Conservatives, Too, Lead Healthcare
Last week in these notes I commended Maura Healey, the Massachusetts Attorney General. I had contrasted her presentation at the annual Cost Trends Hearings with the presentation of the “conservative” Governor Charlie Baker. In my view the Governor is “conservative” in...
Learning from South Africa
Several years ago I was fascinated by Dr. Atul Gawande’s discussion of ignorance and incompetence. He argued that we in healthcare are no longer ignorant. We know quite a bit about pathology, pharmacology, diagnostics, and various therapeutic techniques. On my visit...
D. F. Wallace, Burnout, and Healthcare
What does David Foster Wallace have to tell us about burnout? More than most healthcare professionals might think. The publicity for The End of the Tour, a new film starring Jason Segel as Wallace, has reminded me of the message I took away from the first Wallace book...
Health Disparities and the Triple Aim
Last Saturday morning I was thinking about health disparities as I prepared to give a keynote speech at the Whittier Street Clinic’s Men’s Health Summit and Grand Opening Ceremony. I have recently joined their Health and Wellness Foundation Board and the...
Born Too Soon for Lean
Lean arrived a little late for me. Even now, the Triple Aim is still more of a goal than a reality. When I think back over the system of waste in which I practiced medicine, I am left with the regret of the lost time spent licking envelopes, making calls for...Case Study – Elizabeth Mcarthy
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