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My Nicaraguan pediatrician friend astutely summarized her work: First you make the clinical assessment, then you make the financial assessment. In other words, a clinician may know the right treatment, but what good does that do the patient if the treatment is entirely out of reach financially?
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About the artist:
“Krithika Kavanoor (left) and I are both family-medicine residents at Montefiore Medical Center in the Bronx. As primary-care providers in one of the poorest urban counties in the US, we see firsthand the impact that access to health care–and the lack thereof–can have on our patients. The narratives we share are
One thing I love deeply about being a family doctor is that I get to take care of people–body and soul. A patient comes into my exam room with a litany of physical symptoms (“My shoulder…my knee…my stomach…so tired…this nausea…”) and then, in response to a questioning look, suddenly bursts into tears.
It’s all mine to deal with. The shoulder. The stomach. The tears. I get to gather the pieces and see if
One October evening last year, I went to our local pharmacy to pick up a prescription for my daughter. I made sure to bring Cara’s insurance card because my employer had switched us to a new health plan.
I wasn’t sorry about the change. Our prior plan had been operated by incompetents–although they might only have been crooks, I couldn’t be sure–who also managed our flexible spending accounts. These accounts, you may recall,