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.

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, ...

Situating the Continuum of Overdose Risk in the Social Determinants of Health

The United States remains in the throes of an escalating drug overdose crisis. Data show that overdoses increased yet again in 2019, and are now soaring amid the COVID-19 pandemic, which ...

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

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

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

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 ...