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: Uncategorized
Supersonic Tsunami: The Next 6 Months
What’s Coming, What It Means, and What You Need to Do Peter Diamandis This article is a quintessential example of accelerationist, venture-capitalist forecasting. It accurately maps the mind-bending financial and technological milestones of our current moment (Q1 2026), but it wraps thosev facts in a techno-utopian narrative that completely glosses over the severe friction ofContinueContinue reading “Supersonic Tsunami: The Next 6 Months”
Trump Polling Crashes?
As of mid-February 2026, President Donald Trump’s approval rating sits in the high 30s to low 40s, with a net approval of around -17% to -20%. Recent polling shows that 52% to 58% of Americans disapprove of his job performance, with declining support for his policies, particularly among Republicans. Key 2026 Polling Details: Approval Ratings:ContinueContinue reading “Trump Polling Crashes?”
Critique: SolveEverything Blueprint
A concise summary and critique of the SolveEverything blueprint by Dr. Alexander D. Wissner-Gross and Dr. Pe ter H. Diamandis, a vision of how AI and industrial-scale systems could systematically “solve” entire domains of human challenge by around 2035. The essay frames a future where artificial intelligence and automated systems transition human civilization from scarcityContinueContinue reading “Critique: SolveEverything Blueprint”
What Happens When We Die?
What happens to us when we really die? Lots of different opinions on this one. Which one do you subscribe to? Paulo Coelho: Death is ever-present and learning to live with its inevitability transforms how we live now. He shares personal practice (imagining being buried alive) to show that confronting death directly fosters appreciation ofContinueContinue reading “What Happens When We Die?”
iMessage vs WhatsApp, Signal Anyone?
Jet lagged, 24 hours to Dubai After 24 hours of recycled airplane air and ‘gourmet’ meals, I’ve landed in Dubai, jet lagged and still awake. And still trying to figure out how to message people from halfway across the planet without funding another billionaire’s moon base. I belong to a cult of about 30 friendsContinueContinue reading “iMessage vs WhatsApp, Signal Anyone?”
The Role of Doctors Is Changing Forever
Physician and writer Dhruv Khullar argues that doctors are losing their traditional authority as new forces, artificial intelligence, wellness influencers, populist movements, and corporate interests, compete for public trust in medicine. Through the story of “Jim,” a patient who self-diagnosed a blood clot using ChatGPT, Khullar illustrates how the medical journey increasingly unfolds outside traditionalContinueContinue reading “The Role of Doctors Is Changing Forever”
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”
Paris Holiday Gone Sideways: Apple Watch Sends SOS
A Split Second in ParisCrossing a street near the Louvre, I had no time to react before an inebriated Parisian ran a red light and struck me in the pedestrian lane. My Apple Watch immediately detected the impact, sent an SOS message to my three children (my emergency contacts) and summoned an ambulance. I lostContinueContinue reading “Paris Holiday Gone Sideways: Apple Watch Sends SOS”
Dr Bob, Brain Mechanic 