Must the AMA Always Be On the Wrong Side of History?
Dec27

Must the AMA Always Be On the Wrong Side of History?

I was not at all surprised to read the AMA’s strong statement of support for the appointment of Representative Tom Price to be the Secretary of Health and Human Services. I was also not surprised to read articles of outrage from more progressive physicians about the AMA’s endorsement of Representative Price. I have found that uniformly the AMA’s natural position on most political issues is usually the inverse of mine. President Obama...

Pull
Where Do We Go From Here?
Dec20

Where Do We Go From Here?

Dan Burns, is a former colleague who served on the Harvard Vanguard and Atrius boards with me, my dermatologist, and the person who became CEO of Harvard Vanguard after I retired three years ago. I most recently saw Dan, and we had a brief conversation during a visit I made to the Wellesley practice of Atrius Health. I was there for advice from orthopedics regarding a recent shoulder injury. (I injured my shoulder in a fall while...

Pull
Why You Should Look to Lean Between Repeal and Replace
Nov29

Why You Should Look to Lean Between Repeal and Replace

President Elect Trump has said what he will do with the ACA. What will you do if he carries through with his intent? I can’t answer that question for you, but I am delighted to give you unsolicited advice. I was recently reminded of how important it is to remind ourselves of things for which we are “fanatical”. Let me digress. For several years I have been trying to read David Foster Wallace’s Infinite Jest. I thought that Joyce’s...

Pull
Is It Time For ACA 2.0?
Sep20

Is It Time For ACA 2.0?

Back in April when we were not absolutely sure who the nominees for president would be. Michael Cohen wrote “Obamacare: an unheralded success” in the Boston Globe. He  commented then that healthcare was not getting much discussion by Republicans beyond a flat out assurance that the ACA would be abandoned on the first day of a Republican presidency. Over in the Democratic Primary Bernie and Hillary were in a confusing debate about the...

Pull
Old Fashioned Values Applied to Complex Times in Healthcare
Sep13

Old Fashioned Values Applied to Complex Times in Healthcare

  An “Interested Reader “ and friend recently sent me a eulogy that he delivered at his father-in-law’s funeral. Let me give it to you to read, and then invite you to think with me about Don Berwick’s recent call for Era 3, the “Moral Era” of healthcare.   I have been thinking about my nearly 50-year long relationship with Granddad, …Charlie to work colleagues, friends and neighbors. He brings to mind Churchill’s...

Pull
The Presidential Sweepstakes and Healthcare
Jul26

The Presidential Sweepstakes and Healthcare

Cleveland Edition Perhaps against my better judgement this posting and next week’s posting will draw from the events, emotions and the  intellectual content of the conventions of our two parties. I approach this self directed assignment with “fear and trembling”. I was taught in college to avoid “plagiarism” as I would avoid the plague or any other communicable, uniformly fatal infection. Indeed as I wrote “fear and trembling” I...

Pull