by Dr. Gene Lindsey | Jun 25, 2021 | Children in poverty, Critical Race Theory, David Brooks, diseases of despair, Dr. Bruce Perry, Economic inequality, Equity, Erik Erikson, Featured Post, healthcare disparities, Improving the health of the poor, Oprah Winfrey, Richard Rohr, Social Determinants of Health, The American Families Act, The American Jobs Act, trauma, What Happened To You?
June 25, 2021 Dear Interested Readers, What Happened to You? Most Monday mornings since the COVID lockdown began I meet on Zoom with a few local friends to discuss a book that we have all been reading. We take on one or two chapters a week and...
by Dr. Gene Lindsey | Jun 18, 2021 | ACA, Conservative Values, Critical Race Theory, culture wars, Economic inequality, Empathy, Featured Post, Healthcare as a Right, healthcare disparities, Inequality in Healthcare, Skepticism about the COVID-19 Vaccine, The impact of a conservative majority on the Supreme Court, The Supreme Court and Healthcare, Universal Access
June 18, 2021 Dear Interested Readers, Juneteenth and a Reconfirmed ACA on One Day Speak Loudly to a Legacy of Poverty and Healthcare Disparities. Early this week, my plan for this letter was built around a review of the history of Juneteenth...
by Dr. Gene Lindsey | Jun 11, 2021 | 2022 midterm elections, ACA, Adaptive Change, anti-racism, Critical Race Theory, culture wars, Dr. Paul Batalden, Featured Post, For The People Act, healthcare disparities, Inequality in Healthcare, John Lewis Voting Rights Act, Racism in America, Social Determinants of Health, Systemic Racism, The American Families Act, The American Jobs Act
June 11, 2021 Dear Interested Readers, “Every System Is Perfectly Designed To Get The Results It Gets.” Dr. Paul Batalden was one of the thought leaders in the quality and safety movement of the last thirty-plus years who may not be as well known...
by Dr. Gene Lindsey | Jun 4, 2021 | Adaptive Change, burnout and professional fulfillment, capitation, Continuous Improvement, Crossing the Quality Chasm, Dr. Robert Pearl, Featured Post, Fee for service payment, Healthcare Transformation, physician culture, Physician/Management "Compacts", The Triple Aim, This Is Water by David Foster Wallace, Uncaring:How the Culture of Medicine Kills Doctors & Patients
June 4, 2021 Dear Interested Readers, , Our Culture Is Everybody’s Problem I am sure that you have heard the expression that “culture eats strategy for lunch.” I can’t recall when I first heard the expression, but there is...
by Dr. Gene Lindsey | May 28, 2021 | ACA, Crossing the Quality Chasm, Economic inequality, Elizabeth Warren, Featured Post, Fee for service payment, Health Care Policy in the Wake of COVID-19, Healthcare equity, Improving the health of the poor, Inequality in Healthcare, Social Determinants of Health, The American Families Act, The American Jobs Act, The Triple Aim, Universal Access, Value Based Reimbursement
May 28, 2021 Dear Interested Readers, Hope Needs A Plan: Moving Upstream From Quality, Safety, and the Triple Aim About three paragraphs from the end of the main section of last Friday’s Healthcare Musings I wrote: Since we have not had the...
by Dr. Gene Lindsey | May 21, 2021 | 2020 Presidential Debates, ACA, Adaptive Change, Economic inequality, Elizabeth Warren, Emerging from the pandemic, Featured Post, Health Care Policy in the Wake of COVID-19, Inequality, Kearsarge Neighborhood Partners, Medicare For All, Persist by Elizabeth Warren, Poverty and healthcare, Progressive Values, Social Determinants of Health, The Public Option, The Triple Aim, The World After COVID-19, Universal Access
May 21, 2021 Dear Interested Readers, Getting Reoriented I was surprised and delighted last Friday when Amazon delivered Elizabeth Warren’s new book, Persist, two days before its official publication date. I was eager to read what she had to say...
by Dr. Gene Lindsey | May 14, 2021 | 1.9 Trillion Dollar COVID Stimulus Bill, ACA, Biden's Use of Executive Orders, Children in poverty, Featured Post, For The People Act, healthcare disparities, Inequality in Healthcare, Joe Biden's aggressive agenda, Medicare For All, Medicare For All Who Want It, Politics and Healthcare, Public Option, Social Determinants of Health, The American Families Act, The American Jobs Act, the filibuster, The John R Lewis Voting Rights Act, The Triple Aim
May 14, 2021 Dear Interested Readers, What Is Joe Going to Do? I am waiting to have President Biden give us more information about how he will move us closer to universal access to care. During the Democratic Presidential Primary Debates, one of...
by Dr. Gene Lindsey | May 11, 2021 | Children in poverty, Climate Crisis, Economic Implications of COVID-19, Economic inequality, Elizabeth Warren, Ezra Klein, Future of Heathcare, Global Warming, healthcare disparities, Housing shortages as a social determinant of health, Inequality, Persist by Elizabeth Warren, Poverty and healthcare, Social Determinants of Health, the filibuster, The Triple Aim
Before I retired, especially after Atrius became involved with CMMI’s Pioneer ACO project, I made frequent trips to Washington. The Washington shuttle from Boston was always packed with people who looked like they were involved with very important business. It...
by Dr. Gene Lindsey | May 7, 2021 | Dr. Robert Pearl, Featured Post, Fee for service payment, Uncaring:How the Culture of Medicine Kills Doctors & Patients, Zeev Neuwirth
May 7, 2021 Dear Interested Readers, Dr. Pearl Says That The Culture of Medicine Kills Doctors and Patients As I was thinking about the subject for this post I was delighted to receive an email notification from my old friend and former colleague...
by Dr. Gene Lindsey | May 4, 2021 | Authoritarianism, Biden's Transformation, Climate Crisis, Economic inequality, Essential Workers, Featured Post, healthcare disparities, Inequality in Healthcare, political polarization, Politics and Healthcare, Poverty and healthcare, Quadruple Aim, Racism in America, Social Determinants of Health, The Triple Aim, Wicked Problems
I have a confession. For some time I have had the suspicion that the idea of the Triple Aim does not effectively call many of us or our institutions to immediate action. I hear an occasional doctor or administrator talk about the “Quadruple Aim” and that makes...