Special topics

Longer pieces on a single question physicians keep asking, with the evidence, the rules, the prices, and a step-by-step path at the end. Each one also goes out on Substack.

• Sept 16, 2026The shift no model can coverThe labs are winning at the work that fits on a screen and have not yet been measured against the work that needs hands. Rural emergency departments are short of exactly that and pay a premium for it, and a primary-care physician can be credentialed to provide it without a second residency.