Category: Healthcare

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 […]

The end of the summer holidays always signals a spate of new television and internet dramas. Medical dramas, in particular, are very cost effective for the television and streaming industries. Sets are simple. There are stock storylines that can be regularly recycled, such as cancer, rape, accidental injury, and paralysis. Usually there is only one […]

Our health care systems are dying under their own weight. They are morbidly obese. They keep on eating up our resources with a voracious appetite. Like clinical obesity, it is not a single problem, but a complex growth that arises from the interaction between our genetic make up, our bodies, our communities and the environment […]

Violence is endemic in our hospitals. In the US, over half of all emergency room staff are threatened by people bearing weapons at least once in their working lives. It is widely reported in the nursing literature, however mentioned much less in the medical literature. Violent thoughts and actions should be expected – they are […]

Governments change. Heads of state change, but what really happens behind the frenzied ADHD of electioneering? The effect on hospitals is very difficult to assess. Paper money and promises abound, but we can never really tell whether decision makers have enough power and status in their hospitals to affect any change during their time on […]

In these troubled times, we all like to hear good news and health care is one area that seems to abound with uplifting language. Daily posts about “cures” and “new treatments” raise our spirits and are antidotes to the bleak predictions about shrinking health services and budgets. Even “groundbreaking”, which usually refers to some treatment […]