Learning from South Africa
Sep28

Learning from South Africa

Several years ago I was fascinated by Dr. Atul Gawande’s discussion of ignorance and  incompetence. He argued that we in healthcare are no longer ignorant. We know quite a bit about pathology, pharmacology, diagnostics, and various therapeutic techniques. On my visit to Cape Town this week I was reminded of this as I passed the hospital where Christian Barnard performed the first heart transplant almost fifty years ago. The last half...

Pull
Sustainable Universal Coverage
Sep09

Sustainable Universal Coverage

Last month CMS announced the results of the efforts of the Pioneer and MSSP (Medicare Shared Savings Program) ACOs for 2014. The headline made for compelling reading: Medicare ACOs Provide Improved Care While Slowing Cost Growth in 2014. This suggests that sustainable universal coverage is within our reach. Just in case you do not have the time to follow the link for yourself, let me help you appreciate the gist of the report. In 2014...

Pull