Blog

On the Veranda of the Medical Home

In prior blogs, I’ve written about the need for our heatlh care system to tear down the silos. One area of this is the use of health risk and...

ROI on Annual Wellness Visits: Have Your Cake and Eat it Too?

ROI from worksite wellness programs is difficult to measure, is generally positive, and varies widely by type of program. Most authorities quote a range of saving $3.50 - $5.00 for each dollar spent. A great buy, but employers tend to follow the...

Evidence-Based Medicine and the Individualization of Care

When I was in training, I was often advised to individualize care. This admonition was troubling, because it was inevitably the last comment and there were almost never any details on exactly how to...

Of Apple Watches and Dreams

This week, Apple announced their forthcoming watch. I'm skeptical that this new wearable tool will be the 'next big thing' in health, in part because of the pricetag - $349 and a new iPhone 6 (a minimum of another $200 and a 2-year...

Exercise is the Antidote

Diabetes is one of America’s biggest lurking health system catastrophes, which concerns us greatly at Sustainable Health Systems.

Here is the CDC (Centers for Disease Control) map of diabetes in 2011, about 95% of which is type 2 diabetes...

Will We Go Broke Over Health Care?

Americans are getting heavier and more sedentary, with an ever increasing prevalance of pre-diabetes and type 2 diabetes, with subsequent development of vascular and kidney disease.

A...