We recently returned from a trip to find that a close friend had died in the week we were gone. From healthy to dead in a week is what we are sometimes seeing with the current flu. These deaths are reported to be associated with bacterial infections that appear only as the flu. Most of […]
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This post is based on a presentation given in the Dupont Summit conference dealing with science and public policy at the Carnegie Institute of Science in Washington DC on December 7, 2012. The session was on complexity as a paradigm game changer. Understood was the fact that our thinking remains stuck in the mechanical model […]
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Saving American Health and Healthcare: A view from the margins. If Wendell Berry is right then we ought not to be looking to our temples of healing and learning for solutions to our health care problems. Real solutions require seeing the problems differently and that is hard for the experts. In the following we propose […]
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Transformation is all about how we see ourselves in the world. We are stuck if we limit that view to the egos we have constructed over the course of our lives. Expanding that model is what all transformation is about. The model is a paradigm in Thomas Kuhn’s sense of the word; when it is […]
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Medicare reform is shaping up to be the issue for our time. “We, the people,” like our bread buttered on both sides and we don’t like change. But Medicare is continuing to grow faster than we can afford. While retirees’ Social Security is fairly well covered for a few decades, Medicare is not; we do […]
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An open letter to Don Berwick Dear Don, I was really glad when President Obama chose you to lead the Department of Health ad Human Services. First of all you’re a pediatrician; that means you chose to forego the higher income specialties to provide primary care to children. Then your work with the Institute for […]
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