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...
by Dr. Gene Lindsey | Nov 7, 2025 | "atomization" of primary care, Access, concierge care, Democratic victories in 2025 elections, Dr. Lisa Rosenbaum, Featured Post, Financial challenges of primary care., Future of Heathcare, Narcissistic personality disorder (NPD), One Big Beautiful Bill-OBBB, Politics and Healthcare, Primary Care Challenges, SNAP, Social Determinants of Health, The Corporatization of U.S. Health Care, The Government Shutdown, Trump's narcissism
November 7, 2025 Dear Interested Readers, Politics, Primary Care, and the Social Determinants of Health Tuesday’s elections brought a little bit of relief for those of us who have suffered a sense of loss every day since President Trump’s second...
by Dr. Gene Lindsey | Oct 31, 2025 | A personal history, AI in healthcare, ChatGPT, dental health, Dr. Eric Topol, Dr. Lisa Rosenbaum, Dr. Steven Lin, Epic, Featured Post, food banks, food Insecurity, Innovation in Healthcare, Medicaid, One Big Beautiful Bill-OBBB, Primary Care, SNAP, Threatened support to the ACA marketplace
31 October 2025 Dear Interested Readers, A Potpourri: SNAP, Dental Health, and AI In Primary Care My original intent this week was to write about the disaster that many of my neighbors and millions of Americans are experiencing with the cessation of SNAP...
by Dr. Gene Lindsey | Oct 24, 2025 | 2026 midterm elections, A personal history, Corporatization of U.S. Healthcare, DEI, Ethics and Public Policy Center, Featured Post, Government Shutdown, Henry Olsen, MAGA, No Kings protest, non profit healthcare institutions, One Big Beautiful Bill-OBBB, Politics and Healthcare, Representative Marjorie Taylor Greene, Senator Josh Hawley, Senator Rand Paul, Sister Irene Kraus, Social Determinants of Health, Speaker Mike Johnson, Stephen Lipstein, The Triple Aim, Threatened support to the ACA marketplace
October 24, 2025 Dear Interested Readers, Sharing A Little Common Ground With Some on the Right, and a Few Positive Aspects of the Corporatization of Healthcare, As We Endure the “Shutdown.” In several editions of this weekly letter during...
by Dr. Gene Lindsey | Oct 17, 2025 | A personal history, AI in healthcare, Burnout, Clay Christensen, Computers In Healthcare, Disruptive Innovation, Dr. Octo Barnett, Epic, Featured Post, Harvard Community Health Plan, Healthcare equity, Mass General Brigham, No Kings protest, One Big Beautiful Bill-OBBB, Practice Improvement, Primary Care, The Triple Aim, workforce issues
October 17, 2025 Dear Interested Readers, Is AI the Answer? I wonder if I attend more Zoom meetings than the average eighty-year-old. There are usually at least two and sometimes more Zoom meetings a week on my schedule. My Zoom meetings save me a lot of...
by Dr. Gene Lindsey | Oct 10, 2025 | A story from my life, ACA, Atrius Health, Featured Post, Future of Heathcare, Government Shutdown, Harvard Community Health Plan, Harvard Pilgrim Health Care, Harvard Vanguard Medical Associates, Kearsarge Neighborhood Partners, MAGA, One Big Beautiful Bill-OBBB, political determinants of health, Politics and Healthcare, Social Determinants of Health, Structural Determinants of Health, The future of healthcare under Trump, The Triple Aim, Threatened support to the ACA marketplace, Trump's plan for Gaza, Where Do We Go From Here?
10 October 2025 Dear Interested Readers, The Shutdown Is An Exercise in the Political Determinants of Health In this week’s issue of the New England Journal of Medicine, a poignant essay can be found at the end of the “Perspectives” section. It was...
