by Dr. Gene Lindsey | Dec 12, 2025 | A personal history, ACA market subsidies, ACOs, Continuous Improvement, Crossing the Quality Chasm, Don Berwick, Featured Post, Fee for service payment, Future of Heathcare, Lean, Medicare For All, Politics and Healthcare, Professor Zack Cooper
December 12, 2025 Dear Interested Readers, I Am Trying to Develop a Little Hope Now and then, I get an unexpected email response to one of these letters. This week, I got one of those surprises in an email from a longtime reader. He wrote: Have...
by Dr. Gene Lindsey | Dec 5, 2025 | A personal history, AMA vs. universal coverage, Corporatization of U.S. Healthcare, David Cutler, Featured Post, Fee for service payment, Future of Heathcare, Healthcare as a Right, New England Journal of Medicine, One Big Beautiful Bill-OBBB, Six Domains of Quality, the difficulties of change, The Triple Aim, Threatened support to the ACA marketplace
December 5, 2025 Dear Interested Readers, We Need a New Approach to Healthcare Looking back on the years 2008-2013, when I had leadership responsibilities at a large and influential medical practice, I have very mixed feelings. I am pleased to have...
by Dr. Gene Lindsey | May 2, 2025 | ChatGPT, Dartmouth Health, Featured Post, Fee for service payment, Healthcare in Rural America, MAGA, medical care in small-town America, New London Hospital, Obstetrical Care in New Hampshire, Politics and Healthcare, Social Determinants of Health, The future of healthcare under Trump, the plight of "red state" rural Americans, Trump's first 100 days in office, Trump's inept administration, Value Based Reimbursement
May 2, 2025 Dear Interested Readers, The First 100 Days of a Bad Dream I apologize for the excessive attention I have given to the blatant dangers ahead inherent in our reckless president’s personality disorder and destructive ambitions. His...
by Dr. Gene Lindsey | Mar 1, 2024 | A personal history, ACOs, Atrius Health, Beth Israel Deconess Medcal Center, Brigham and Women's, CMMI, Co-opetition, Competition, Continuous Improvement, Dartmouth Health, Dr. Anita Ung, Dr. Joe Kimura, Dr. Kate Koplan, Dr. Rick Lopez, Dr. Robert Ebert, Featured Post, Fee for service payment, Harvard Community Health Plan, Harvard Vanguard Medical Associates, Innovation in Healthcare, Medical-Moral Sensibilities, Pioneer ACO, Quality, The Care Experience, The Triple Aim, Value Based Reimbursement, Waste in healthcare
March 1, 2024 Dear Interested Readers, Quality Defined Us I have gained a new perspective on how to structure what remains of the story of the development of my medical-moral sensibilities. The story up till now has been mostly delivered in chronological...
by Dr. Gene Lindsey | Dec 29, 2023 | 2024 elections, ACA, democracy versus illiberalism, Drugs/ Fentanyl, Featured Post, Fee for service payment, Global Warming, Gun Violence as a Public Health Problem, Homelessness and Health, immigration/ illegal immigrants, infrastructure inadequacies, Martin Luther King Jr, Reproductive Rights, the economy and inflation, wars and rumors of wars, Workforce Shortages in Healthcare
December 29, 2023 Dear Interested Readers, It’s Been A Tough Year I am not sorry that we have only two more days in 2023. I always see a little hope in new beginnings. 2024 has the potential to be an outstanding year, but there is an almost equal...
by Dr. Gene Lindsey | Dec 15, 2023 | A personal history, ACA, Atrius Health, Carol Emmott, Charlie Baker, Clay Christensen, Continuous Improvement, Creative Destruction, Crossing the Quality Chasm, Disruptive Innovation, Dr. Robert Ebert, Featured Post, Fee for service payment, Harvard Community Health Plan, Harvard Pilgrim Health Care, Harvard Vanguard Medical Associates, Joseph Schumpeter, Ken Paulus, Moral Injury, Social Determinants of Health, the difficulties of change, The Triple Aim, utopias
December 15, 2023 Dear Interested Readers, Utopian Ideas Versus The Status Quo In Healthcare Less than twenty miles north up Interstate 89 from my home is the Enfield Shaker Museum. I have visited the enclave by Lake Mascoma with its magnificent main...
