Many of you already read “The Health Care Blog” (which sometimes carries my posts). In case you don’t, please check out today’s wonderful father-son interview, which puts a human face on the transformation of McAllen, Texas from sleepy border town into national healthcare icon (at least ever since Atul Gawande placed it on the map with his New Yorker piece).
The son in this case is the writer Ian Kibbe, THCB’s associate editor; his dad is David Kibbe, a family physician who practiced in McAllen in the 70s and 80s and witnessed first hand the cultural transformation that put the town in the Pantheon of Greed in the Dartmouth Atlas. As the President and his team try to nudge the culture of medical practice in the right direction, it’s vital to appreciate the forces that can cause precisely the opposite shift.
Well worth a read.
“We are playing the same sport, but a different game,” the wise, thoughtful emergency medicine attending physician once told me. “I am playing speed chess – I need to make a move quickly, or I lose – no matter what. My moves have to be right, but they don’t always necessarily need to be the […]
“One-out-of-three”. I’m going to say that one more time: “One-out-of-three”. That’s the amount of medical resources that a group of surveyed hospitalists believe is used toward defensive medicine. Can you think of any other aspect of your life in which 1/3 of your decisions are made, not to optimize the outcome, but “just to be […]
We grab some popcorn on the way in. Maybe a drink. The place is bustling, bright lights lead the way, and the kids grab all the new objects at each turn. Another fun Saturday night about to begin. At Target. Yep, spending the weekend evening strolling the aisles of a big box store: family fun […]