The Ghost Quartet: Part II

Shutterstock A Lucrative model: Make them sick, then charge them to get well. In Part I of the Ghost Quartet, we explored the lucrative model of using the chemical/agricultural complex… Read More

Future of Vermont Healthcare: Goal and Vision

  Shutterstock Future of Vermont Healthcare Council Goal: For Vermonters to find consensus on and advocate for a healthcare system that delivers quality, equity, access, and affordability for all Vermonters.… Read More

The Time is Now for Mental Health First Aid

Shutterstock May is Mental Health Awareness Month and in our world today there’s plenty of  reason to want to be aware. Vermont has established as a policy if not in… Read More

Future of Vermont Healthcare Council

Future of Vermont Healthcare Council Mission: To refine, design, and advocate for a healthcare system that delivers quality, equity, access, and affordability for Vermonters. Academic alignment and fiscal agent (501©3):… Read More

1.       UVMMC has generated  negative Medicare margins for at least the past 10 years. These negative margins have averaged $43M and totaled $119M in 2022.  60% of academic peer hospitals broke even… Read More

Vermonters: The time is now to reach out to your legislators and insist they protect the mission of the Green Mountain Care Board to regulate and improve our access to healthcare in Vermont.

Unlike my prior columns on healthcare, this one will be short, concise, and easily understood. It’s a call-to-aims (sic) for all Vermonters concerned about their access to quality healthcare. The… Read More

Leveraging Government’s Role by Funding Designated Agencies and Specialized Service Agencies in the Nonprofit Sector

The socio-economic governance spectrum divides itself into the for-profit business sector, the nonprofit mission-driven sector, and the government sector. There are statutory regulations that, often rather loosely, regulate the governance… Read More

Oppose Senate bill S.211….written by Vermonters for Vermonters?

Senate bill S.211 is an attempt by the Vermont Association of Hospitals and Health Systems (VAHHS) to gain more power. Their dominant member is the UVM Health Network (UVMHN). Over… Read More

It’s Time for the UVM Health Network Board to Talk with the People They Serve

Talk With Us The stated mission of the UVM Health Network (UVMHN) is “… to improve the health of the people in the communities we serve by integrating patient care,… Read More

A Community-Engaged Hospital in Vermont

Photo courtesy of Brattleboro Memorial Hospital Too often I write about our misunderstanding of the complex systems that plague us and our failure to reimagine them as functional solutions to… Read More

Comments to Brattleboro Hospital Convocation on October 4, 2023

Photo of Brattleboro Hospital courtesy of VTDigger.org We’re here to talk today about how best to design and implement a healthcare and social system that secures our shared goal of… Read More

Memo to Board members: It’s Unwise to Try to Intimidate, Insult, or Challenge the Authority of your Regulator

  I have grave ethical concerns about the behavior, governance, and board leadership at the UVM Health Network (UVMHN) and its network of Vermont hospitals (Porter, Central VT, and UVM Medical Center… Read More