by Dr. Gene Lindsey | Mar 14, 2025 | administrative harm, Arlie Russell Hochschild, Burnout, Charles Handy, ChatGPT, Diversity Equity Inclusion, DOGE, Elon Musk, Featured Post, Federalism, Future of Heathcare, Harvard Community Health Plan, Harvard Vanguard Medical Associates, MAGA, Quadruple Aim, Social Determinants of Health, Subsidiarity
March 14, 2025 Dear Interested Readers, Radical Versus Rational Change Donald Trump roared into office claiming that he had a mandate for radical changes in government structure and policy that his supporters believed would “make America great again.” He...
by Dr. Gene Lindsey | May 24, 2024 | ACA, Administrative Burden, AI in healthcare, Burnout, Consolidation in healthcare, Diversity, Diversity Equity Inclusion, Dr. Joseph Betancourt, Featured Post, Financial challenges of primary care., Future of Heathcare, healthcare disparities, Healthcare equity, Moral Injury, Polarization in America, private equity purchases in healthcare, The Commonwealth Fund, The Triple Aim, workforce issues
May 24, 2024 Dear Interested Readers, A Conversation That Gives Us Guidance Regular readers of these notes know that I have high regard for the Commonwealth Fund. I quote their articles frequently. I am grateful that in the sixties Dr. Ebert won...
by Dr. Gene Lindsey | May 17, 2024 | 2024 elections, A personal history, Burnout, Featured Post, Mass General Brigham Health Care, Moral Injury, non profit healthcare institutions, Partners Health Care, physicians in labor unions, private equity purchases in healthcare, Steward Health Care
May 17, 2024 Dear Interested Readers, Trouble In Massachusetts I lived in Massachusetts from 1967 until late 2014. I loved the progressive attitude that was so easily discernable in the circles where I moved. The most dramatic expression of that unique...
by Dr. Gene Lindsey | Apr 26, 2024 | 2024 elections, A personal history, Atrius Health, Consolidation in healthcare, Costs, Crossing the Quality Chasm, Culture, Dr. Walter Murphy, Earth Day, Featured Post, Global Warming, Harvard Community Health Plan, Harvard Pilgrim Health Care, Healthcare in Rural America, Healthcare Mergers, Inequality in Healthcare, Moral Injury, Pilgrim Health Care, The moral sensibilities of medical practice, The Triple Aim, UnitedHealtcare
April 26, 2024 Dear Interested Readers, Consolidations, Affiliations, Mergers and Culture I have taken several weeks off from recounting the story of my journey toward what I have been calling my “medical moral sensibilities.” As you may remember, the...
by Dr. Gene Lindsey | Mar 22, 2024 | A personal history, Access, America's dependence on foreign medical graduates, Atrius Health, Burnout, Dartmouth Health, denials of payments, Dr.Kevin McGuire, Featured Post, Moral Injury, Nursing Shortages, Workforce Shortages in Healthcare
March 22, 2024 Dear Interested Readers, The Shortest Friday Letter Ever As directed, my wife and I arrived at 9:15 at the Dartmouth same-day surgical unit last Monday. The process was very smooth. I was given a hospital gown, little booties, and a paper...
