Getting There

Here's a new Chapter excerpt called Getting There - happy summer everyone! We are standing on the threshold of both heaven and hell, dancing nervously between the gates of one and the ante room of the other. -Yuval Harari, Sapiens The nausea was so overwhelming it nearly sent me to the ground.  I’d spent 31 …

Elementary School, Insurance, and the Free Market

As part an "Insight Council" survey I was recently asked: “If you had a magic wand and could change *only one thing* about health payment reform what would it be?" Now let's be clear - picking just one thing to fix about how America pays for healthcare is like trying to find and fix only the …

Uncertainty

Leaders prove their worth during times of great uncertainty. We live in uncertain times.  Multiple fundamental aspects of American life all face a crossroads... and healthcare is at the top of the list. With this in mind, I had the great fortune today to share my thoughts on navigating the enormous change in healthcare with …

Musings from Europe

I just returned from a once-in-a-lifetime trip to Europe with my wife and kids – a truly awesome (and thoroughly exhausting) experience we’ve been planning for the last year.  In between seeing the old-world sites that make Paris and London ridiculously lucrative tourist destinations, I jotted a couple of healthcare-related observations I feel compelled to …

So now what?

  While Speaker Ryan has acknowledged that ACA will remain "the law of the land for the foreseeable future," a looming question remains - what next? For all the challenges with the now shelved AHCA - and there were many - Obamacare has never been perfect and is far from becoming perfect.  There are substantial …

How to *really* bend the cost curve

Healthcare is expensive. And complicated. Its current trajectory in America - one that yields an ever-accelerating rise in both cost and complexity - is clearly unsustainable.  This reality, combined with the outsized role government plays in regulating and paying for healthcare, presents Washington with an enormous policy challenge. Healthcare's web of interconnectedness means any change …

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