Respecting What Justin Has to Say While Overcoming the Barriers to The Triple Aim
While walking I often listen to podcasts from Tom Ashbrook’s weekday morning shows on NPR. The first hour on most Friday mornings is usually the “week in review.” A recent Friday broadcast provided food for thought. Tom Gjelton, veteran NPR reporter was sitting in for...
Mr. President, Please Read Chapter 6, “The Affordable Care Act in Hindsight”
In August 2015 I gave a talk on the history of the evolution of health insurance that was part of a seminar entitled “Practicing in the Era of Healthcare Reform.”  I concluded my talk with a slide labeled “Persistent Problems.” I recently reviewed the presentation and...
If I had Three Wishes From the A.I. Genie
I do not stake my hopes for the future of healthcare on new legislation or changes in payment methodologies. Those are necessary but insufficient if we are ever going to respond effectively to the challenge to achieve …Care better than we’ve seen, health...
Puerile High Fives in the Rose Garden After the House Votes to Repeal and Replace the ACA
I have watched my favorite teams lose championship games. I remember the sinking feeling that I experienced when Richard Nixon was elected for the second time, even after it was really pretty clear that he was a crook. I suffered when Jimmy Carter, one of the most...
Let’s Keep Trying to Save the Gains of the ACA
It may seem strange to you, but each time I hear that the president and the Republican leadership are making an effort to resuscitate their attempt at repealing and replacing the ACA, I immediately think of the surprising last scene from “Fatal Attraction,” the...
Perhaps an Explosion Would Be the Most Efficient Route to the Triple Aim
After the failure of Paul Ryan’s American Health Care Act to get passed over the internal squabbling of House Republicans despite their forty four vote majority, David Brooks wrote an interesting tongue in cheek column entitled “The Coming Incompetence Crisis.” He...
Where We Should Focus
In a recent essay Michael Dowling, the CEO of Northwell, the massive health system with 21 hospitals in metropolitan New York and Long Island, points out that the most frustrating aspect of the current healthcare debate is that “it is ideological and not practical.”...
The Joy of Working in an Integrated System of Care That Is Continuously Improving
I believe that better care that is economically sustainable and available to everyone while producing healthier communities without unacceptable personal sacrifices from individual health professionals is only possible in a professional environment and culture that...
The Search For a Better Future State
The failure of the president and House Republicans to launch a credible process to “repeal and replace” the ACA creates a moment of opportunity for those who would like to contribute to the search for a better future state for healthcare. The challenge of providing...Case Study – Elizabeth Mcarthy
A .pdf reader is required to read this document. You can obtain the latest version of Adobe Reader at: Get Adobe Reader