When [disease] Can't Be Stopped, That's Where

We Now Have 30 Percent, For Example, Of Medicare Patients Who Are Seeing Doctors Who Are Rewarded For Doing This Kind Of Work, Like High Blood Pressure Control. So, The Affordable Care Act Has Pushed This Direction Down The Road.

No One Teaches You How To Think About Money In Medical School Or Residency. Yet, From The Moment You Start Practicing, You Must Think About It. You Must Consider What Is Covered For A Patient And What Is Not.

Coaching Done Well May Be The Most Effective Intervention Designed For Human Performance.

There Are Times When You Have Sharp Elbows, And People Are Trying To Muscle You Out Of Certain Meetings - Because Then People Could Leak To The Press That You Had A Role In Certain Decisions. I, At Twenty-six, Was Very Impatient And Didn't Know How To Keep My Powder Dry. I Was Running A Team Of Seventy-five People When I Had Never Been A Boss. I Was The Worst Boss Ever.

Go Back To The '30s, '40s, '50s, And It Was The Discovery Of Heroic Interventions, The Ability To Cure People With Penicillin Or Do An Operation To Stop Disease That Was What Saved The Day. Primary Care Physicians Couldn't Do All That Much That Really Demonstrated A Difference. The People Who Control And Work With You To Control Your Blood Pressure, They're Not Rewarded For Doing That Or To Be Innovative About Doing That. So, The Result Is Half Of Americans Have Uncontrolled High Blood Pressure, Despite Seeing Clinicians.