by Dr. Gene Lindsey | Feb 16, 2024 | A personal history, A story from my life, ACA, Beth Israel Deconess Medcal Center, Boston Medical Center, Brigham and Women's, Burnout, Featured Post, FQHCs, Guthrie Clinic, Harvard Vanguard Medical Associates, healthcare disparities, Healthcare equity, healthcare for the rural and urban poor, Hill-Burton, immigration/ illegal immigrants, LEAD, Lean, Medical-Moral Sensibilities, Moral Injury, Partners Health Care, Paul Levy, Safety Net Institutions, Social Determinants of Health, The Triple Aim
February 16, 2024 Dear Interested Readers Medical Ethics, Access, and Personal Experience There are huge variations in care in America’s healthcare system. One has a different experience in quality, cost, and access, depending on your location and your...
by Dr. Gene Lindsey | Jan 12, 2024 | "I Have A Dream" speach, A personal history, Alternative Quality Contract, Atrius Health, Featured Post, Global Warming, Harvard Vanguard Medical Associates, I have been to the mountaintop speech, Martin Luther King Jr, Moral Injury, Moral sensibilities in healthcare, Poverty and healthcare, Social Determinants of Health, The LEAD project of Blue Cross
January 12, 2024 Dear Interested Readers, Uncommon Greatness–Remembered Monday, January 15, is the birthday of Dr. King. This is a rare year because the national holiday that honors his contributions to all of humankind falls on his birth date in...
by Dr. Gene Lindsey | Dec 22, 2023 | 2024 elections, A personal history, Advent and Christmas, Atrius Health, Burnout, Christian Nationalism, Featured Post, Global Warming, Gun Violence, Harvard Vanguard Medical Associates, Ken Paulus, MAGA, Moral Injury, Social Determinants of Health
December 22, 2023 Dear Interested Readers, A Reader’s Response Sometimes when I am writing these notes I wonder if I am writing to myself. It can feel as if I am talking into a closet, and then I get an email that lets me know that there is at least one...
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, 2023Â 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...
by Dr. Gene Lindsey | Nov 24, 2023 | A personal history, Cass Sunstein, Dr. Marc Bard, Featured Post, Fee for service payment, Harvard Community Health Plan, Harvard Pilgrim Health Care, Harvard Vanguard Medical Associates, Healthcare Mergers, Illiberalism, Liberal Values, Liberalism, Medical Professionalism, Moral Injury, Physician Council of HCHP, RVUs, Social Determinants of Health, The Triple Aim
November 24, 2023 Dear Interested Readers, Some Thoughts Before Continuing My Story I began the slow crawl through the memories from my professional life in the letter that I wrote to you on July 21. Eighteen weeks later I am only up to 1995, and I am...
by Dr. Gene Lindsey | Oct 27, 2023 | A dysfunctional House, Dr. Paul Solomon, Featured Post, Gun Violence as a Public Health Problem, Harvard Community Health Plan, Lewiston, medical group politics, Moral Injury, Nicholas Kristof, Physician Council of HCHP, Social Determinants of Health, Speaker Mike Johnson, The conflict between Israel and Hamas, The Tax Law of 1986
October 27, 2023 Dear Interested Readers, A Very Bad Week Late Wednesday night I turned off my computer after having written most of the first draft of this letter to you. Most evenings my wife and I watch the local 11 PM news for a summary of the...
