An Amazing Interview and Display of Narcissism
Jan31

An Amazing Interview and Display of Narcissism

One of the most remarkable events of the first week of the Trump presidency was his interview with David Muir from ABC.  Muir asked questions that allowed the President to reveal both his focus on the trivial and his lack of understanding of the subtleties of the complex issues of our times. Jenna Johnson’s analysis in the Washington Post focused on his obsession with his popularity. To make sure that no “alternative facts” fooled you...

Pull
Information for Responsible Resistance
Jan24

Information for Responsible Resistance

A few weeks ago those of us who had experienced a few moments of unfounded hope based on positive comments that President Trump had made about the ACA had our hopes dashed when he announced that Representative Dr. Tom Price of the 6th Congressional District of Georgia would be the next Secretary of Health and Human Services.  It is my assumption that after the Senate Finance Committee (Senate home of the ACA) grills Representative...

Pull
Repeal and Replace and the Angst of “The Loyal Opposition”
Jan17

Repeal and Replace and the Angst of “The Loyal Opposition”

Readers of these postings are familiar with my use of the term VUCA, an acronym that is derived from the realization that we live in a world that is volatile, uncertain, complex and ambiguous. I have asserted before that our state of uncertainty about the future of healthcare in the era of repeal and replace complies with the spirit of VUCA. VUCA is a strategic concept. Since the term was introduced to strategic thinkers in the mid...

Pull
Thinking About ACOs Again For the First Time
Jan10

Thinking About ACOs Again For the First Time

I am proud to be a member of Whittier Street Health Centers Foundation Board and was delighted when our very able CEO, Frederica Williams, recently asked me to talk to the organization about ACOs at their Grand Rounds. Whittier Street is an exceptional example of a practice that will be sorely tested by the chaos that Jonathan Oberlander describes in his “Perspective” article, “The End of Obamacare”, in the January 5, 2017 issue of...

Pull
What To Do When You Don’t Know What To Do
Jan03

What To Do When You Don’t Know What To Do

Are you wondering what you and your practice or hospital should be doing while living in the ambiguity of “repeal and replace?” Focus on getting better. That is the short answer. With or without the ACA the challenge to create  Care better than we’ve seen, health better than we’ve ever known, cost we can afford,…for every person, every time…in settings that support caregiver wellness  …does not go away. The Triple Aim long...

Pull