat with her 2-day old son cradled in her arms. Ana looked down as he started to wiggle, rooting for a meal. She’d been discharged from the hospital 24 hours after her vaginal delivery, her COVID-related cough and difficulty breathing improved but not resolved. Ana and her son had a shared respiratory clinic appointment with a family physician—one ...

Moving Beyond Empty Promises on Making #BlackLivesMatter (Part 1)

As we seek justice for the deaths of Breonna Taylor, George Floyd, Ahmaud Arbery, and the long list of Black victims of police violence; as we grapple with the disproportionate impact of COVID-19 in Hispanic, Black, and Indigenous communities; and as we acknowledge the tremendous toll of

COVID-19 Magnifies Existing Inequities Faced by Transgender and Gender-Expansive Communities

As COVID-19 devastates lives throughout the world, the inequities experienced by transgender and gender-diverse individuals have become further illuminated. The ...

COVID: He Didn’t Have to Die

He’s young. Just 49 years old. A long life ahead of him. He was hospitalized a week ago and doing okay initially on the medical floor. After his saturations were consistently in the 80s on the highest level of supplemental oxygen, he needed to be intubated. We asked him if he wanted to call his family before intubation, just like we do with all our COVID patients… because we know it might be the last time. He declined, said he’s not in touch with his family and has no friends to call. He was adamant that he didn’t want his estranged parents or brother contacted for updates while ...

Investment & Innovation in Primary Care: An Update and Call to Action

We’ve all seen the headlines—primary care practices are in trouble: “America’s looming primary care crisis,” “Fewer than 10% of primary care practices have stabilized operations amid COVID-19 pandemic,” and “

LGBTQ Youth Face Unique Challenges Amidst COVID-19

The physical toll of the COVID-19 pandemic is tangible, though its impact on mental health is just starting to be understood—and this includes the mental health impact on LGBTQ youth. At baseline, LGBTQ youth are more than four times as likely to attempt suicide compared ...

COVID-19 & the Political Determinants of Health

From the earliest days of the COVID-19 pandemic, it was clear that America’s deep-rooted inequities would play a central, and likely devastating, role in the magnitude and distribution of the burden of disease. In early March, former New York City Health Commissioner Dr. Mary T. Bassett and I outlined these inequities and called for a human rights-based response focused on ...

Food Insecurity… Emerging Again from the Shadows of COVID-19

On first glance, COVID-19 appeared to be the “great equalizer,” particularly with reports of celebrities and world leaders infected and succumbing to the unruly virus. It seemed that income, race, ethnicity, and location were no longer protective factors. On second glance, though, we find COVID-19 is actually the “great magnifier.” It has shed light on the

COVID-19 Data Reporting Redirected from CDC to HHS

Autumn may be around the corner, but a reprieve from ever-increasing COVID-19 death tolls and skyrocketing case rates in the United States is not. In a time of national emergency, the White House has announced that hospitals should bypass the Centers for Disease Control and Prevention (CDC) to instead report data to the Department of Health and Human ...