Healthcare access and cost remain at critical point.  Most of the for profit healthcare business are playing destructive role.  Due to the greed, the quality is generally being ignored.  That is leading to unnecessary use of facilities.  The demand thus is artificially high.  This is leading to high cost – another dimension of affordability.  For [...]

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Healthcare industry is at the beginning stages of Six Sigma deployment.  The rising cost of care, the high level of quality issues, and shortage of access is demanding fundamental change in the healthcare industry.  While the Six Sigma initiative could have been adapted by healthcare earlier, the delay has inherent advantage of learning from the mistakes of others.  [...]

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The crime of the Tuskegee Syphilis Experiment isn’t that it was an experiment—medicine improves only through smart experiments. What made Tuskegee so shameful was that a cure for syphilis had finally been discovered, but news of the cure was deliberately kept from the patients who needed it the most, patients with tertiary stage syphilis.   [...]

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Healthcare reform has been on the forefront for decades and inspite of those attempts, we are still at a very critical juncture.  It is now an accepted fact that US healthcare is in crisis.  So, why have all the past attenpts not been able to deliver sustainable performance? What went wrong! If you look diligently, you [...]

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CMAJ, the publication of the Canadian Medical Association (CMA),  is doing a series examining medical malpractice in Canada.  The CMA drew national attention this month when a private health care advocate was elected their president, drawing criticism from various quarters. Part one in the last week’s issue describes the emotional difficulties, isolation and stress that [...]

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