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Second Opinions

Essays and opinions from our readers, always thought-provoking, sometimes controversial

Can the Joint Commission Lead Healthcare to a Greener Future?

Environmental protections and patient health can never be taken for granted

A photo of an anti-abortion center in Worcester, Massachusetts.

How to Spot Anti-Abortion 'Crisis Pregnancy' Centers

And why you and your patients need to know what they really are

A photo of a blue rubber gloved hand holding a pre-filled syringe.

Why Is One Dose Suddenly Enough for the mRNA COVID Vaccines?

FDA and CDC have made yet another questionable decision

A photo of a table of free food set up on the sidewalk in front of a home with a sign which reads: FREE FOOD COMIDA GRATIS

Does the General Public Understand the Social Determinants of Health?

It's time for better education

A photo of a person holding up a sign outside the Supreme Court building which reads: DEFEND DREAMERS

It's a Precarious Path From Dreamer to Doctor

DACA recipients face barriers to education and practice

A photo of a mother and her son riding on an autism awareness float in Laredo, Texas.

How Every City Can Promote Health Equity for People With Autism

Lessons from Laredo, Texas

A photo of Anthony Chin-Quee, MD, next to the cover of his book.

How Could I Possibly Know What Was 'Best' for My Patient?

An excerpt from Chin-Quee's new book, I Can't Save You

A photo of various kinds of pills spilling out of a rolled up $100 bill.

You Choose: Food or Medications?

The suffering caused by exorbitant drug prices is all too clear for doctors to see

A photo of a boy suffering from autism sitting at a desk in a special needs school.

Will Proposed ACGME Requirements Have Consequences for Kids With Autism?

More strategic and thoughtful updates are necessary

A photo of the Peter Grinspoon, MD, holding his book SEEING THROUGH SMOKE

Doobie No Harm: Doctors and the War on Drugs

An excerpt from Grinspoon's new book, "Seeing Through the Smoke"

A photo of a man wearing a suit and holding a briefcase facing a group of healthcare workers wearing scrubs.

Suits vs Scrubs: The Evolving Healthcare Workplace

The patient pays the ultimate price

A photo of surgeons performing bariatric surgery.

Will Obesity Drugs Change the Bariatric Surgery Landscape?

The two approaches can fit together in practice, but questions remain

A photo of a little boy in his room holding various pills and capsules in his hands.

Polypharmacy Isn't the Answer for Adolescent Mental Health

Youth need broader access to non-pharmaceutical interventions from trained professionals

A photo of a mature man sitting on the edge of his bed and holding his painful back.

We're Treating Low Back Pain All Wrong

Let's reexamine the current approach to treatment

A computer rendering of a covid virus in front of the U.S. flag.

The Promise of the $5 Billion Investment in 'Project Next Gen'

Here's how to make it money well spent

A photo of doctors and nurses talking in a hospital hallway.

The 'Flow' Framework Can Help Retain Healthcare Workers

We need a workplace that supports clarity of goals, personal control, and concentration

A photo of a man sitting at a table outdoors and lighting a marijuana cigarette.

Marijuana Is Not the Solution for PTSD

Evidence shows it does not treat PTSD in the long-term, and may worsen symptoms

A photo of a depressed looking surgeon.

The Most Agony-Filled Scream I've Ever Heard Came in the Wake of a Shooting

We cannot stand idly by as the death toll grows

A photo of a surgeon holding a kidney prior to transplantation.

Monopoly Be Gone: A New Chapter in U.S. Organ Procurement and Transplantation

A recent announcement from HHS has the power to transform our deeply flawed system

A photo of a young male physician talking to a mature male physician in a hospital hallway.

Nepotism's Deep Roots in Medical Education

The consequences for fairness and diversity are far-reaching

A photo of a female healthcare worker holding out her pink rubber gloved hand.

The Best Medicine for Healthcare Workers: A Living Wage

California's proposed minimum wage increase is a model for other states to follow

A photo of the entrance to the Moderna headquarters in Cambridge, MA.

Moderna's Steep COVID Vaccine Price: Corporate Greed or Capitalism?

Lessons learned and next steps for public-private vaccines

A photo of physicians and nurses having a team meeting in a hospital.

Resiliency Starts With High-Reliability Healthcare Systems

Individual team member resilience will follow

A photo of a senior man sitting on an examination table in a hospital.

Health Inequity Should Be Labeled as a 'Never Event'

Let's set a goal of zero

A computer rendering of two generic health and dental insurance cards.

A Conservative Blueprint for Universal Healthcare

Achieving universal coverage is possible using the ACA as a framework

A photo of an upset looking young man with his hands on his head sitting in front of a laptop.

The Unmatched Need Not Suffer Alone

Here are a few ways medical schools can provide proactive support

A photo of the signage outside of the FDA headquarters in Washington, D.C.

FDA Has Neglected Clinical Trial Transparency 鈥� Plus $45 Billion in Fines

It's time for more aggressive enforcement of the law

A photo of surgeons in the operating room.

Can the Surgicalist Model Solve OR Staffing Challenges?

New solutions are needed to address growing workforce shortages

A photo of a young female physician visiting her senior female patient in hospice.

Hospice Care Is Not Giving Up, It Is Leaning In

Hospice benefits should be expanded

A photo of protestors in front of the Supreme Court building in Washington DC.

How Overturning Roe v. Wade Changed Match Day 2023

Abortion restrictions are a physician workforce issue

A photo of a smiling transgender teen male.

Treating Gender Nonconforming Youth Goes Beyond the Physical

We must approach care for every patient from the lens of treating the entire individual

A photo of a female physician during a telehealth visit with her young male patient.

Life-Saving Telehealth for Opioid Use Disorder Hangs in the Balance

The U.S. could soon face a preventable public health crisis

A photo of medical training dummies in a medical school.

A Better Way to Measure and Rank Medical Schools

Good assessment is about rating, not ranking

A photo of a billboard advertising a vasectomy clinic.

A Surge in Vasectomies: Sustaining the Demand

To increase participation, let's reduce the points of friction

A photo of two mature female physicians laughing in a hospital hallway.

Four Key Steps to Advance Women Leaders in Medicine

It's time for more equitable representation

A photo of a sign in the window of a closed hospital which reads: HOSPITAL CLOSED

The Cost of Yet Another Pediatric Hospital Closure

A national trend toward pediatric service consolidation is restricting access to care

A photo of a male physician talking to his male patient in his office.

Tough to Swallow: Clinicians Are Neglecting Alcohol Use

More widespread screening and support for reduced drinking are essential

An overhead shot of an open prescription bottle of Adderall XR capsules.

How to Keep Patients Safe During an Adderall Shortage

Individualized, harm-reductionist treatment plans are critical

A photo of Monique Gary, DO, MSc

How to Make Meaningful Moves Toward Health Equity in Cancer Care

Addressing the three R's: resources, research, and racism

A photo of Rebekah Fenton, MD, MPH

Allies as Mediators in the Healthcare Workplace

Stand up and offer to advocate for those with marginalized identities when discrimination occurs

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