Andrew Coates

Commentary & Opinion
12:35 pm
Sat August 3, 2013

Andrew Coates: Medicine As A Beleaguered Profession

A young friend and keen analyst of social change made the observation that it seems that physicians, when it comes to the contemporary state of our profession, seem a bit in shock, as if suffering a grief reaction. She referenced the stages of grief elucidated by Elisabeth Kubler-Ross -- denial, anger, bargaining, depression and acceptance.*

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Commentary & Opinion
12:40 pm
Fri July 26, 2013

Andrew Coates: Colorado Cardiologist Sounds The Eternal "Yes!"

Writing in the Journal of the American Medical Association at the beginning of July, a cardiologist and Professor of Medicine at the University of Colorado School of Medicine, Dr. Lawrence Hergott calls upon his fellow physicians to fight for their profession by fighting for their own souls. "I have seen that the preservation of the soul of medicine is also the preservation of the soul of the physician, and that both are essential," he tells us.

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Commentary & Opinion
12:32 pm
Fri July 12, 2013

Andrew Coates: How Human Resilience Reveals An Unnecessarily Cruel System

Recently one of my patients, someone in a very frail state, insisted upon discharge the next day, over my objections. The patient's spouse was facing cancer and now was the time to be at home, not in the hospital.

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Commentary & Opinion
1:20 pm
Fri June 28, 2013

Andrew Coates: We Need Much More Than Medicaid Expansion

It is common for people to assume that President Obama's Affordable Care Act will lead to universal coverage, after all that was its stated aim.

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Commentary & Opinion
12:50 pm
Fri June 14, 2013

Andrew Coates: Celebrating Our Nurse Colleagues

I practice hospital medicine.

Recently the nurses at our hospital voted to give me an award. They told me about it, discreetly, one by one, ahead of the official notice from the administration. These caregiving colleagues, upon whom our patients in the hospital depend every day, took the time to let me know that they also depend upon me. Wow. A true honor.

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Commentary & Opinion
12:40 pm
Fri May 31, 2013

Andrew Coates: Immigrants heavily subsidize Medicare

This week the prestigious journal Health Affairs published a new study that shows that "immigrants, particularly noncitizen immigrants, heavily subsidize Medicare." The lead author is Harvard-based Dr. Leah Zallman; her co-authors include co-founders of Physicians for a National Health Program, Drs. Steffie Woolhandler and David Himmelstein, among others.

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Commentary & Opinion
12:45 pm
Fri May 24, 2013

Andrew Coates: Scribbling In The Chart

William Faulkner, the great American writer who was born in New Albany, Mississippi, wrote screenplays to support his family, although he didn't really like the job, and referred to it as "mere scribbling."

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Commentary & Opinion
11:28 am
Fri May 10, 2013

Andrew Coates: Caregiving As Humankind's Shared Project

In two recent essays Dr. Arthur Kleinman, the eminent Harvard anthropologist and psychiatrist, writes in the world's leading medical journals about caregiving as a moral experience.

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Commentary & Opinion
12:25 pm
Fri May 3, 2013

Andrew Coates: The Court of Public Opinion

Last week I had the privilege to visit West Virginia. I've been there before. My first impressions, made years ago, returned. If our everyday consciousness results from our everyday experience, it must be intense to live in West Virginia. There the phrase "king coal" leapt to mind at every turn.

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Commentary & Opinion
12:40 pm
Fri April 26, 2013

Andrew Coates: A Near Miss

Many years back during my residency training, on my first overnight as the senior admitting resident, I got a call from an emergency physician at a tiny rural hospital. Her patient had pulmonary emboli -- blood clots to arteries of the lungs. She proposed to transfer the patient to our hospital, where closer monitoring would be available.

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