Michael’s Substack
Michael Kirsch, MDPracticing gastroenterologist and writer, giving readers a peek behind the curtain of the medical profession.
| Platform |  | Pricing | Only free issues | Publishes | Weekly |
|---|---|---|---|---|---|
| Issues | 79 | Founded | a year ago | Last Issue | 4 days ago |
| Active | |||||
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mkirsch.substack.comLatest Issues
Independence Day 2026
Many among us cannot recall a time when the nation was as divided as it is now. I can’t. But folks who lived through the Vietnam War, the Civil Rights Movement, and Watergate can attest that, over many years, these chasms were bridged. The...
Treating the Medically Uninsured
I believe that health care is a human right. This does not mean that every person must have precisely the same level of health care coverage. That is not how our society works.
Wealthy individuals can afford higher-level medical care, jus...
Informed Consent—Challenging Patients and Their Doctors
The doctrine of informed consent is a bedrock medical ethical principle. Physicians’ obligation is to present the patient with reasonable diagnostic or therapeutic options, along with the respective risks and benefits. Decision-making autho...
Medical Paperwork Overwhelms the Profession
Readers know that I practice strictly outpatient gastroenterology. I have left the glory days of hospital life behind, and I haven’t looked back, not even for a nanosecond. In this post, I will share some observations from that prior era, w...
Overdiagnosis and Overtreatment (Part II)
Last week, I acquainted readers with a condition that vexes patients and physicians: the incidentaloma. I would recommend that readers who are just tuning in review that post before continuing.
As noted, most incidentalomas that I’ve encou...
Audience Metrics
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| Subscribers | Engagement | 75 | Monthly Web Visits | ||
|---|---|---|---|---|---|
| Accepts Sponsors | Estimated Cost per Ad | ||||
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Authors
The writers behind this newsletter.
Gastroenterologist and writer, offering readers a peek behind the medical curtain. My focus is to help patients navigate the complex medical universe and to become better advocates of their own health. All views welcome. I love the dialogue!
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