by Dr. Gene Lindsey | Feb 27, 2026 | 2026 midterm elections, ACA, Annual State of the Union address, Benefits of the ACA, Featured Post, Future of Heathcare, Healthcare Markets, Kleptocracy, One Big Beautiful Bill-OBBB, Politics and Healthcare, Robert Kennedy Jr., SNAP, Social Determinants of Health, The future of healthcare under Trump, The Triple Aim, Trump's “Great Healthcare Plan.”, Trump's lies
February 27, 2026 Dear Interested Readers, Do You Think Trump Can “Fix” Healthcare Cost, Quality, and Access? I delayed my usual weekly writing process this week because I was interested in hearing whether the president might spend some time talking...
by Dr. Gene Lindsey | Jan 9, 2026 | A personal history, ACA market subsidies, Community Action Agencies, David Brooks, Featured Post, Kearsage Regional Ecumenical Ministries, Kearsarge Neighborhood Partners, One Big Beautiful Bill-OBBB, Project 2025, Reinhold Niebuhr, Seeking Shalom, SNAP, Social Determinants of Health, The Second Mountain: The Quest For a Moral Life, Trump chaos, Venezuela
January 9, 2026 Dear Interested Readers, In the Midst of Chaos We Can Focus On Community Should we say that 2026 is off to a strange start? Our president is now “running” Venezuela. There is adventure on the high seas as we “capture” oil freighters with...
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 | Nov 28, 2025 | abundance, deprofessionalization of nursing, Dunning-Kruger effect, Featured Post, Guthrie Clinic, Nursing Shortages, One Big Beautiful Bill-OBBB, our critical dependence on nursing, Poverty and healthcare, Thanksgiving thoughts
November 28, 2025 Dear Interested Readers, Thoughts at Thanksgiving About Nursing and All That I Am Thankful for and Concerned About in Our Fragile System of Care I have much for which to be thankful. Today, my belly is still a little stretched from the...
by Dr. Gene Lindsey | Nov 14, 2025 | 2026 midterm elections, ACA, ACA market subsidies, Bernie Sanders, Featured Post, food Insecurity, MAGA, Medicaid, narcissistic sociopath, One Big Beautiful Bill-OBBB, Paul Krugman, Politics and Healthcare, Poverty and healthcare, SNAP, Social Determinants of Health, The Government Shutdown, Trump's "concept of a plan" for healthcare
November 14, 2025 Dear Interested Readers, Mixed Feelings About the End of the Shutdown For over forty days, the shutdown was painful and, at its worst, hard to rationalize, as it was always doubtful that the Republicans would ever agree to the primary...
by Dr. Gene Lindsey | Nov 7, 2025 | "atomization" of primary care, Access, concierge care, Democratic victories in 2025 elections, Dr. Lisa Rosenbaum, Featured Post, Financial challenges of primary care., Future of Heathcare, Narcissistic personality disorder (NPD), One Big Beautiful Bill-OBBB, Politics and Healthcare, Primary Care Challenges, SNAP, Social Determinants of Health, The Corporatization of U.S. Health Care, The Government Shutdown, Trump's narcissism
November 7, 2025 Dear Interested Readers, Politics, Primary Care, and the Social Determinants of Health Tuesday’s elections brought a little bit of relief for those of us who have suffered a sense of loss every day since President Trump’s second...
