Search

What the past tells us about the future

With CVS's Vertical Empire Under Threat in Tennessee, the Company Threatens to Leave

This article examines how CVS Health is leveraging aggressive lobbying tactics to oppose a bipartisan Tennessee bill aimed at breaking up vertically integrated pharmacy benefit managers (PBMs) and retail pharmacies. It highlights concerns over market control, drug pricing practices, and the impact on independent pharmacies, while framing the company’s response as a strategic pressure campaign rooted in fear of closures and job losses.

Express Scripts Just Got Sued for Racketeering. Here's What That Means

This article details a class action lawsuit accusing Cigna and its pharmacy benefit manager, Express Scripts, of using an offshore entity to allegedly conceal drug rebate funds that should have been passed to employers and unions. The case highlights concerns over transparency, pricing practices, and potential large-scale financial and legal consequences for the PBM industry if the allegations are proven.

The Day AI Achieved 100% Accuracy in Sounding Right While Being Completely Wrong

A sharp, satirical reflection on AI “hallucinations,” exploring how machines can sound convincingly accurate while being entirely wrong—and why human overconfidence, not technology, is the real risk.

Physician as Patient 2025

A surgeon’s deeply personal journey from physician to patient, navigating leukemia, transplantation, and colon cancer, while reflecting on resilience, medical culture, and the profound importance of compassionate, patient-centered care.

Unnecessary Suffering

A reflective account from a seasoned neurologist illustrating how a simple phrase—“avoid unnecessary suffering”—can transform difficult ICU family conversations, rebuild trust, and guide compassionate end-of-life decision-making.

Unknown

Joseph Joubert

John F. Kennedy

Richard Flanagan

Did You Work in a Service Industry Before Becoming a Physician?

A reflective critique of modern medical school admissions, arguing that over-polished resumes and early specialization may overlook the real-life experiences—teamwork, service jobs, and human connection—that shape compassionate, well-adjusted physicians.

We've Subspecialized Ourselves into Isolation

A thoughtful reflection on how increasing medical subspecialization and shifting practice models have fragmented physician unity, contributing to declining participation in local medical societies and raising questions about the future of community-based collaboration in medicine.