On the Road Again: Observations From The Rural Midwest

On the Road Again: Observations From The Rural Midwest

  I am writing to you today from Nebraska. It’s the sixth day of our trip across America as we make our way to see our grandsons who live near Santa Cruz, California. They were out of their home for about two weeks as the raging fires came within a mile or two of...
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...
Healthcare Musings For September 18, 2020

Healthcare Musings For September 18, 2020

  September 18, 2020 Dear Interested Readers, Pondering the Message of Caste in the Context of These Times   One of the benefits of retirement is the time to participate in book groups and other gatherings of older folks who are still interested in a wider...
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...
Healthcare Musings For September 4, 2020

Healthcare Musings For September 4, 2020

September 4, 2020 Dear Interested Readers,   Our Biggest Threat Is Our Incompetence   This is a week when we get a treat. Atul Gawande has published another insightful article built on a position that he has expressed before. On several occasions Gawande has...