New articles publish on Substack each Tuesday. The Illuminators podcast and video conversations bring them to life with the people living them.
Healthcare has become remarkably sophisticated at solving technical problems, but remarkably poor at solving human ones. We have more data, more technology, more expertise, and more management tools than ever before. Yet many of our hardest…
In 2019, a patient I will call Helen came to one of our emergency departments with heart failure. She was sixty-four. It was her fourteenth visit for the same symptoms, and, like most hospitals in the country, we had treated each of the…
American healthcare is in crisis. Fewer than half of patients receive the treatment the evidence recommends for their condition. About one in four hospitalized patients suffers preventable harm — a number that has barely moved in thirty…