Where Healthcare Should Focus in 2016
Jan20

Where Healthcare Should Focus in 2016

I have been looking forward to 2016 and asking myself where healthcare should focus in the year ahead. In this connection, Don Berwick’s speech at the 27th Annual IHI Forum had a profound effect on me. You can watch it on YouTube. I appreciated his insightful and historically astute descriptions of Era 1 and Era 2 of healthcare. The first era goes all the way back to Hippocrates and Galen and was dominated by clinical autonomy and...

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The Older Americans Act
Aug14

The Older Americans Act

Recently the New England Journal of Medicine published a great article in the “Perspective” section, “The Older Americans Act at 50”.  Unfortunately the article is available online only to those who are subscribers, so I will try to give a very brief overview of its thoughtful content. I find that many physicians are totally unaware of the OAA program or–if they are aware–they do not know how to maximize its benefit for...

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Accessible, Accountable Healthcare
Jan09

Accessible, Accountable Healthcare

Healthcare needs to be more accessible and more accountable to everyone. Not long ago my brother-in-law, Tom Coffey, decided to take advantage of a light workday by spending some time on his elliptical machine. Events must have happened quickly because it does not take Tom long to work up a sweat. He was a big bear of a man. About 2 PM, my niece, his daughter who is an NP, noted that her Dad’s car was still in the driveway and went...

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