Posts by Ronald Greeno

If You Are Not at the Table, You Are on the Menu

Many years ago with those words, an older and much wiser colleague added to my education, encouraging me to take time away from my day-to-day practice of clinical medicine and get involved with the affairs of my hospital and the medical staff.  It was sage advice and I’ve used it many times to help force me out of my comfort zone as my career has evolved. The Society of Hospital Medicine (SHM) has followed the same philosophy, as it has demanded a prominent seat on the stage of the policy debates that ran up to the passage of the Affordable Care Act (ACA), and as the implementation phase has ensued.  It has paid off to a surprising extent as SHM has turned the energy of our members into positive changes helping shape the healthcare system of the future. Nowhere will this energy and commitment to advocacy be on display more…

My ACA Holiday

I’m not sure if they were inspired by all of the commercials encouraging families to “talk about healthcare coverage” during holiday get-togethers, but clearly my family and friends were interested to find out what I thought about the Obamacare rollout and about the Affordable Care Act in general.  This is not surprising as there has been so much in recent news about healthcare and it had been quite awhile since we had all gotten together.  And of course they know that I have been involved in the healthcare policy world both through my work at Cogent and through SHM, spending the last several years steeped in both the practical and the more arcane features of the subject. Hoping to avoid talking shop (and doing my best to avoid the always dangerous political discussions at holiday dinners) I tried to evade answering by describing the subject as complicated, multifaceted and not…