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

Tag Archive for David Goldhill

Healthcare Future in 2030 – Think Car Insurance. Doctors Will Work for Walmart and CVS.

With health care reform and the creation of a retail marketplace to buy health insurance via exchanges, the future of healthcare delivery has become cost shifting from employers to employees. What will health care look like in 15 to 20 years? Think car insurance and retirement planning. In a future post, I will cover how health care will look like retirement planning. This new reality will impact both patients and doctors in a very different way. Auto Insurance – Don’t Use It! People will trade low premiums for higher deductibles. In auto insurance, people avoid filing claims for fear of increasing future premiums and access alternative services like windshield repair and body shops to get the job done without using insurance. This will also occur with high deductible health insurance as now it will be essentially catastrophic health insurance and not comprehensive health insurance. This is a perceptive championed by […] Read More »

David Goldhill Replies to My Post “Disappointing, Dangerous, Frightening” on His Interview on Healthcare

David Goldhill, CEO of the and author of the September 2009 Atlantic titled How American Health Care Killed My Father and book titled, Catastrophic Care – How American Health Care Killed My Father — and How We Can Fix It, recently responded to my post – Malcolm Gladwell and David Goldhill Interview on Health Care – Disappointing, Dangerous, Frightening His comments in his entirety: While I’m appreciative that you came to hear Malcolm and I discuss health care, you really don’t seem to understand much of what we were talking about. My work is an attempt to think about health care as an industry, and using comparisons to how other industries behave to understand why health care delivers such mixed performance — with extraordinarily high rates of error — at such high cost. My argument is a systemic one: bad industrial outcomes are a result of badly structured economic incentives; […] Read More »

Is David Goldhill Fix For Health Care Right?

First I believe our health care system must be better so I’m always curious to hear how others might propose to fix it. I recently had the opportunity to listen in two conversations with businessman David Goldhill about how healthcare might be made better. Goldhill lost his father to a hospital acquired infection and witnessed multiple errors during his hospitalization which compelled him to write not only a piece in the September 2009 Atlantic titled How American Health Care Killed My Father, but also a new book titled, Catastrophic Care: Why Everything We Think We Know about Health Care Is Wrong (Vintage). The first conversation was with New Yorker writer and best selling author Malcolm Gladwell. The second with Professor Ashish Jha, MD, MPH of Harvard medical school and Harvard School of Public Health. Does his solution offer the right prescription? Maybe. Maybe not. As a practicing primary care doctor passionate […] Read More »