I believe my books support my personal opinion that I have a deeper, more thorough understanding of our Nation’s Healthcare Delivery System, how it evolved, and why it too often fails those it was created to serve, than any other person because I have recognized what has always been missing in every effort to improve the Quality of Care and Patient Safety during the past several decades.
While Presidents, Congress, and countless others focus primarily on how to pay for healthcare after-the-fact (Cost and Access), the efforts to improve the Quality of Care and Patient Safety continue to demonstrate Einstein’s definition of insanity. Failure by every healthcare expert to recognize the fundamental facts regarding the Healthcare Delivery System, i.e., each state’s responsibility, and the current system being devoid of any true systematic characteristics continue to prove all efforts to improve that system to be empty promises.
I demonstrated healthcare innovation 50 years ago when I, acting solely, organized the first 1-week major surgical mini-residency of any surgical specialty in the nation in Madison, WI. This was for surgical correction of jaw deformities and surgeons from five states participated in this ground-breaking event. Soon after this form of post-graduate training for practicing oral surgeons was rapidly adopted by several surgical training programs across the nation including Parkland Hospital in Dallas Texas. The American College of Ob/Gyn lamented their lack of mini-residencies for their surgeons in the Joint Commission Journal of Quality and Safety in 2003.