The Good – Slowly but surely, we seem to be moving in a direction of value-based care delivery. It’s a long slog.
The Bad – We require seat belts for driving. We don’t allow inebriated driving (either alcohol or other drugs). We don’t allow smoking inside buildings at this point. BUT, we allow companies to solicit and sell vaping products to our youth. Argh!!
The Ugly – The final televised hearing of the U.S. House of Representatives January 6th Committee hearing clearly showed the culpability of our last President in inciting and supporting the breach of the U.S. Capital. It’s actually not only “Ugly”, but it’s also “Very Sad” that this would happen in our democracy. However, I think we can remain hopeful and will learn from it by putting in place stopgaps to prevent such future incidents. Let’s all keep our eyes on the further developments…
The ongoing saga…
The Great – On the personal side, Suzanne and I made it through 8 ½ weeks in an RV measuring 8’x24’ with two dogs (Toto and Lole) AND, we are still talking to one another and enjoying one another’s company. After years of often being ships passing in the night, it was a time of learning to live life together.
The Equally Great – On the professional side, the number of academic articles, opinion pieces and the like that are fully recognizing the value of “primary care” as an integral component of the care delivery process is exciting and, something that many of us knew all along… As the nation slowly moves toward “value-based care delivery,” my hope is that the payment system will also recognize the value of primary care!!
The Good – The more information and findings that are coming out of the Congressional hearings and through the subpoenas issued by the U.S. Justice Department – the more disturbing are the findings. And, while they are disturbing – they are seeing the light of day, which is “good”.
The Bad – If you want to get the hibby jibbies read, Ray Dalio’s new book, “The Changing World Order” [SEE above] where he examines the outcomes of dynasties, empires, great nation states and other approaches to state governance since the mid-1300s. From my perspective, it’s a VERY important read about the realities of state governance and where the USA is in the traditional cycle of “leads”. BTW – the USA has the track record of having had the longest running form of state governance among all such empires over time. There’s a message there as well…
The Ugly – The depth of “politics” versus need for effective “leadership” in the USA!