Healthcare costs too much, and we don’t get enough of the healthcare that we need. This is our core problem in one word: “productivity.” The obvious difficulties of healthcare in the U.S., where we can’t seem to take care of everyone, millions are saddled with...
How will healthcare be distributed in the future? In ways that bear only some resemblance to the way it is distributed today. The changes will be driven by the new economics of healthcare embedded in the “volume to value” movement, based as it is on...
The double doors to the ambulance bay slide open, and one more patient on a gurney is hauled across the threshold of your Emergency Department. This one’s in diabetic shock. Stop the picture right there and ask yourself: Is this a medical success, because you can do...
Successful strategies will be the ones that thrive despite high variance, multiple energy inputs and multiple strategic options. You follow movies? That is, not just watching them but thinking about how they are built, looking at the structure? In classic movie...
Atul Gawande’s new New Yorker article, “Overkill: America’s Epidemic of Unnecessary Care,” brilliantly lays out why and how we are getting so much overtesting, overdiagnosis, and overtreatment — testing that is inappropriate, not helpful, and...
