The Good, The Bad, And The Ugly - 10/17/22

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 Good, The Bad, And The Ugly - 9/20/22

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!

The Good, The Bad, And The Ugly - 8/1/22

The ongoing saga… 

The Great – For the first time in many years, I did not check email for 4 days and it offered up a breather from the digital captures on my life. I’ve decided that we should all engage in disengaging periodically.

The Good – Summer is here. People are coming out of their shells. Perhaps the interactions will allow us the opportunity to share with one another again… 

The Bad – The findings of the January 6th Congressional Committee presented an ominous series of testimonies that we all need to listen to for the sake of the nation. I think we should put aside our Facebook rants and website findings and look at the data. Our nation is hanging on tenuous threads and needs all of us – from all perspectives – to listen to one another so we can move forward.

The Ugly – The evolving internecine battles between the states related to removal of the Roe vs. Wade decision by the U.S. Supreme Court as the law of the land.

The Ominous – Ray Dalio’s new book – Principles for Dealing with the Changing World Order: Why Nations Succeed and Fail – provides a comprehensive overview of empires throughout the ages. The reviews are “ominous” for the future of the USA. I just learned about the book while traveling across the Upper Midwest and downloaded the Kindle version this morning. The book is already #1 on the NYT Book List and a designed “Must Read”. I’m on it. Dalio does an analysis of why empires lose their power and identifies the common characteristics of waning strength. Based on that analysis, the USA is slipping into the doldrums. We’ve lived the Golden Era – and, if we don’t turn things around, the future will be ominous. Take heed…

The Good, The Bad, And The Ugly - 6/2/22

The ongoing saga… 

The Great – Hmmm…it’s been a tough couple of weeks!

The Good – The fact that people are beginning to realize that prayers and words of consolation are NOT enough to stop the gun violence that has swept the nation in recent years rather than the access to guns only required in war-like environments and not for “target practice” or “hunting”. 

The Bad – South Africa is reporting that the “new” Omicron – a version of Omicron that only recently emerged – is much more infectious that the “old” Omicron…so, don’t throw away your masks yet. In fact, order some new ones – get N-95s.

The Ugly – The incomprehensible “rationales” thrown about by selected political leaders on the rationale for gun violence (“single parent families”) and the solutions (“one door entry and exits”).

The Good, The Bad, And The Ugly - 5/19/22

The ongoing saga… 

The Great – Your thoughts appreciated!!

The Good – The U.S. government has re-instituted “free” Covid testing for all residents of the USA. All you need to do is go to: and 8 tests will be sent to your home. Mine are on the way. 

The Bad – The release of the preliminary Alito draft is a tragic direction for the U.S. Supreme Court.

The Equally Bad – The week-over-week incidence of Covid infections has increased by just over 30% in the last week (from May 13). That’s not a good sign folks!! And, as part of my travels, I received both Massachusetts and Utah notices that I had been “near” Covid+ individuals.

The Ugly – The potential of the U.S. Supreme Court simply becoming yet another “political” vehicle among the many wrecks we have in the United States at the moment.

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