Commentary articles

A physician’s guide to employment contracts

A physician’s guide to employment contracts

By Christopher Shaughnessy As hospitals and health systems continue moves toward clinical integration, more physicians are being employed by hospitals and health systems rather than practicing medicine in their own private practices. The trend toward direct hospital employment of physicians accelerated after 2012 and it appears that the trend will continue as both hospitals and physicians navigate

Home-based palliative care as an innovation in aging

By Lori Earnshaw, MD Fully conscious while on a fentanyl drip and with an endotracheal tube down his throat, the 70-something emaciated man raised his index finger to wipe tears from his tired eyes. “I just hope to make it home,” he wrote on the dry-erase board. As sick as he was, he would not

Statewide tobacco-free schools bill

By Rep. Kim Moser and Sen. Ralph Alvarado Students, educators, health advocates and business leaders are urging the legislature in 2019 to make all Kentucky school districts tobacco-free. As health professionals and lawmakers, we believe this is the sensible approach to protecting our kids from tobacco exposure. Now is also the right time to enact

Pass House Bill 121

By Michael Fletcher, MD In 2019, every Kentuckian knows someone struggling with addiction and we know this epidemic is wreaking havoc on our communities and in our country. As an addiction specialist physician practicing in the Commonwealth, I look into the eyes of these people every day. My patients are filled with determination to beat

Child welfare transformation will improve the lives of Kentucky children and families

It is a staggering, record-high number in Kentucky: 10,000 kids in foster care. Here is another number: 800. That’s how many adults gathered in early January for the inaugural Transformers of Child Welfare Summit. These were social workers, judges, educators, government officials, faith-based community leaders, parents, relatives and others. They are all committed to improving

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