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The article provides information on significance of medical spaces and impact of temperature regulation problem in maintaining ideal conditions. Topics discussed include requirements for air conditioning and dealing with problems of chills faced by patients; and realization with medical communities.

The article focuses on the developments in Medicare in Minnesota. It highlights the recent flurry of mergers and consolidations among health care organizations that has altered the local medical practice landscape. It refers to the Affordable Care Act proposed the formation of Accountable Care Organizations (ACOs).

The author reflects on medical profession, physicians, and their practices. He depicts that the delivery system biases are not the important cause of disparities but the forces of environment, income, and life circumstances are the factors of disparities between populations with regard to medical care delivered and outcome produced. It presents information on a study which depicts that it is difficult to live longer and healthier in north Minneapolis, Minnesota.

The author reflects on the challenges of physicians in treating their patients right regardless of gender, sexual orientation, and ethnicity. He explains how physicians fail certain groups of patients citing the increase of death rates from various conditions such as coronary artery disease, breast cancer, and hypertension. The author recognizes the complexities of the field, however, he encourages physicians to fix the upstream conundrum by supporting those working in the upstream territory.

The author discusses the extent of control electronic portals have on people's privacy in relation to their financial transactions and focuses on individuals who are granted access to such information. Topics cited include the reported breaches in the credit card operations of retailers such as Target resulting in fraudulent use, the similar breach insurance company Anthem experienced and the role of technology in making the problem of privacy more complicated.

The author alleges that the picture of the U.S. health care economy is murky. Topics discussed include approaches in addressing the healthcare issue, such as health maintenance organizations (HMOs), preferred provider organizations (PPOs) and diagnosis related groups (DRGs). Also mentioned are signs of changes in the health care economy, such as the lowest growth in the U.S. health care spending in 2013, as well as the view that capitation is returning as accountable care organization (ACO).

A personal narrative is presented which explores the author's experience of treating a patient with Lyme disease.

The author comments on the need for the U.S. medical community to reinvent itself. He explains how organizations or companies that opt for reinvention view social change. He cites the emergence of organized medicine and a diverse group of physicians who oppose organized medicine. He mentions the benefits and limitations of reinvention.

This article explains the role of the public health practitioner. He states that clinicians who daily see patients examine the patient in minute detail, while public health specialists examine new diseases and generalizations that will eventually lead to practical guidance for medical practitioners. He cites the emerging trend of physicians joining public health practice.

The author calls on physicians to penetrate the isolation felt by mentally ill persons in order to provide treatment and comfort. He mentions barriers that the mentally ill encounter when relating to the everyday world and the medical world. The importance of challenging the stigma of mental illness to facilitate early identification and diagnosis is addressed. Changes that mental health treatment approaches continually undergo are also cited.

The author talks about his search for an electronic medical record (EMR). As chair of an information systems committee for a hospital system in Minnesota, he sampled some EMR offerings and talked to insurance providers. With a full-featured EMR, the author was able to accomplish the necessary patient tasks. Moreover, the EMR makes available information gathered anywhere within his health care system's network of hospitals and clinics.

The author discusses the medical care issues in the U.S. including the measure of quality of care, the gauge on what is useful in caring for the patients and the approaches used to assess health. He mentions the impact of the move of federal and state governments to elaborate the health exchanges mandated by the Affordable Care Act (ACA) on health coverage benefits. He cites the growing problems of the country including the rising rate of frail elders and the shortage of primary care providers.

In this article, the author presents his views regarding the primary medical care framework. The author discusses his experience as an internist. He mentions that he was a part of healthcare group named Consultants Internal Medicine where he used to handle a variety of responsibilities. Further he reflects on the factors that are expected to lure the future medical students to uptake primary care as a profession.

In this article, the author discusses the last three years of his father-in-law's life and focuses on several aspects related to caregiving and caregivers. It mentions that his father-in-law got his quadriceps tendon torn after slipping from stairs and during treatment he was moved to a local transitional care. In the few next months he got methicillin-resistant staphylococcus aureus (MRSA) infection along with urinary tract infection (UTI) but survived for three more years.

The article discusses the impact of the 2007 recession on health care sector in the U.S. As stated, due to recession the government program was contracted and the poor people who were working became jobless and homeless. It states that uninsured patients were struggling with Medicare cuts and shrinking reimbursement. It also discusses the frequent layoffs in hospitals, increased healthcare expenditure, and hospitals in the U.S. reducing their budget due to recession.

The article focuses on the reinvention of hospitals in the U.S. It notes the increased transitions in hospital construction and patient care in the country. It points out that the length of patients' hospital stays has increased due to the movement of medical procedures from inpatient to outpatient. It observes that hospitals have maintained their reputation as high-priced cost centers as budget cuts in the federal and state levels are demonstrated.

The article offers the author's insights on the condition of organ transplantation in the U.S. The author mentions that ethical and financial challenges have come with the technological advances which reflects the dilemmas in health care in the U.S. He says that with organ transplantation as one of the technological advances, diseases will always be endured by humans, and the latter will always wear out even though medicine will have ways to modify it.

The article offers the author's insights on the role of anesthesiologists on patient safety. The author, as a physician, says that anesthesiologists occasionally put a patient in a cliff between life and death, hoping that they may be able to pull them back to safety. He adds that these masked doctors can place a patient into general anesthesia which can led into brainstem death. However, he believes that anesthesiologists had learned their lessons and will continue to practice safe medicine.

The article discusses various reports published within the issue, including the plan of Fairview Eagan Clinic on health care reform, the effectiveness of basket-of-care model for medical services in Minnesota and the offering of medical incentives and reimbursements by the Centers for Medicare and Medicaid Services (CMS) to the physicians.

The article discusses various reports published within the issue including one on the importance of hospital medicine as an alternative to primary care and another on the concept of the medical home.

The article discusses various reports published within the issue, including medical programs that lead patients through the complexities of health care and interviews with Canadian physicians about simpler medical solutions.

The author reflects on the impact of family intervention during consultation on patient care. He comments on the way family members interact with the attending doctors or medical practitioners. He also recognizes and appreciates the concern and the values that the attending family members ware showing for their sick loved one.

The author reflects on global medical issues and difficulties faced by mankind. He asserts that such problems in medicine are becoming more complex and difficult. He contends that physicians need to realize what is happening in the world to address its concerns. He cites other problems, including global warming, climate and environmental changes, and the modification of human health and disease.

The article discusses various reports published within the issue, including one on an attempt to measure and reward what physicians and hospitals do and another related to competition in health care in the U.S.

The article compares medical practice in the past than in the present. The author shares an analogy between cars and patients, and repair and medicine. He suggests that physicians need to continually study patients in totality and should adapt to some changes in medical care. Physician should keep track of the changes in patients to better understand their diseases.