Another Hurdle Cleared at the Supreme Court!
Jun26

Another Hurdle Cleared at the Supreme Court!

  Thanks to the Supreme Court, healthcare reform has cleared another hurdle.  At 10:21 AM yesterday, as I was writing this week’s letter a banner appeared on my screen: NPR:Breaking News–Supreme Court Rules Obamacare Subsidies Are Legal Just seven words but a powerful message. Later I enjoyed looking at all the YouTube commentary on CNN. In particular I enjoyed the President’s words and the brief analysis of Jeffrey Toobin....

Pull
The Moral Injury of Avoidable Death
Jun25

The Moral Injury of Avoidable Death

Last week I passed on a story my friend Dr. Doug Beers told me about a case of avoidable death as a result of medical “overkill.” It was a distressing story, but Doug recently told me another story that disturbed me more. We were sitting on the dock at my place on Little Lake Sunapee, chatting with my neighbor who had just given us a tour of the lake on his boat. The conversation turned to my long-term friendship with Doug, and to the...

Pull
Overkill Can Be Deadly
Jun18

Overkill Can Be Deadly

Dr. Doug Beer, my former colleague and longtime friend, told me a story about the way healthcare overkill can actually kill a patient. Doug, who practices internal medicine at Emanuel Hospital in Portland, Oregon, and I were talking about cancer treatment during a recent visit he and his wife, Leslie, paid to my wife Nancy and me in New Hampshire. Doug confused me when he said he had a patient who died because he was treated too soon...

Pull
Joys and Sorrows of Healthcare Professionals
Jun12

Joys and Sorrows of Healthcare Professionals

Healthcare professionals find both joy and sorrow in their work. Many of us carry scars. I think it helps to tell the stories we carry with us from our experiences in the present system, even when they are not feel-good stories. It gives us ways to think about transforming healthcare delivery for the future. Recently I had the pleasure of some long conversations reflecting on the healthcare system with my former colleague and friend...

Pull
Everyone Gains from Lean
Jun05

Everyone Gains from Lean

Everyone, whether they are senior management, middle management, line management or the hands-on employee has much to gain from Lean. Lean can buffer the impact of chronic issues of emotional fatigue and performance pressure. It also helps with the stress of accountability in the face of difficult external and internal factors and and unrealized personal aspirations. Lean can combat the cynicism that arises from the pettiness of...

Pull