There Is Always A Better Way!

There Is Always A Better Way!

  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...
How Do We Strengthen The Nation’s Primary Health Care System?

How Do We Strengthen The Nation’s Primary Health Care System?

If you have avoided these notes for the past few weeks, you may not know that I have been systematically reviewing the recommendations of the Commonwealth Fund’s Task Force On Payment and Delivery System Reform. There are six sections to the report. So far we have...
The President’s Challenge to Correctly Sequence the Treatment of the Virus and the Economy.

The President’s Challenge to Correctly Sequence the Treatment of the Virus and the Economy.

  Yesterday, I scored two rolls of toilet paper at the one grocery store in my town. I felt good about my accomplishment until I got home and thought about what it meant to find joy in toilet paper. I had volunteered to do the shopping, and my wife’s last request...
Healthcare Musings For February 28, 2020

Healthcare Musings For February 28, 2020

  February 28, 2020 Dear Interested Readers,   Unexpected Events And Uncertainty in a VUCA World   It has happened again. This last week was one where events seemed to suddenly converge on us to remind us of an important reality, change is a constant in...
Chronic Disease Management and the Challenges of Impending Workforce Shortages

Chronic Disease Management and the Challenges of Impending Workforce Shortages

  The header for today’s post is a picture of a couple, both in their nineties, who are patiently waiting for a doctor’s appointment. I know a lot about this couple. They are my parents. They were in the vanguard of a growing movement, seniors living into their...
Fifty Years of Care Improvement

Fifty Years of Care Improvement

On October 1, 1969, against substantial opposition from many of the faculty members at Harvard Medical School and others in the Boston medical community, Dr. Robert Ebert succeeded in launching the Harvard Community Health Plan. Forty years later, in 2009, several of...