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Primary Healthcare

Essays on primary healthcare, systems leadership, clinical governance, ethics, and the human dimensions of care.

Primary Healthcare

Essays on primary healthcare, systems leadership, clinical governance, ethics, and the human dimensions of care.

Primary Healthcare   -   May 18, 2026 Elimination and Memory: Measles in America, Ebola in Congo, and the Problem of Maintenance
Elimination and Memory: Measles in America, Ebola in Congo, and the Problem of Maintenance

Author's Note: While researching these outbreaks, I found myself returning to a distinction that seemed increasingly important. Congo continues to manage epidemic disease as part of lived experience. In the United States, measles survives largely as historical memory. The epidemiological differences are obvious. Less obvious is the question

Primary Healthcare   -   May 16, 2026 The Underbabied American Society: What the reaction to Mehmet Oz’s remark revealed about continuity, legitimacy, and institutional modernity
The Underbabied American Society: What the reaction to Mehmet Oz’s remark revealed about continuity, legitimacy, and institutional modernity

When Mehmet Oz remarked that America was becoming “underbabied,” the reaction was immediate. Many people mocked the phrase. Others heard it as political pressure, demographic panic, or another attempt to turn family life into an ideological argument. Yet the strong reaction revealed something deeper than the awkwardness of the phrase

The Governance Failure Behind the Global Health Funding Crisis
Primary Healthcare   -   May 29, 2026 The Governance Failure Behind the Global Health Funding Crisis

The world’s growing instability in health financing is sometimes described as a budget problem. In reality, it is a far more complex issue: a governance crisis within the institutions responsible for global public health. While the consequences are increasingly visible in primary healthcare systems around the world, the underlying

by Shawn D. Mathis
Latest Articles 9 Articles
Primary Healthcare   -   May 29, 2026 The Governance Failure Behind the Global Health Funding Crisis
The Governance Failure Behind the Global Health Funding Crisis

The world’s growing instability in health financing is sometimes described as a budget problem. In reality, it is a far more complex issue: a governance crisis within the institutions responsible for global public health. While the consequences are increasingly visible in primary healthcare systems around the world, the underlying

by Shawn D. Mathis
Primary Healthcare   -   May 18, 2026 Elimination and Memory: Measles in America, Ebola in Congo, and the Problem of Maintenance
Elimination and Memory: Measles in America, Ebola in Congo, and the Problem of Maintenance

Author's Note: While researching these outbreaks, I found myself returning to a distinction that seemed increasingly important. Congo continues to manage epidemic disease as part of lived experience. In the United States, measles survives largely as historical memory. The epidemiological differences are obvious. Less obvious is the question

by Shawn D. Mathis
Primary Healthcare   -   May 16, 2026 The Underbabied American Society: What the reaction to Mehmet Oz’s remark revealed about continuity, legitimacy, and institutional modernity
The Underbabied American Society: What the reaction to Mehmet Oz’s remark revealed about continuity, legitimacy, and institutional modernity

When Mehmet Oz remarked that America was becoming “underbabied,” the reaction was immediate. Many people mocked the phrase. Others heard it as political pressure, demographic panic, or another attempt to turn family life into an ideological argument. Yet the strong reaction revealed something deeper than the awkwardness of the phrase

by Shawn D. Mathis
Primary Healthcare   -   May 14, 2026 When Expertise Loses Authority: The Crisis of American Public Health Legitimacy
When Expertise Loses Authority: The Crisis of American Public Health Legitimacy

The resignation of Food and Drug Administration (FDA) Commissioner Martin Makary would ordinarily constitute little more than another episode in Washington’s familiar cycle of bureaucratic turnover. Senior officials depart. Interim appointees rotate through agencies. Administrations recalibrate priorities. Yet the significance of the present moment lies not in the resignation

by Shawn D. Mathis
Primary Healthcare   -   May 12, 2026 The Collapse of Primary Health Care in the U.S.
The Collapse of Primary Health Care in the U.S.

Author's Note: During my own work in healthcare leadership and health systems, I have repeatedly encountered physicians who describe the same frustration: the growing inability to practice continuity-based care within systems increasingly organized around transactions, documentation requirements, and productivity metrics. While the particulars vary, the underlying concern is

by Shawn D. Mathis
Primary Healthcare   -   Apr 24, 2026 Leading Change Under Constraint: Rethinking Leadership in the Democratic Republic of Congo
Leading Change Under Constraint: Rethinking Leadership in the Democratic Republic of Congo

In April 2026, I led a three-part seminar series titled “Leading Change in Complex, Resource-Constrained Health Systems: The Reality of the DRC.” Hosted by the Higher Institute of Nursing Sciences (ISSI), the series brought together healthcare professionals working in conditions that resist easy description, and perhaps easy resolution. They did

by Shawn D. Mathis
Primary Healthcare   -   Sep 02, 2025 Obesity in Davidson County, Tennessee: A Multisectoral Analysis of Policy, Public Health, and Economic Intervention
Obesity in Davidson County, Tennessee: A Multisectoral Analysis of Policy, Public Health, and Economic Intervention

Intervention Strategies in Davidson County Costs, Benefits, and Sectoral Influences Obesogenic Food Environments Regulatory changes and investments to improve access to nutritious foods carry initial costs. Long-term benefits include reduced healthcare spending and growth in health-conscious industries. These changes can foster innovation and stakeholder alignment. Economic Planning & Collaboration Policy

by Shawn D. Mathis
Primary Healthcare   -   Aug 31, 2025 Advancing Global Healthcare Leadership: Evidence-Based Practice in Postgraduate Programmes – My Oxford MSc Dissertation (2024)
Advancing Global Healthcare Leadership: Evidence-Based Practice in Postgraduate Programmes – My Oxford MSc Dissertation (2024)

Advancing Global Healthcare Leadership: One Year On I often reflect on how the value of studying at Oxford is found in the combined experience of the rigorous academic programme, the joy of engaging with world-class professors and fellow cohort members, and the immersive experience of the city itself. Whether in

by Shawn D. Mathis
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