Too often I find myself frustrated and disheartened by the intolerance and hateful speech that has emerged from our current political landscape. I’m provided with relief, however, every Sunday when I meet my friend Leslie on the Delaware & Raritan Canal towpath, where dozens of people of varying ages, ethnicities, and races are brought together […]

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Perhaps you’ve heard some version of the saying: You can’t manage what you can’t measure. We need clearly defined measures to gauge the steps toward improvement and objective criteria to determine if we have achieved true progress. In health care we’ve seen how gathering measurements can advance care. Take hospital- acquired infections. By using defined […]

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Today we work in smoke-free offices, eat in smoke-free restaurants, and view cigarettes as a vice of the few — not an acceptable practice of the many. Yet the days when smoking was acceptable were not so long ago. I remember when I started working in a small New Jersey law firm in 1993. Lit cigarettes […]

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The Affordable Care Act is becoming less affordable. Premiums are rising and so are deductibles and out-of-pocket expenses. Costs are increasing for both employers and consumers. And last year national health expenditures jumped 5.3 percent. (In 2013 the jump was 2.9 percent.) The nation’s health care bill is not growing as fast as it did […]

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