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Hard Medicine

Investigating medicine's hardest problems — by Dr. Ilana Yurkiewicz, physician, professor, and journalist

Newsletter · By Ilana Yurkiewicz, MD · English · Official site

Indexed issues, last 90 days
3
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Sep 23, 2026
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Jul 23, 2026

Latest issues

  1. Issue · Sep 23, 2026

    Measure What? (opens the original)

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    What does medicine lose when it tries to measure everything it values?In this opening talk from Stanford’s Big Ideas in Medicine Conference 2026, Dr. Ilana Yurkiewicz examines how a hyper-focus on metrics can create the illusion of care while patients still fall through the cracks. Through three examples — continuity, coordination, and connection — she argues that when medicine’s most important values are hardest to compress into a number, they’re first to erode. The answer is not to invent anot

  2. Issue · Sep 2, 2026

    Is the Microbiome Responsible for the Rise in Chronic Disease? (opens the original)

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    Certain chronic diseases are rising, and no one knows why. These include autoimmune diseases such as Crohn’s, metabolic conditions like diabetes, early-onset cancer, and even disorders of mental health. One unifying theory is the microbiome. This diverse community that lives among us has been blamed for everything and nothing. In this conversation, Dr. Yurkiewicz sits down with microbiology professor and leading microbiome researcher Dr. Justin Sonnenburg to understand what role the gut microbio

  3. Issue · Jul 23, 2026

    Can the President of the United States Fix Healthcare? (opens the original)

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    Despite a majority of Americans reporting dissatisfaction with the U.S. healthcare system and agreeing it needs reform, very few presidents have been able to do it. In fact, according to longtime Washington insider and co-author of Whiplash Dr. David Blumenthal, advisors explicitly tell the president: Don’t go there.In this episode, Drs. Yurkiewicz and Blumenthal explore what power the most powerful person in this country has to enact meaningful reform. Through case studies of three administrati

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