Respecting What Justin Has to Say While Overcoming the Barriers to The Triple Aim
While walking I often listen to podcasts from Tom Ashbrook’s weekday morning shows on NPR. The first hour on most Friday mornings is usually the “week in review.” A recent Friday broadcast provided food for thought. Tom Gjelton, veteran NPR reporter was sitting in for...
Mr. President, Please Read Chapter 6, “The Affordable Care Act in Hindsight”
In August 2015 I gave a talk on the history of the evolution of health insurance that was part of a seminar entitled “Practicing in the Era of Healthcare Reform.” I concluded my talk with a slide labeled “Persistent Problems.” I recently reviewed the presentation and...
Puerile High Fives in the Rose Garden After the House Votes to Repeal and Replace the ACA
I have watched my favorite teams lose championship games. I remember the sinking feeling that I experienced when Richard Nixon was elected for the second time, even after it was really pretty clear that he was a crook. I suffered when Jimmy Carter, one of the most...
Let’s Keep Trying to Save the Gains of the ACA
It may seem strange to you, but each time I hear that the president and the Republican leadership are making an effort to resuscitate their attempt at repealing and replacing the ACA, I immediately think of the surprising last scene from “Fatal Attraction,” the...
Perhaps an Explosion Would Be the Most Efficient Route to the Triple Aim
After the failure of Paul Ryan’s American Health Care Act to get passed over the internal squabbling of House Republicans despite their forty four vote majority, David Brooks wrote an interesting tongue in cheek column entitled “The Coming Incompetence Crisis.” He...Case Study – Elizabeth Mcarthy
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