by Dr. Gene Lindsey | Jan 23, 2026 | "sick care" in primary care, A personal history, Access to care, Ambulatory practice, chronic disease management, Dr. Cato Baxter Wiseman, Dr. Lisa Rosenbaum, Featured Post, Harvard Community Health Plan, Healthcare Quality, Primary Care Challenges, Social Determinants of Health, the "good" doctor, the burden of quality metrics on PCPs, The Corporatization of U.S. Health Care, The Triple Aim
January 23, 2026 Dear Interested Readers, Searching For the Relationships That Provide Professional Fulfillment My mother had many interests and was an “early adopter.” She had a “Tandy Computer” from Radio Shack in the early eighties before moving on to...
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...
by Dr. Gene Lindsey | Feb 14, 2025 | A personal history, AI in healthcare, Atrius Health, ChatGPT, chronic disease management, Computers In Healthcare, Diversity Equity Inclusion, employed physicians, Featured Post, Future of Heathcare, Harvard Community Health Plan, Harvard Vanguard Medical Associates, infrastructure inadequacies, MAGA, Moral Injury, Primary Care Challenges, Social Determinants of Health, The future of healthcare under Trump, The Triple Aim, Workforce Shortages in Healthcare
February 14, 2025 Dear Interested Readers, Primary Care Has Changed Since 1975 For several weeks, I have felt a need to write about primary care. When I try to write to express my concerns about primary care, I am derailed by yet another outrageous event...
by Dr. Gene Lindsey | Mar 31, 2023 | A story from my life, Burnout, Career development, COVID stress on hospital resources, doctor shortage, Featured Post, Fee for service payment, Match Day, Primary Care Challenges, Professional Satisfaction, Workforce Shortages in Healthcare
March 31, 2023 Dear Interested Readers, There Are Big Problems In the Pipeline For New Doctors It’s been a long time since “Match Day 1971,” and I don’t remember the scene as well as I remember the emotions. I was delighted to learn that I had...
by Dr. Gene Lindsey | Sep 16, 2022 | 2022 midterm elections, ACOs, Burnout, Dartmouth Health, Dean Robert Ebert, Equity, Featured Post, Fee for service payment, Future of Heathcare, Global Warming, Harvard Community Health Plan, Healthcare equity, improving the delivery of care, Innovation in Healthcare, Medicare For All, Primary Care Challenges, Primary Day in New Hampshire, rural healthcare, The Triple Aim, Value Based Reimbursement, Workforce Shortages in Healthcare
September 16, 2022 Dear Interested Readers, Rethinking How We Deliver Care In last week’s letter, I tried to describe the disappointments and controversies currently associated with ACOs. Like a serialized Netflix presentation I want to begin by...
by Dr. Gene Lindsey | Sep 24, 2021 | Dr. Robert Ebert, Equity, Featured Post, Fee for service payment, Financial challenges of primary care., Future of Heathcare, Harvard Community Health Plan, Health and Human Services, Healthcare equity, Life Expectancy, Practice Improvement, Primary Care Challenges, the centrality of Primary Care, The Triple Aim, Workforce Shortages in Healthcare, Xavier Becerra
September 24, 2021 Dear Interested Readers, Thinking About the (Compromised) Future of Primary Care I have always thought of myself as a primary care physician. When I joined the practice at Harvard Community Health Plan as their only cardiologist...
