American medicine did not accidentally drift into its current imbalance between cognitive and procedural care. It was built that way, step by step, over the past 75 years. The American Medical Association played a central role, not as the sole actor, but as the architect of key structures that continue to shape how physicians areContinueContinue reading “How We Built a Payment System That Undervalues Thinking in Medicine”
Category Archives: Insurance
Delaware Rural Health Overhaul
Governor Matt Meyer announced Delaware’s application for up to $1 billion from the federal Rural Health Transformation Program, part of a $50 billion national effort. The plan assembles 15 projects aimed at transforming healthcare delivery in Kent and Sussex counties, home to nearly 40% of Delaware’s population. Core goals: expand access, lower costs, and strengthenContinueContinue reading “Delaware Rural Health Overhaul”
The “Perfect Storm” in Healthcare
A “Perfect Storm” in the American healthcare system is developing, driven by mounting structural failures and stupid political decisions. The core issues include severe physician shortages, government cutbacks on Medicare and preventative services, looming loss of ACA marketplace subsidies, and major reductions in public health and child nutrition programs, all combining to reduce access, qualityContinueContinue reading “The “Perfect Storm” in Healthcare”
Understanding Liability Insurance
The system of liability and malpractice insurance is deeply flawed because incentives drive up litigation costs instead of resolving issues efficiently. While insurance companies give lip service to the legal profession, in actuality they enjoy the cycle of rising expenses (and increased revenue and profit.) To truly grasp the problem, it’s necessary to examine theContinueContinue reading “Understanding Liability Insurance”
Dr Bob, Brain Mechanic 