An Early “October Surprise”

An Early “October Surprise”

  The talking heads on the Sunday morning news programs went back and forth between appropriately reviewing and honoring the life of Supreme Court Justice Ruth Bader Ginsberg, and speculating about the politics of naming her successor. One comment caught my ear...
Eight weeks of Increased Volatility, Uncertainty, Complexity, and Ambiguity Lie Ahead

Eight weeks of Increased Volatility, Uncertainty, Complexity, and Ambiguity Lie Ahead

  November 3rd lies exactly eight weeks into the future. In the interim we will be in a period of extreme VUCA. If you are a new or casual reader of these postings you may not understand what I am implying by saying it will be a period of extreme VUCA. Even if...
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...
Healthcare Musings For July 24, 2020

Healthcare Musings For July 24, 2020

  July 24, 2020 Dear Interested Readers, We Are Not As “Exceptional” As We Thought   As a child, I developed a love of American history. My family traveled more extensively east of the Mississippi than to the west, but the east was the home of colonial...
The Future of Care As Seen Through the Lens of The COVID-19 Pandemic

The Future of Care As Seen Through the Lens of The COVID-19 Pandemic

  My wife and I were recently watching the PBS program “The Vote” when it occurred to me how long it takes to achieve social change. The story of Women’s Suffrage is an international saga that really spans a few thousand years. It was not until 2015 when Suadi...
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...