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...
More Losses To COVID and the Heavy Administrative Burden We Bare

More Losses To COVID and the Heavy Administrative Burden We Bare

  That we have lost 500,000 souls to COVID-19 is hard to process. It really doesn’t help much to hear 500,000 dead Americans from the COVID pandemic is more lives lost than in our summed casualties of World War II, the Korean Conflict, and the War in Vietnam. I...
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...
Healthcare Musings For February 12, 2021

Healthcare Musings For February 12, 2021

  February 12, 2021 Dear Interested Readers,   Health System Accountability for Heath Care, Quality, Equity, and Cost   It’s been a remarkable week in Washington. One of the benefits of retirement is that every day is Saturday. I have spent most of...
Primary Care and Rural Health Systems Are Victims of COVID-19. What’s Next For Them?

Primary Care and Rural Health Systems Are Victims of COVID-19. What’s Next For Them?

  I was on a socially distanced walk with my seventeen year old granddaughter this week, and we were talking about how quickly and unexpectedly life has changed. She and her parents usually come every summer for a quick visit. They fly into Logan Airport on a...
Now And When

Now And When

  Perhaps the most satisfying part of writing is hearing from you. This week I was delighted to hear from two people for whom I have great respect and some past history. One letter was a discussion of what faces us now; how and when to move toward more normal...