Infrastructure We Call a Luxury
A workforce that depends on women returning to work
The Bottle Station
A twin-postpartum patient, severe preeclampsia, and the bottle-washing station that is the only system she has
The Empty Code Cart, and the Empty Pharmacy Behind It
The Briefing — Cheap, essential, irreplaceable, and vanishing all at once — that combination is the tell.
The L&D Code Cart Is Empty
The Signal - Obstetric medication shortages · rolling stockouts · the drugs that keep women alive
The Watching Is the Care
Viva Voce - At sixteen weeks with a stable subchorionic bleed, the management plan I am offering my patient is essentially the same one a clinician would have offered her in 1965.
What Happens After Birth—The Path to Long-Term Treatment
Installment 6 of Labora Collective's Painful Bladder Syndrome Series - A Journey to Validation and Relief.
Chapter 5: The Devaluation of Black Life
Exploring the systemic devaluation of Black lives within the medical profession and its implications for patient care
The Surgery She Needs After
A thirty-five-week pregnant patient. Three problems. One coverage window that has to hold for a year. What postpartum Medicaid coverage loss looks like from the exam room.
The Three Pharmacies That Decide Whether You Get Your Medication
Three corporate boards. Roughly forty-two percent of all U.S. prescription dispensing revenue. The dispensing decisions of the American retail pharmacy system are being made for legal exposure, not clinical need.
The Twelve-Year Pipeline and the Levers We Still Have
116 rural L&D closures. AAMC residency-application gap by state. NHSC, J-1 waivers, Title VII and VIII workforce funding. The named tools that exist to rebuild what has been dismantled.
Your Doctor Wrote the Prescription. The Pharmacist Said No.
Conscience clauses, pharmacy refusals, and the federal backstop that was quietly removed in January 2026. The last mile of medical care is now controlled by someone who never examined the patient.