The Challenge of Integrating Population Health With Social Programs

The Challenge of Integrating Population Health With Social Programs

by | Jan 22, 2019 | Future of Heathcare, Health in America, Healthcare Policy, Population Health, Poverty and healthcare, Social Determinants of Health, the difficulties of change, The Triple Aim

Change is slow, and time flies. It has been twelve years since 2007, and changes that were discussed then are still works in progress now. 2007 was a big year for me. I did not know it, but 2007 would be my last year of full time practice and part time leadership as...
Understanding How the Amazing Success of the 9.9 Percent is a Risk to Better Healthcare for Everyone

Understanding How the Amazing Success of the 9.9 Percent is a Risk to Better Healthcare for Everyone

by | Jun 5, 2018 | Economic inequality, Era 3: the moral era, Featured Post, Health in America, Inequality, Inequality in Healthcare, metitocracy, Process Improvement, Social Determinants of Health, The Triple Aim

I saw aristocracy up close at Harvard Medical School. I quickly realized that some of my classmates were from families that were either power brokers in New York or Washington, or were the elite of American medicine. I discerned that I had been slotted into the class...
We Must Be Inept Because We Do Spend Enough To Do a Better Job

We Must Be Inept Because We Do Spend Enough To Do a Better Job

by | May 22, 2018 | Health in America, Healthcare Transformation, History of Healthcare Reform, Innovation in Healthcare, Social Determinants of Health, the healthcare debate, The Triple Aim

When my own wellspring of inspiration and self proclaimed insight seems to be temporarily running dry, I compensate by passing on to readers what I am learning from others. There has been a lot to learn from others and to pass on recently. I was particularly intrigued...
Poverty, Race and Poor Healthcare: The Toxic Combination that Threatens Us All

Poverty, Race and Poor Healthcare: The Toxic Combination that Threatens Us All

by | Apr 24, 2018 | Health in America, Improving the health of the poor, Inequality, Inequality in Healthcare, Poverty and healthcare, The Triple Aim

Over the last year the consideration of the social determinants of health has become my greatest professional interest. This shift in my thinking has not been because I have lost interest in or am less committed to the noble ideals and objectives of the Triple Aim,...