Obamacare Is Not a Disaster!

Obamacare Is Not a Disaster!

Congressional Republicans and the president can’t seem to coordinate their activities to “repeal and replace” the ACA, or get much of anything done. Their inability to deliver on their promise to give the public something better than the ACA is a surprise, since they...
Gun Rights and Healthcare as a Right: Where Do We Go From Here?

Gun Rights and Healthcare as a Right: Where Do We Go From Here?

“Keep Your Eyes on the Prize” evolved from a Southern gospel song to become an anthem of the Civil Rights movement of the fifties and sixties. It’s a phrase that frequently pops into my head when I am frustrated with my progress against a goal. It comes to mind now...
Are Consolidation, Competition, and Innovation the Answer? Part 3: A Closer Look at Consolidation

Are Consolidation, Competition, and Innovation the Answer? Part 3: A Closer Look at Consolidation

Consolidations, affiliations, acquisitions and mergers in healthcare are announced every week. The picture associated with this posting reveals that an affiliation occurred a few years ago between the critical access hospital in my little town and the Dartmouth...
Are Consolidation, Competition, and Innovation the Answer? Part 2: A Closer Look at Innovation

Are Consolidation, Competition, and Innovation the Answer? Part 2: A Closer Look at Innovation

“Consolidation, competition, and innovation are the answer to what?”, you might ask. Keeping it simple, I mean the high cost of care and the Triple Aim. To keep it short I could just say, all three will help, but even maximized to the nth degree they will never in and...
Are Consolidation, Competition, and Innovation the Answer? Part 1

Are Consolidation, Competition, and Innovation the Answer? Part 1

Are systems consolidation, competition and innovation the triple play that will deliver quality care for everyone at a sustainable cost? Perhaps before we try to answer that question we should avail ourselves of the lessons learned over the efforts of the last fifty...