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Michael D. Fine (born 1953) is an American physician, writer, and community organizer. He was the director of the Rhode Island Department of Health from 2011 until 2015.

Early life and education
Fine grew up in Glen Rock, New Jersey. He studied at the New School for Social Research, Cornell, George Washington University, Oberlin College and Columbia University, and graduated fromHaverford College in 1975. He was the editor and publisher of Lower Indian Head Press, and a poet and short story writer whose work was published in the US and Great Britain. He then spent a year living in North Littleton, Worchestershire, England, did readings around Britain and read on the BBC. Fine returned to the United States in 1977. He lived in New York working as a ghost writer and a community organizer in the South Bronx. He enrolled in post-baccalaureate premedical program at Columbia University. In 1979, Fine studied medicine at Case Western Reserve University School of Medicine, graduating with a medical degree in 1983. He completed his residency in family medicine at Memorial Hospital in Pawtucket, Rhode Island in 1986.

Medical Career
In 1986, Fine began practice as a physician in Sneedville, Tennessee, then the fifth poorest county in the United States, as part of his service for the National Health Service Corps. He moved back to Rhode Island to practice in Danielson, CT, Mansfield, MA, and Foster, RI. Together with his wife, also a family physician, and a colleague, Fine opened a private practice in 1992. Hillside Avenue Family and Community Medicine grew to be the largest private practice in Rhode Island. During his years in private practice, Dr. Fine also served as Director of Continuing Education and Physician-in-Chief of the Department of Family and Community Medicine at both Rhode Island Hospital and Miriam Hospital and was the founding vice president of Rhode Island Primary Care Physcians' corporation.

Public Health Career
Dr. Fine retired from private practice in 2008. He then became the Director of Health Services at the Rhode Island Department of Corrections which led to an appointment as interim Director of the Rhode Island Department of Health when the sitting Director, David Gifford, stepped down. Dr. Fine's appointment was made official three months later. As Director, Dr. Fine dealt with issues such as Rhode Island's drug overdose death epidemic, the Ebola outbreak in 2014, and raising vaccination rates.

After stepping down as Director, Dr. Fine now serves as Health Policy Advisor to Mayor James Diossa of Central Falls, Rhode Island and Senior Population Health and Clinical Services Officer at Blackstone Valley Health Care, Inc. Through this partnership, Dr. Fine is working to establish the Central Falls Neighborhood Health Station and with its creation, the United States' first attempt at a population based primary care center that will be responsible for the health of the entire population of a place.

Throughout his career, Dr. Fine has also championed other efforts to strengthen community based healthcare and care for underserved populations. He co-founded the Scituate Health Alliance, a non-profit charitable organization that seeks to provide local, accessible and affordable health care to the residents of Scituate, RI, and founded HealthAccessRI, the nation’s first statewide organization making prepaid, reduced fee-for-service primary care available to people without employer-provided health insurance.

Dr. Fine's newest book, Health Care Revolt, argues that the United States has a marketplace, not a health care system, that does little else but to reinforce the nation's economic polarization. Dr. Fine draws on global examples of health care systems that are effective and affordable and imagines a system for the United States that would strengthen the population's health while protecting democracy.