"Brilliant, both in content and conduct...the best podcast for physicians out there" G. Keith Smith, MD
I practice cardiology and internal medicine in San Francisco. I have joined the growing "direct care movement" of doctors who have said no to third-party contracting and who wish to restore sanity to the doctor-patient relationship.
I blog and publish regularly in a variety of academic journals. I wrote Moving Mountain: A Socratic Challenge to the Theory and Practice of Population Medicine. I also have interests in philosophy and economics. My blog is called Alert & Oriented.
I'm among the last holdouts in solo, independent cardiology practice in Philadelphia. I began my career naively believing that healthcare policies could carry the day. Unfortunately, I quickly came to realize those policies invariably produce results opposite to what they claim to aim for. For example, Accountable Care Organizations are neither accountable, nor organized. And, they're certainly not caring!
I started to push back against harmful policies by putting pen to paper. I write about my experience as a practitioner in the trenches, trying to do what I think is best for my patients, while navigating the insane roadblocks put on our paths. You can follow me on Twitter by clicking below.