I’ve a bit of experience in the technology field, having written my first computer program (in FORTRAN, naturally) for the CDC 6600 computer in 1976 (I was twelve). Between then and now, I developed one of the first social networking programs, Note (it has a Facebook page) in 1979, a UNIX distribution (ISRNIX) in the early 1980s, and helped start a data warehousing company (DPSI) in the early 1990s, a travel management software company (Cornerstone) in the mid-1990s, and a health care software development company (SGC) in the mid 2000s.
My experience in the health care field is both professional and deeply personal. I lost my father, suddenly, to an aortal dissection when he was 53. I lost my first wife, suddenly, to cardiac amyloidosis when she was 46.
These experiences have given me the opportunity to see the health care system in the United States in a rare and special way, a way that informs my approach to problem solving, makes me acutely aware of the challenges, and gives me an understanding of the people, processes, and institutions within our industry. That understanding is one of care and insight into the lives and careers of people who, like me, only want to serve and serve well.
My intention with this blog is to write candidly and honestly about things as I have seen them and as I see them in our industry. I hope that some of the subjects I cover here will be a catalyst for a robust discussion of where we are and where we might go.