Is it Time to Ditch Medicare?

Having endured the past year of the Presidential campaign — most recently the Obama v. Romney debate — in which Medicare is characterized as the program that will send the United States into bankruptcy, I realize that the question must be asked: why not end it? It is a bold notion — one discussed privately […]

Renegotiating Healthcare Relationships

This is from an article that appeared today on Becker’s Hospital Review: How should bundled payments work? Who should be reporting to whom? Is evidence-based medicine the best way to reduce variation? Will EHRs limit physician decision-making? On occasion, this could lead to tension-producing arguments and unwanted conflicts. However, there is one “given” within this […]

Health Care Reform: Where Do We Go From Here?

From a post we authored for KevinMD.com, a widely read health care blog: The Supreme Court has spoken. The Affordable Care Act is upheld.  So what does this mean for those of us actually involved in health care? First, there is a lot of work to do. The Court has reached its decision with regard […]

Can Care and Community Continue to Co-Exist?

The news that the Cleveland Clinic is closing Huron Hospital in East Cleveland (NY Times, June 7) is the latest evidence of the dramatic changes transforming the U.S. health care system. Rising costs, an aging population, shortages of nurses and primary care physicians, and the emerging implementation of the Affordable Care Act of 2010 are […]