by Dr. Gene Lindsey | Jan 23, 2026 | "sick care" in primary care, A personal history, Access to care, Ambulatory practice, chronic disease management, Dr. Cato Baxter Wiseman, Dr. Lisa Rosenbaum, Featured Post, Harvard Community Health Plan, Healthcare Quality, Primary Care Challenges, Social Determinants of Health, the "good" doctor, the burden of quality metrics on PCPs, The Corporatization of U.S. Health Care, The Triple Aim
January 23, 2026 Dear Interested Readers, Searching For the Relationships That Provide Professional Fulfillment My mother had many interests and was an “early adopter.” She had a “Tandy Computer” from Radio Shack in the early eighties before moving on to...
by Dr. Gene Lindsey | Feb 14, 2025 | A personal history, AI in healthcare, Atrius Health, ChatGPT, chronic disease management, Computers In Healthcare, Diversity Equity Inclusion, employed physicians, Featured Post, Future of Heathcare, Harvard Community Health Plan, Harvard Vanguard Medical Associates, infrastructure inadequacies, MAGA, Moral Injury, Primary Care Challenges, Social Determinants of Health, The future of healthcare under Trump, The Triple Aim, Workforce Shortages in Healthcare
February 14, 2025 Dear Interested Readers, Primary Care Has Changed Since 1975 For several weeks, I have felt a need to write about primary care. When I try to write to express my concerns about primary care, I am derailed by yet another outrageous event...
by Dr. Gene Lindsey | Feb 9, 2024 | A personal history, Brigham and Women's, chronic disease management, Dr. H. Richard Nesson, Featured Post, Implicit Bias, Inequality in Healthcare, Mass General Brigham, Medical-Moral Sensibilities, Primary Care, Social Determinants of Health
February 9, 2024 Dear Interested Readers, Reflections on Our History of Bias in Medicine and Experience Managing Chronic Diseases Hospital I want to bring your attention to two recent articles in The New England Journal of Medicine. The first...
by Dr. Gene Lindsey | Apr 1, 2022 | April Fool's Day, Atul Gawande, Bret Stephens, chronic disease management, Consolidation in healthcare, Costs, COVID, doctor shortage, Featured Post, Inequality in Healthcare, Inflation, Innovation, Joe Biden's coordination of the west's response to Putin's invasion of Ukraine, patient centered care, Putin's Invasion of Ukraine, The Care Experience, the difficulties of change, The Triple Aim, Workforce Shortages in Healthcare
April 1, 2022 Dear Interested Readers, Are We All April’s Fools? I made an interesting discovery on the Internet. According to Wikipedia, Odessa, the resort city of Ukraine on the Black Sea, is the only city in the world where April 1 is an official...
by Dr. Gene Lindsey | Mar 30, 2021 | Adaptive Change, Atul Gawande, chronic disease management, Featured Post, Future of Heathcare, Improving Ambulatory Practice, Inequality in Healthcare, Innovation in Healthcare, Polio and The Salk Vaccine, rollout of the COVID-19 vaccine, Six Domains of Quality, Social Determinants of Health, Virtual Shared Medical Appointments
I am no medical historian, but I dare say that the history of medicine could be described as a “search for a better way.” Sometimes the search is cheered by the people and supported by entrepreneurs and governments desperate for solutions to threatening...
by Dr. Gene Lindsey | Jun 2, 2020 | chronic disease management, Covid-19, Economic inequality, Featured Post, George Floyd, Governor Charles Baker of Massachusetts, Inequality in Healthcare, Kerner Commission, Martin Luther King Jr, Personal responses to the challenges of COVID-19, pre existing conditions, Racial Inequality, Racism in America, Riots of 1967, Social Determinants of Health, The World After COVID-19
There is a certain wisdom in Yogi Berra’s observation that, “It is deja vu all over again.” When I was practicing I would frequently have that thought as I was trying to manage a patient with a chronic disease. Whether the problem was CHF, poorly controlled...
