by Dr. Gene Lindsey | Aug 21, 2026 | 2026 midterm elections, 2028 elections, ACA, costs versus charges, Don Berwick, Dr. Paul Manganiello, Featured Post, Fee for service payment, Medicare "buy in", Medicare For All, Paul Krugman, The Public Option, Time-Determined Activity-Based Costing, Value Based Reimbursement
August 21, 2026 Dear Interested Readers, The Cost of Healthcare as a Political Issue Healthcare has been a political issue for over a century. In some elections, such as the 2008 election, it was a prominent issue. In 2024, healthcare was not a top...
by Dr. Gene Lindsey | Mar 20, 2026 | 2026 mid term elections, a personal testimony, A. E. Housman, ACA market subsidies, Crossing the Quality Chasm, Don Berwick, Dr. Robert Ebert, Featured Post, Fee for service payment, Harvard Community Health Plan, Iran War, Peter Baker, Social Determinants of Health, The Triple Aim, Trump's anger
March 20, 2026 Dear Interested Readers, Healthcare In The Midst of the President’s Chaos and Anger As a White House correspondent for the New York Times since 2008, and for 20 years before that for the Washington Post, Peter Baker has been a close...
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 | May 2, 2025 | ChatGPT, Dartmouth Health, Featured Post, Fee for service payment, Healthcare in Rural America, MAGA, medical care in small-town America, New London Hospital, Obstetrical Care in New Hampshire, Politics and Healthcare, Social Determinants of Health, The future of healthcare under Trump, the plight of "red state" rural Americans, Trump's first 100 days in office, Trump's inept administration, Value Based Reimbursement
May 2, 2025 Dear Interested Readers, The First 100 Days of a Bad Dream I apologize for the excessive attention I have given to the blatant dangers ahead inherent in our reckless president’s personality disorder and destructive ambitions. His...
by Dr. Gene Lindsey | Mar 1, 2024 | A personal history, ACOs, Atrius Health, Beth Israel Deconess Medcal Center, Brigham and Women's, CMMI, Co-opetition, Competition, Continuous Improvement, Dartmouth Health, Dr. Anita Ung, Dr. Joe Kimura, Dr. Kate Koplan, Dr. Rick Lopez, Dr. Robert Ebert, Featured Post, Fee for service payment, Harvard Community Health Plan, Harvard Vanguard Medical Associates, Innovation in Healthcare, Medical-Moral Sensibilities, Pioneer ACO, Quality, The Care Experience, The Triple Aim, Value Based Reimbursement, Waste in healthcare
March 1, 2024 Dear Interested Readers, Quality Defined Us I have gained a new perspective on how to structure what remains of the story of the development of my medical-moral sensibilities. The story up till now has been mostly delivered in chronological...
