Today I went to pick up my prescription at a local pharmacy, part of a metropolitan wide health care system and I was informed by the highly trained and very thorough clerk that the pharmacies (all of them in the system) would be closing for good on January 20, 2020. This deeply saddened me and it deeply saddened her. She shared with me she had hoped to work at this job until she retired and that the prospect of working a large national chain where volume and long shifts outweigh care and attention is not how she wants to use her God given talents.

July 2019 is the second issue and it is on How Hospitals Generate Revenue and the Impact of Consolidation.

In the tech industry, there is a saying “where there is mystery there is money” and I think the same can be said of healthcare. Healthcare procurement has some distinctive properties: 

June 2019 is the first issue and its subject matter is healthcare.

Many of you may be aware of Haven, the health care initiative formed by Amazon, Berkshire Hathaway and JP Morgan Chase. It is just getting started and looks to have a technology bent. I recently became aware of Walmart and its approach to healthcare for its employees. It is impressive in its Centers of Excellence Approach and in its findings

Dear President Trump,

I hope this newsletter finds you healthy, safe and not succumbing to fear during this sacred and challenging time of change. I am so pleased to see that when confronted with life and death issues many of our leaders, including Gov. Cuomo and Bill Gates are affirming life.

The false notion that we must choose between the economy and life is ungodly, so silly and frankly un American.

20 for 2020 is a newsletter sent to 20 people in preparation for the U.S. Presidential election of 2020. The recipients include Business, Government and Society members including three Presidential candidates. The newsletter goes beyond the headlines and provides factual information on key issues including healthcare, the economy, society and how we can come together as a nation and as a people. Aug. 2019

Like many Americans, I am terribly concerned about our nation and the direction it is headed with respect to both issues and civil discourse and general humanity and common consideration.

In the expose article PROFITING FROM THE POOR: What it Looks Like When a Hospital We Investigated Erases $11.9 Million in Medical Debt  by Wendi C. Thomas for ProPublica, Dec. 24, 2019. The expose profiles Methodist Hospital part of Methodist Le Bonheur Healthcare.  Methodist Hospital was “Founded in 1918 by a rich Mississippi cotton plantation owner”. “Methodist operates five hospitals in Shelby County, Tennessee and it is adding two more.” 

Twenty for twenty twenty is a newsletter sent to 20 people in preparation for the 2020 Presidential election with the hopes they will share with others. This is the sixteenth edition. It is a SPECIAL EDITION worthy of action.