Archive - John's Substack

Why Medicalizing Social Problems Makes Them Worse

How Routing Social Determinants Through Healthcare Raises Costs and Weakens Community Solutions

Jan 10 • John Asghar MD

Value-Based Payment Are Coming and That’s Bad for Physicians and Patients

Why Cost Will Keep Rising, Outcomes Won’t Improve, and Only the Middleman Wins

Jan 7 • John Asghar MD

The Big Lie: Bigger isn’t Better

Consolidation Doesn’t Make Healthcare Cheaper, More Efficient, or More Accessible

Jan 3 • John Asghar MD

December 2025

Academic Medical Centers Broke Primary Care

Primary Care Access, Academic Consolidation, and Why Patients Keep Escalating Care

Dec 31, 2025 • John Asghar MD

Administrative Burden in U.S. Healthcare

What is counted, what is excluded, and why its impact is systematically underestimated

Dec 28, 2025 • John Asghar MD

Let’s Incentivize Clinical Practice Again (ICPA)

Let’s Incentivize Clinical Practice Again (ICPA)

Dec 25, 2025 • John Asghar MD

This is John's Substack.

Dec 21, 2025 • John Asghar MD

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