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...
We Need to Treat the Transformation of Primary Care Organization and Finance As An Urgent Need

We Need to Treat the Transformation of Primary Care Organization and Finance As An Urgent Need

  The latest edition of the New England Journal of Medicine was waiting for me in my mailbox yesterday when I dropped by the post office. I was delighted to see that it was the March 4th edition and I was happy to get it on time. The mail comes very irregularly...
How Do We Strengthen The Nation’s Primary Health Care System?

How Do We Strengthen The Nation’s Primary Health Care System?

If you have avoided these notes for the past few weeks, you may not know that I have been systematically reviewing the recommendations of the Commonwealth Fund’s Task Force On Payment and Delivery System Reform. There are six sections to the report. So far we have...
Pondering Choices That Might Put Out The Fire

Pondering Choices That Might Put Out The Fire

  The character of medical practice has changed over the past fifty years. The changes go far beyond our technological and scientific advances. Many reflect on the change in the experience of providing care. Others focus on how the experience of receiving care...