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.

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 “

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 ...

My Moral Responsibility as a Physician: Addressing the Political Determinants of Health

A while back I was invited to attend a panel discussion on primary care at an area medical school. For 45 minutes the other two primary care doctors and I shared a lighthearted conversation about why we love primary care, interspersing various plugs for why the students should consider the field for themselves. After several stories about the satisfaction we derive from our jobs and the joys in the relationships we form with our patients, a student raised their hand to ask a question about how the current political climate was affecting our practice. “I’ll take this ...

Overdose & Harm Reduction in the Time of COVID-19

Long before the COVID-19 pandemic, the United States faced an epidemic of drug overdose, topping half a million deaths over the last decade. COVID-19—both the virus itself and some of the strategies and policies implemented in response to ...

COVID-19 and the Social Determinants of Health

The COVID-19 crisis continues to expose deep vulnerabilities in the U.S. healthcare system—from the dearth of personal protective equipment to the lack of surge capacity to fragile hospital financials. And yet many of the most concerning issues laid bare are ones that originate outside the system. Some have called this coronavirus the “great equalizer,” as all of us—in every corner of the country—are at risk. But although pathogens might not discriminate, our society certainly does. And with each passing day, patterns in COVID-19 morbidity and mortality are revealing the ...

COVID-19 Exacerbates Food Insecurity in Latino Children & Families

COVID-19 has exacerbated long-standing health disparities that continue to affect Latino families, and further, the pandemic has revealed that many Latino families are struggling to put food on the table. Food insecurity affects 37 million Americans, including 11.2 million children—and this is especially urgent within the Latino community. Prior to COVID-19,

COVID-19 and Oral Health

During the initial rapid spread of the coronavirus in the United States, the Centers for Disease Control and Prevention (CDC) and the American Dental Association (ADA) released urgent guidance for dental providers to cease all non-emergency dental care by late March 2020. For many weeks, ...

Reflections from a Health Policy Fellow

As many Family Medicine colleagues across the United States complete residency, I find myself looking back to those challenging yet invigorating years. Residency training certainly solidified my clinical skills, from diabetes to pregnancy labor management, but also heightened my interest in social issues. Training in Western North Carolina meant working in a non-Medicaid expansion state where Black babies were three times more likely to die within their first year of life than white babies and where those struggling with opioid addiction were often marginalized. Each day seemingly brought ...

COVID-19 and Homelessness in Boston: Thoughts from the Initial Surge

The COVID-19 pandemic has cast health inequities into stark relief, though this hasn’t surprised those of us already immersed in the care of homeless persons. Barbara McInnis, a beloved nurse at the Pine Street Inn in 1985 (for whom the Barbara McInnis House for medical respite was named ...
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