March 29, 2026

The risks of direct-to-consumer pharmaceutical advertising and Big Pharma

​In 2002, prescribing risperidone meant fighting through layers of resistance. I had to argue with formulary doctors, armed with a...

March 28, 2026

The synthetic opioid market: Why cartel arrests do not stop the crisis

​Recently, I started a patient on high-dose buprenorphine because he could no longer get to his methadone clinic. He lost...

March 28, 2026

Bayesian reasoning in health care: When to refuse medical tests

​I was diagnosed with benign paroxysmal positional vertigo (BPPV). The diagnosis was not surprising. I had experienced several brief but...

March 28, 2026

The truth about opioid analgesics and nonsteroidal anti-inflammatory drugs

​We live in a nation of needless pain! According to CDC data from 2021, over 50 million Americans (21 percent...

March 28, 2026

How high taxes and the California Medical Board fuel the physician shortage

​Picture this. You finish another long day caring for patients who need you. You head home exhausted but fulfilled. Then...

March 28, 2026

Occupational therapy in addiction recovery: Making daily life livable

​Jonathan first met the health system on the floor of an emergency room. He had drunk himself into a crisis,...

March 28, 2026

Why physician burnout is actually a loss of professional identity

​Most accounts of physician burnout begin with a familiar list: too many hours, too many clicks, too many patients, and...

March 28, 2026

The Silent Variance: How patient friction destroys health care revenue

​As health systems move into the 2026 fiscal year, CFOs and hospital boards have already approved their operating budgets. Capital...

March 28, 2026

Statin safety and efficacy: What recent studies reveal

​Are you concerned about statins? In the past two weeks, cold hard statistics have cut through the fog of misinformation...

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