population health

What are the dumbest things we do or don’t do in Vermont?

  We like to think of ourselves as progressive, pioneering, and aware of our neighbors’ needs. Why then do we have some of the worst socio-economic benchmarks in America? Unsheltered: As… 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

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

Vermont Healthcare: A Ship at Sea

I was asked recently if there was a simple way to keep track of how our healthcare system measures up? My “simple” answer was, “Yes, count the number of people… Read More

Complex Systems(II), Simple Solutions

Elmore Community School In an earlier column, I looked at the difficulty of addressing Vermont’s complex systems with our limited leadership and dated governance tools. As technology and information systems further complicate our… Read More

“The Moral Determinants of Healthcare”

I recently wrote about my and others’ concerns about the current state and direction of Vermont’s healthcare systems. But we must also ask, what have our political leaders done to… Read More

The Dream of Owning a Home

The most corrosive issue today affecting the American Dream is that so many families have had to give up on the idea of ever owning their own home. Affordable housing… Read More

How To Spend a Windfall

I’m not one to look a gift horse in the mouth… …but the $2.7B one-time federal tsunami of cash coming into a state of 624,000 people is a big deal,… Read More

Can Vermont Lose Weight?

As someone who’s weighed just shy of 500 pounds and now weighs 200 pounds less, I’m comfortable talking about weight loss. It’s often said that Vermont has an “affordability problem,”… Read More