Insights

Expert perspectives on medicine, business, technology, and the intersection of all three.

Business of Medicine

The Math Isn’t Mathing: Why Becoming a Doctor Is Quietly Becoming a Terrible Financial Decision

Let me start with a confession. Every time I meet someone new and the “so what do you do?” question comes up, I can watch their face do a little calculation. Do

April 17, 2026 Addiction Medicine

Building Scalable MAT Programs: Why Addiction Treatment is Healthcare’s Greatest Business Opportunity

The opioid crisis persists not because we lack effective treatment, but because evidence-based medication-assisted treatment remains criminally under-scaled. In

April 7, 2026 Aesthetic Medicine

Combination Therapies in Aesthetic Medicine: Why the Future Isn’t Single-Modality Treatment

Five years ago, aesthetic medicine operated in silos. Patients interested in skin rejuvenation chose one modality: laser resurfacing, or injectables, or microne

April 7, 2026 Medical Cannabis

Standardizing Cannabis-Based Pain Management: Why Clinical Evidence Must Drive Policy

During my tenure as Maryland’s Medical Cannabis Commissioner, I observed a striking paradox: thousands of patients were accessing cannabis for pain management t

April 7, 2026 Business of Medicine

What Every Physician Should Know Before Signing a PE Deal

Private equity has transformed the landscape of physician-owned practices. Pain management, anesthesiology, dermatology, ophthalmology, addiction medicine, aest

April 7, 2026 AI & Healthcare

How AI Is Changing the Pain Clinic — Without Replacing the Physician

The conversation around artificial intelligence in medicine has become almost impossible to avoid. Every conference, every trade publication, every investor pit

April 7, 2026 Interventional Spine

Radiofrequency Ablation vs. Steroid Injections: When to Escalate Treatment

Every week in my practice, I see patients who have been receiving epidural steroid injections on a recurring schedule — sometimes for years — without anyone hav

April 6, 2026 Addiction Medicine

The MAT Gap: Why Most Addiction Patients Still Can't Access Evidence-Based Treatment

Medication-assisted treatment works. The data is overwhelming: buprenorphine and methadone reduce opioid overdose deaths, improve treatment retention, and suppo

March 29, 2026 Aesthetic Medicine

Why Physician-Led Medspas Are Winning the Aesthetics Arms Race

The medical aesthetics industry is experiencing explosive growth, and with it, an equally explosive proliferation of unregulated operators. Walk through any maj

March 29, 2026 Medical Cannabis

Beyond the Commission: Where Medical Cannabis Policy Goes from Here

Serving as Education Chairman for Maryland's Medical Cannabis Commission for over three years gave me a front-row seat to one of healthcare's most complex regul

March 29, 2026 Business of Medicine

Private Equity Is Reshaping Pain Management — Here's What Physicians Need to Know

Pain management has become one of the fastest-growing targets for private equity investment in healthcare. A JAMA Network Open study revealed that PE-backed gro

March 29, 2026 AI & Healthcare

AI Won't Replace Your Pain Doctor — But It Will Make Them Better

Patients are already running their doctor's notes through ChatGPT. Hospitals are deploying AI documentation tools that cut charting time in half. Robotic-guided

March 29, 2026 Interventional Spine

The Convergence of Spine Surgery and Interventional Pain: What 2026 Means for Our Field

For years, the spine world operated in silos. Surgeons handled the operating room; interventional pain physicians handled the fluoroscopy suite. Referral patter

March 29, 2026