Family physician, author, blogger, speaker, physician leader.

Recent Articles

American Sickness by Dr. Elisabeth Rosenthal and Mistreated by Dr. Robert Pearl – Healthcare Reform Book Reviews

Two great books on the failings and the opportunities on how to make the US health care system better and health care reform are An American Sickness: How Healthcare Became Big Business and How You Can Take It Back by Dr. Elisabeth Rosenthal and Mistreated: Why We Think We’re Getting Good Health Care—and Why We’re Usually Wrong by Dr. Robert Pearl. In a time where America must reform healthcare so it is more accessible, more affordable, safer, and of higher quality, both books are welcome additions to what I recommended medical students and resident physicians read to not only become better doctors, but also doctors who will help lead changes necessary to make this a reality. An American Sickness: How Healthcare Became Big Business and How You Can Take It Back An American Sickness is the most comprehensive and thoughtful investigation of the complexity and evolution of the US healthcare […] Read More »

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Captain Sullenberger on Driver Responsibility and Autonomous Cars – Forbes Interview

Wisdom from Captain Sullenberger on Our Responsibility as Drivers and the Safety of Autonomous Cars Great podcast with Captain Sullenberger on the Forbes Interview. From the podcast, he has some great advice for those of us tempted to use our smartphones when driving. He leans very heavily on personal and group accountability and the values of discipline and integrity. Ladies and Gentlemen: This is your captain speaking. When you travel in an airplane you are in good hands and you are required to have your personal electronic devices in such a way that they will not affect the airplane during certain phases of flight. Let me remind you that when you drive your car to and from the airport or anywhere else for that matter, if you choose to use your personal electronic devices while you are the driver, you’re putting your own amusement, your own curiosity, your own personal […] Read More »

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Consumer, manage your medical savings account – high deductible health plan (HDHP)

Get ready for the rationing of health care in America.  It will fundamentally change the way we access health care.  But before writing a letter to your senator or calling your health insurer to complain, open your wallet and then take a good look in the mirror.  Getting the care we need and deserve will rely completely on our own ability to choose and spend wisely on medically necessary procedures and treatments.  We, not the government or the insurance companies, will be responsible for rationing our health care. With escalating health care costs and no end in sight, the new catch phrase for cost containment is “consumer driven health plans.”  Companies save by purchasing less expensive and less comprehensive coverage, and with the extra money they set up health savings accounts (HSAs) and give us, not the insurance company, control of the funds to manage our own health care costs. […] Read More »

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ICYMI – In Case You Missed It – January 2017 – for Physicians and Physician Leaders

Last month Lemonaid expanded from 7 to 14 states. The newest include AZ, OR, VA, GA, CT, RI and OH. These join CA, NY, PA, MI, WA, FL, and IL. We also added video capability to our asynchronous model. It has been fun thinking through and implementing coverage across 4 time zones and different modalities and creating a trusted health care brand with matching organizational culture.  All new! Never been done! No playbook or checklist to refer to. A lot of coaching, mentoring, debating, and listening. It’s what you do when you are the chief clinical officer! Health Care My newest blog post – Why Smart Use of Digital Health Technology Can Make Health Care More Affordable. American Well will be eBay in providing a technological platform for providers and patients. Geography and physical plant won’t matter as much. Can primary care be in the cloud? Using drones to solve […] Read More »

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Why Smart Use of Digital Health Technology Can Make Health Care More Affordable

“When companies start unbundling costs, it is a sign of increasing consumer power and weakening market power.” This is what CEO David Goldhill and author of Catastrophic Care: Why Everything We Think We Know about Health Care Is Wrong told me once. Airlines have unbundled everything that used to be included in a plane ticket. No longer do tickets include meals, in-flight entertainment, and the ability to check in baggage. Today, travelers get to choose what they want and don’t want. Further signs can also be seen in other markets. Cable TV customers are cutting the cord and picking only the services they want. No longer do they need to pay high monthly fees for a package of hundred of channels. Content providers like HBO, CBS, and others now offer stand alone services which is more convenient, accessible, and on-demand for a much lower monthly. These are signs of increasing […] Read More »

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