Senator Alexander, Please Play the Right Tune
Jun13

Senator Alexander, Please Play the Right Tune

Hours before James Comey appeared before the Senate Intelligence Committee, David Leonhardt issued a warning in an editorial in the New York Times entitled “Uh oh, Health Care Edition.”   James Comey’s testimony today will reveal President Trump’s blatant disregard for the rule of law…I realize it will be hard to pay attention to any other political story this week, but I urge you to find the extra attention span, because...

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Dr. Gabow Writes a Letter to Senator Alexander
Jun06

Dr. Gabow Writes a Letter to Senator Alexander

Dr. Patty Gabow shared a letter with me that she is sending to Senator Lamar Alexander, the chairman of the Senate’s Health, Education, Labor and Pensions Committee. I think several of her points deserve extra emphasis and I have bolded them. Dear Senator Alexander,   I am a physician who was the CEO of a large, integrated public safety net health care system for 20 years, so I am deeply committed to the care of all the...

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Puerile High Fives in the Rose Garden After the House Votes to Repeal and Replace the ACA
May09

Puerile High Fives in the Rose Garden After the House Votes to Repeal and Replace the ACA

I have watched my favorite teams lose championship games. I remember the sinking feeling that I experienced when Richard Nixon was elected for the second time, even after it was really pretty clear that he was a crook. I suffered when Jimmy Carter, one of the most honest and earnest men ever to enter politics, lost to Ronald Reagan who was the champion of making America feel good about its defects. I read Bush One’s lips and was...

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Perhaps an Explosion Would Be the Most Efficient Route to the Triple Aim
Apr25

Perhaps an Explosion Would Be the Most Efficient Route to the Triple Aim

After the failure of Paul Ryan’s American Health Care Act to get passed over the internal squabbling of House Republicans despite their forty four vote majority, David Brooks wrote an interesting tongue in cheek column entitled “The Coming Incompetence Crisis.” He articulated his concern:   …I worry that at the current pace the Trump administration is going to run out of failure. So far, we’ve lived in a golden age of...

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Where We Should Focus
Apr18

Where We Should Focus

In a recent essay Michael Dowling, the CEO of Northwell, the massive health system with 21 hospitals in metropolitan New York and Long Island, points out that the most frustrating aspect of the current healthcare debate is that “it is ideological and not practical.” He describes the debate as “…contentious, tumultuous and exhausting to keep up with.” These comments set the stage for his central contention that through it all and...

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The President’s Prediction of the Explosion of the ACA
Mar28

The President’s Prediction of the Explosion of the ACA

The announcement of the death of the AHAC and the president’s prediction of the “explosion” of the ACA broke in an unusual way. Robert Costa of the Washington Post got the word directly from the president and then tweeted that the AHAC was being withdrawn before Paul Ryan had a chance to meet with Republican House members to tell them of the big decision. Costa published an article about the surprising call he...

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