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”
Tag Archives: Politics
Solution to Delaware Health Care Costs?
Delaware has some of the highest healthcare costs in the country, and Senate Bill 1 is exactly the kind of reform our state needs. SB1 strengthens primary care while finally addressing one of the biggest drivers of high insurance premiums: hospital pricing that has been allowed to rise far above national benchmarks. A key provision would cap certain hospitalContinueContinue reading “Solution to Delaware Health Care Costs?”
Implosion or Explosion?
At this moment, there’s really only one story that matters in American politics: Is Donald Trump going through a rough patch, or are we watching something deeper unravel? If you talk to Republican strategists or peek at the conversations that ripple through Washington, the mood has shifted. This isn’t normal turbulence. It’s the kind ofContinueContinue reading “Implosion or Explosion?”
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”
Goliath’s Curse
Luke Kemp’s Goliath’s Curse is a brilliant, unnerving, and strangely hopeful journey through the rise and fall of civilizations. Like Sapiens meets Mad Max, it exposes a central truth: the bigger and more unequal societies become, the more fragile they are. Drawing on thousands of years of history and cutting-edge data, Kemp argues that the real cause of collapse isn’tContinueContinue reading “Goliath’s Curse”
The US ‘Healthcare’ System is a Mess
A recent and important PBGH white paper reveals the fundamentally chaotic and arbitrary nature of U.S. commercial healthcare pricing, demonstrating that provider rates have no correlation to quality and vary dramatically without logical justification 😳 Key Findings The study analyzed data from five major employers (including Boeing, Qualcomm, and Denver’s city/county government) across multiple geographicContinueContinue reading “The US ‘Healthcare’ System is a Mess”
One Battle After Another
I’m calling it the best movie of the year (or the decade!) Can’t stop talking about ‘One Battle After Another’? Neither can we “One Battle After Another” brought in $48.5 million globally last weekend, making this wild, R-rated comedy-action-thriller…the No. 1 movie in the world…Critics have been no less effusive, calling it “an epic marvelContinueContinue reading “One Battle After Another”
“F**k You, Make Me”
John Oliver, Disney, and the Fight for Free Speech John Oliver just handed America its new national motto, and put Disney’s board, Trump and the maggots in their place. Last week on *Last Week Tonight*, Oliver torched ABC’s brief decision to pull Jimmy Kimmel after Trump threw another tantrum over being mocked. CorporateContinueContinue reading ““F**k You, Make Me””
Peter Thiel’s Apocalypse
Audio Version (please click for RSS) Overcast Link Faith, Fear, and the Future of Technology Yet another billionaire’s attempt to warp, manipulate and re-interpret the Bible for his own world view? Peter Thiel, the billionaire investor behind some of Silicon Valley’s most powerful technology firms (and JD Vance!), is urging audiences to see the futureContinueContinue reading “Peter Thiel’s Apocalypse”
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”
Dr Bob, Brain Mechanic 