by Dr. Gene Lindsey | Jan 16, 2026 | A personal history, Access to care, Ambar La Forgia, Atrius Health, concierge care, Dartmouth Health, Featured Post, Nicholas Kristof, Optum Health, Politics and Healthcare, Primary Care, private equity purchases in healthcare, Social Determinants of Health, The Corporatization of U.S. Health Care, The Triple Aim, Urgent Care Clinics
January 16, 2026 Dear Interested Readers, Thinking About Today From the Perspective of The Past Throughout my years as a clinician and later as CEO, our practice offered convenient urgent care during regular business hours as well as evenings and...
by Dr. Gene Lindsey | Jan 9, 2026 | A personal history, ACA market subsidies, Community Action Agencies, David Brooks, Featured Post, Kearsage Regional Ecumenical Ministries, Kearsarge Neighborhood Partners, One Big Beautiful Bill-OBBB, Project 2025, Reinhold Niebuhr, Seeking Shalom, SNAP, Social Determinants of Health, The Second Mountain: The Quest For a Moral Life, Trump chaos, Venezuela
January 9, 2026 Dear Interested Readers, In the Midst of Chaos We Can Focus On Community Should we say that 2026 is off to a strange start? Our president is now “running” Venezuela. There is adventure on the high seas as we “capture” oil freighters with...
by Dr. Gene Lindsey | Jan 2, 2026 | 120th Congress, 2026 midterm elections, ACA, Diversity Equity Inclusion, Featured Post, Future of Heathcare, healthcare under Trump, MAGA, Politics and Healthcare, Project 2025, Robert Kennedy Jr., Social Determinants of Health
2 January 2026 Dear Interested Readers, Looking Back At ‘25 With Regrets, Looking Forward to ‘26 With Hope Most Sunday mornings, my wife and I record CBS Sunday Morning hosted by veteran TV journalist Jane Pauley. We often don’t listen to it until later...
by Dr. Gene Lindsey | Dec 26, 2025 | A personal history, abundance, Christmas, Diversity Equity Inclusion, Dr. Lisa Rosenbaum, Featured Post, Future of Heathcare, Primary Care, The Care Experience, the centrality of Primary Care, the good doctor
December 26, 2025 Dear Interested Readers, What Are The Attributes of A Good Doctor? Many doctors are very good writers. This time of year, I see articles talking about the best books of the last year. Usually, on a list of a dozen or more, I might have...
by Dr. Gene Lindsey | Dec 19, 2025 | A personal history, ACA, Advent, Center Addressing Rural Health Equity (CARHE), Dartmouth Health, Featured Post, FEED Kearsarge, food banks, food Insecurity, Hunger in America, Kearsarge Food Hub, Kearsarge Neighborhood Partners, Politics and Healthcare, Poverty and healthcare, Russell Vaught, SNAP, Social Determinants of Health
December 19, 2025 Dear Interested Readers, Remembering During the Holidays That Not Everyone Has Enough to Eat, and Trying to Do Something About It. “Food insecurity” is a good enough phrase, but my take is that it is a clinical euphemism that takes the...
by Dr. Gene Lindsey | Dec 12, 2025 | A personal history, ACA market subsidies, ACOs, Continuous Improvement, Crossing the Quality Chasm, Don Berwick, Featured Post, Fee for service payment, Future of Heathcare, Lean, Medicare For All, Politics and Healthcare, Professor Zack Cooper
December 12, 2025 Dear Interested Readers, I Am Trying to Develop a Little Hope Now and then, I get an unexpected email response to one of these letters. This week, I got one of those surprises in an email from a longtime reader. He wrote: Have...
by Dr. Gene Lindsey | Dec 5, 2025 | A personal history, AMA vs. universal coverage, Corporatization of U.S. Healthcare, David Cutler, Featured Post, Fee for service payment, Future of Heathcare, Healthcare as a Right, New England Journal of Medicine, One Big Beautiful Bill-OBBB, Six Domains of Quality, the difficulties of change, The Triple Aim, Threatened support to the ACA marketplace
December 5, 2025 Dear Interested Readers, We Need a New Approach to Healthcare Looking back on the years 2008-2013, when I had leadership responsibilities at a large and influential medical practice, I have very mixed feelings. I am pleased to have...
by Dr. Gene Lindsey | Nov 28, 2025 | abundance, deprofessionalization of nursing, Dunning-Kruger effect, Featured Post, Guthrie Clinic, Nursing Shortages, One Big Beautiful Bill-OBBB, our critical dependence on nursing, Poverty and healthcare, Thanksgiving thoughts
November 28, 2025 Dear Interested Readers, Thoughts at Thanksgiving About Nursing and All That I Am Thankful for and Concerned About in Our Fragile System of Care I have much for which to be thankful. Today, my belly is still a little stretched from the...
by Dr. Gene Lindsey | Nov 21, 2025 | A story from my life, burnout and professional fulfillment, ChatGPT, Dr. Douglas Beers, Featured Post, HIV care, Inequality in Healthcare, Legacy Health, Moral Injury, Primary Care, Social Determinants of Health
November 21, 2025 Dear Interested Readers, Thoughts While Visiting Portland, Oregon Early last Monday, my wife and I were up before dawn in order to get to the airport in Manchester with plenty of time to make it through any unexpected barriers at TSA...
by Dr. Gene Lindsey | Nov 14, 2025 | 2026 midterm elections, ACA, ACA market subsidies, Bernie Sanders, Featured Post, food Insecurity, MAGA, Medicaid, narcissistic sociopath, One Big Beautiful Bill-OBBB, Paul Krugman, Politics and Healthcare, Poverty and healthcare, SNAP, Social Determinants of Health, The Government Shutdown, Trump's "concept of a plan" for healthcare
November 14, 2025 Dear Interested Readers, Mixed Feelings About the End of the Shutdown For over forty days, the shutdown was painful and, at its worst, hard to rationalize, as it was always doubtful that the Republicans would ever agree to the primary...