A Strategy That Always Works

A Strategy That Always Works

  Last Friday’s letter was an attempt to begin to explore the relationships between what we chose to do and how we are compensated. I spent a long time backing into this difficult subject by going all the way back to 1965 and trying to draw some wisdom from my...
Healthcare Musings For April 16, 2021

Healthcare Musings For April 16, 2021

  April 16, 2021 Dear Interested Readers,   How We Get Paid Makes A Difference In What We Do   Over the years I have probably used one quote from Dr. Robert Ebert in these notes more than any other idea, quote, or concept from any other source. Even if...
Turning Things Toward The Triple AIM At HHS

Turning Things Toward The Triple AIM At HHS

  Time flies. It has been almost two months since Joe Biden and Kamala Harris were inaugurated. With each passing day, it becomes harder to imagine that we ever elected Donald Trump as prescient. My health has improved. I get more sleep.   During the “Trump...
Considering Income Support As A Tool To Improve The Social Determinants of Health

Considering Income Support As A Tool To Improve The Social Determinants of Health

  The two big news events over the weekend were the Senate’s passage of the 1.9 trillion dollar stimulus bill by a vote of 50-49 and Oprah Winfrey’s interview with Megan and Harry. There may be more similarity in the two events than immediately meets the eye....
Healthcare Musings For March 5, 2021

Healthcare Musings For March 5, 2021

  March 5, 2021 Dear Interested Readers,   More Thoughts About The Importance of Primary Care   Now that Donald Trump is off Twitter and mostly out of sight except for occasional appearances at places like CPAC, I find that I have more time to think...
We Need to Treat the Transformation of Primary Care Organization and Finance As An Urgent Need

We Need to Treat the Transformation of Primary Care Organization and Finance As An Urgent Need

  The latest edition of the New England Journal of Medicine was waiting for me in my mailbox yesterday when I dropped by the post office. I was delighted to see that it was the March 4th edition and I was happy to get it on time. The mail comes very irregularly...