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kevinmd. com > post-author > danielle-fragalla

Danielle Fragalla

7+ hour, 57+ min ago  (99+ words) is a health care executive. The U. S. health care system is facing a serious workforce shortage. In pediatric oncology, the stakes are especially high. But the issue is not simply a lack of available positions. Increasingly, it is a recruitment and…...

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kevinmd. com > 2026 > 06 > wealth-inequality-is-a-clinical-problem-not-political. html

Wealth inequality is a clinical problem, not political

1+ week, 1+ day ago  (711+ words) Kevin MD. com We live and work in a sick society. I know this isn't a revelation as much as a cruel reality. The disparity between those with means and those without is noticeable in every available metric dissecting the spending…...

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kevinmd. com > 2026 > 06 > professional-identity-in-medicine-has-been-hollowed-out. html

Professional identity in medicine has been hollowed out

1+ week, 1+ day ago  (658+ words) The recent argument that physicians should abandon insurance-based care because the economics no longer work is not wrong, but it is incomplete. The strategist's view focuses on reimbursement, overhead, and the arithmetic of survival. Those pressures are real. But the…...

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Kevin MD. com
kevinmd. com > 2026 > 06 > opioid-pain-contracts-turn-doctors-into-parole-officers. html

Opioid pain contracts turn doctors into parole officers

1+ week, 1+ day ago  (401+ words) The government's misguided attempt to address the opioid overdoses did more than change prescribing practices. It changed the relationship between doctors and patients, and not for the better. Before receiving opioid pain medication, many patients today are required to sign…...

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Kevin MD. com
kevinmd. com > 2026 > 06 > the-generalist-physician-hiding-in-every-specialist. html

The generalist physician hiding in every specialist

1+ week, 2+ day ago  (430+ words) Kevin MD. com The definition of a "doctor" is shifting in a way that feels increasingly fragmented. Growing up with a father who practiced for decades as a primary care physician before pursuing a residency in pediatrics, my baseline understanding of…...

Kevin MD. com
kevinmd. com > 2026 > 06 > the-hidden-tax-driving-up-u-s-health-care-costs. html

The hidden tax driving up U. S. health care costs

1+ week, 4+ day ago  (427+ words) Health care spending in the United States reached about 18 percent of GDP in 2024, totaling $5. 3 trillion, or roughly $15, 474 per person. That's dramatically higher than peer countries, which average around 11 percent. Yet patient outcomes haven't kept pace. Two major, interconnected problems stand…...

Kevin MD. com
kevinmd. com > 2026 > 06 > generalist-physicians-and-ai-are-a-comparative-advantage. html

Generalist physicians and AI are a comparative advantage

1+ week, 5+ day ago  (466+ words) A brief history: from generalism to fragmentation and its costs For most of intellectual history, breadth was a virtue. Leonardo da Vinci, Benjamin Franklin, and Alexander von Humboldt ranged freely across disciplines because knowledge had not yet been partitioned into…...

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Kevin MD. com
kevinmd. com > 2026 > 06 > the-case-for-an-ai-native-health-care-platform. html

The case for an AI-native health care platform

1+ week, 6+ day ago  (334+ words) From 1992 to 1995 I was a GI fellow. Nothing on the market made clinical sense for endoscopy reporting. The tools available were designed by people who had apparently never performed a procedure or written a note for one. I met a…...

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kevinmd. com > 2026 > 06 > health-care-investing-needs-a-doctor-in-the-room. html

Health care investing needs a doctor in the room

2+ week, 2+ day ago  (665+ words) A conference table. Six to ten people around it. A health care startup is being evaluated for a multimillion-dollar investment. The people in the room are smart, with MBAs from top programs, former management consultants, ex-bankers who pivoted into health…...

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Kevin MD. com
kevinmd. com > 2026 > 06 > how-becerra-and-hilton-differ-on-california-health-care. html

How Becerra and Hilton differ on California health care

2+ week, 2+ day ago  (184+ words) This article tries to be unbiased and compares Xavier Becerra (Democrat, former U. S. HHS Secretary, California AG, and Congressman) and Steve Hilton (Republican, former Fox News host, British-born American conservative political commentator, author, entrepreneur, and former adviser) contrasting approaches to health…...