Category: Health policy

Everyone knows that the economic value of medical research is difficult to measure but the returns for our communities are great. A global assessment of the return on investment in medical research would encourage even the most bearish of investors. In the UK, for example, a government spend of £1 can yield 25 pence of benefits […]

Health insurance is a misnomer. We can’t insure our health. It is not like motor vehicle insurance where the guarantee is that our damaged cars will be repaired. We need health pensions and trusts not health insurance. For humans, as opposed to cars, insurance provides no guarantees. We can’t buy insurance that will ensure that […]

Medicine is not just a science. It is a living practice. Translating emerging science into practice is one of the key skills of doctors. Before scientific knowledge became viral, translation was merely a matter of communication. Now, as the science of medicine reaches epidemic proportions, it is becoming more and more difficult to perform this […]

Medicine is a multinational industry no longer defined by country boundaries. Its main product is a workforce. It is time to disrupt our rigid health care so that it can bend For example, doctors now can work autonomously and remotely from their traditional locations for at least some of their work-time. Radiologists, for example, now […]

Risks are ephemeral. Once identified they are no longer risks but problems to be solved. Risks that cannot or should not be problematized need to be abandoned. In the most positive light, identifying risks should only be a first step in a long pathway of improvement. First, the risk must be linked to a behaviour […]

Under the surface, health care leadership is a stagnant pond filled with ever deepening chasms between the two rival schools – clinicians and managers.  Clinical leadership is no longer about advocating for individual patients, especially about expensive interventions and hospital stays where there is little likelihood of these clinical decisions ever being substantiated by research. […]