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Wellness for Everybody—in Every Body
In recent years, several qualitative studies have given us field notes of patients describing their experiences having larger bodies and interacting... -
Glucagon-Like Peptide-1 Receptor Agonists: A Pharmacy Perspective on Insurance Coverage and Medication Access
Glucagon-like peptide-1 receptor agonists, more commonly referred to as GLP-1s, have undoubtedly garnered much fanfare the past five years. This... -
My Journey with GLP-1 Weight Loss Drugs: Managing PCOS, Celiac Disease, and Metabolic Health
In my thirties, my body began to “betray” me. After years of running marathons, working out, and eating well, I found myself struggling with...
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.
Child Care and Early Education is a Social Determinant of Health—For Children and Adults
More than six months into the COVID-19 pandemic, child care solutions for families remain scarce. A high-stakes problem typically confined to parents with children younger than five, lack of child care has now become a near-universal challenge, with remote K-12 learning upending care infrastructure for families with school-aged children as well. Consistent failure to provide public funding to the child care and early education sector—both traditionally and in this moment of crisis—is taking a heavy toll:
Don Berwick's Moral Determinants of Health
Donald M. Berwick, MD, MPP, is President Emeritus and Senior Fellow at the Institute for Healthcare Improvement (IHI), an organization that Dr. Berwick co-founded and led as President and CEO for 19 years. He is one of the nation’s leading authorities on healthcare quality and improvement. In July 2010, President Obama appointed Dr. Berwick to the position of Administrator of the Centers for Medicare and Medicaid Services (CMS), which he held until December 2011. A pediatrician by training, ...
In the US West Scorched by Wildfires, We Can Barely Breathe. It’s Going to Get Worse.
In California, we’ve counted ourselves among the lucky this past week if the worst we’ve had to cope with is a thick layer of smoke transforming our daytime skies into eerie orange hellscapes. Compared with the trauma of losing a home or loved one, having to
Precision Medicine & the Pivotal Role of Primary Care to Shape the Future of Healthcare
"My dear, here we must run as fast as we can, just to stay in place. And if you wish to go anywhere, you must run twice as fast as that." - Lewis Carroll, Alice in Wonderland This is the only quote which I clearly recall from my early childhood, and it took me several years to fully understand its meaning. It is truly universally applicable, and physicians are not exempt—I believe most of us are undeniably permanently running at least twice as fast, attempting to contribute to the (r)evolution of medicine, and also not lag behind. ...
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
Moving Beyond Empty Promises on Making #BlackLivesMatter (Part 2): How can our cities, companies, and other institutions dismantle structural racism?
Part 1 of this blog post discussed some of the empty promises in the United States to make #BlackLivesMatter, as well as the types of policy changes needed to move beyond surface-level action. Today, we’ll focus on what specifically cities, companies, and other institutions can do. What can our cities do to dismantle structural racism? There has been a fair amount of coverage ...
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