February 17th, 2023
In this podcast episode, we have Michael Fine, a family physician and author of On Medicine as Colonialism, sharing his insights on the changing landscape of primary care. He reflects on his experience of practicing in a time when family doctors lived in and supported the communities they served. However, today, primary care has become a huge economic engine generating profits for corporations, and it has led to what he calls “primary care colonialism.” Michael discusses how this kind of colonialism removes the relationships that are essential for sustaining communities, leading to a denuded society devoid of its unique identity and history. He questions whether this is the primary care and medicine we want and suggests the need to change it from the bottom up.
He shares his story and discusses his KevinMD article, “Primary care colonialism: the impact of profit-driven health care on communities.”