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...
Thinking About Transformation: My Story

Thinking About Transformation: My Story

  The “serious” section of Friday’s post was entitled “Preparing For Transformation.” At the end of the post after talking about the transformation that Joe Biden was trying to lead as we emerge from the pandemic I promised that I would be returning to the...
Healthcare Musings For April 9, 2021

Healthcare Musings For April 9, 2021

  April 9, 22021 Dear Interested Readers,   Preparing For Transformation   I have been feeling disoriented since the Biden/ Harris inauguration. For four years I had felt vulnerable to the mismanagement and outright inhumanity of a narcissistic wannabe...
Is the Ice Melting On Our Resistance To A Healthier, More Equitable Society?

Is the Ice Melting On Our Resistance To A Healthier, More Equitable Society?

  I will reveal a secret. I frequently don’t have a vision of what will be in these notes until I can decide on the picture in the header for the post. The picture often helps me pull the idea together. If a picture is worth a thousand words, perhaps a good...
Healthcare Musings For April 2, 2021

Healthcare Musings For April 2, 2021

  April 2, 2021 Dear Interested Readers,   The President’s Big Bill Addresses The Social Determinants of Health   The president is determined to build back America to be more equitable and productive than it has ever been before. He formally presented...
There Is Always A Better Way!

There Is Always A Better Way!

  I am no medical historian, but I dare say that the history of medicine could be described as a “search for a better way.” Sometimes the search is cheered by the people and supported by entrepreneurs and governments desperate for solutions to threatening...
Healthcare Musings For March 26, 2021

Healthcare Musings For March 26, 2021

  March 26, 2021 Dear Interested Reader,   Have We Forgotten That The Cost of Care Is A Problem?   I mention the Triple Aim in many of my posts. In my opinion, the best graphic that presents the concept was created by the Institute For Healthcare...
Striving For A Progressive Worldview Within Politics and Healthcare

Striving For A Progressive Worldview Within Politics and Healthcare

  One of the most intriguing challenges of the Trump era for me has been to explain his ability to attract the vigorous and loyal support of the religious right and working-class White voters in red states. What has been a puzzling observation of many liberal and...
Healthcare Musings For March 19, 2021

Healthcare Musings For March 19, 2021

  March 19, 2021 Dear Interested Readers,   To Discuss The Social Determinants of Health Is To Discuss Poverty   The Kaiser Family Foundation published a paper this week that detailed the impact on the social determinants of health of the 1.9 COVID...