A recent editorial in The Journal of Graduate Medical Education reminded me of a classic Mark Twain quote. When confronted by reporters about rumors of his untimely demise, Twain, both irritated and amused, famously remarked, “The report of my death has been greatly exaggerated.” In “A Eulogy for the Primary Care Physician,” Forrest Bohler and David Blumenthal offer a tongue-in-cheek requiem for primary care medicine. In this satirical piece, the authors enumerate the systemic forces that have led to our specialty’s purported demise. While their “eulogy” contains elements of truth, it is greatly exaggerated, and more importantly, we’re not dead yet! Bohler and Blumenthal begin by lauding the noble idea that everyone deserves a trusted primary care physician to navigate the complexities of our healthcare system. They then explain the various threats to primary care, including physician shortages in rural and underserved areas, as well as the fee-for-service system's preference f...
Every June, our extended family spends a week at DeBordieu Beach, just north of Georgetown, SC. Legend has it that the Revolutionary War hero, the Marquis de Lafayette, arrived here in June 1777. He was so enchanted by the area's natural beauty that he declared it "the borderland of God" ( D'aborde Dieu ). Remarkably, the place hasn't changed that much since Lafayette last dropped in.