When I decided at age nine to become a doctor, I had no idea who would be my sickest patient. Over the next 45 years I did everything required to become a good pediatric cardiologist. I earned degrees from Yale and Chicago Med. I trained at institutions such as Mayo clinic, Northwestern and Harvard. I practiced in several states and became Chief of my Division. Over the last ten years, after acquiring an MBA at Anderson Schools in New Mexico, I refocused from caring for many small, fragile patients to one big terminal patient: Healthcare. At nine years of age, I never could have known who my most critical “patient” would be.

From having experienced every aspect and phase of healthcare, my perspective is unusually broad. I have practiced in both private and academic settings. As a Chief of Pediatric Cardiology and serving on national committees, I have observed the administrative machinery up close and personal. My research activities include over $3 million in grant support and well over 100 published papers, chapters, and monographs. Not only have I been a doctor, researcher and administrator, I have also been a patient. On one particularly memorable occasion, an adverse effect from a procedure to fix a broken bone from bicycle racing landed me in an out-of-state hospital for 10 days worried that I wouldn’t have the use of my hand if I didn’t start responding to antibiotics and later, my insurance refused to pay the bills.

The combination of life and professional experiences with my knowledge of management and strategy makes me particularly qualified to help us understand why healthcare is sick and what we can do to begin healing. Medical Malprocess is my blog aimed at starting a national conversation that will lead to a process to cure healthcare.

Blog Entries by Deane Waldman

What if healthy food were cheaper?

2 Comments | Posted October 16, 2009 | 12:27 PM (EST)


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Everyone knows that obesity is a major health problem in the USA. One estimate suggests that 30% of health care costs (actually the cost of sickness care) can be attributed to the consequences of obesity.

Obesity clearly reduces productivity. Thus from the national commercial...

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Will We Ever Hear the Message Instead of 'Shooting the Messenger?'

1 Comments | Posted October 7, 2009 | 01:20 PM (EST)


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In ancient times, if the messenger brought the King bad news, the King might kill him. But at least the King always read the message first! Today, we don't bother. If the messenger has a foul appearance, that unfortunate is killed without even a...

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A politically incorrect and inconvenient truth you will never hear from a politician.

8 Comments | Posted October 5, 2009 | 10:52 AM (EST)


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Neither the President nor any member of Congress will ever say it, not if they want to get re-elected. I hold no elected office and as a doctor I am obligated to tell the patient the bitter truth. Health care is not a...

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"MediCare for All" Becomes No Care at All

20 Comments | Posted September 27, 2009 | 03:44 PM (EST)


People from Nancy Pelosi to daily bloggers are screaming "MediCare-for-All" as the answer to our health care crisis. Is MediCare the solution for us all? The answer is clear: no.

Unlike MediCaid, MediCare was never intended as an entitlement. MediCare was supposed to be self-sustaining: people would pay...

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Personal Responsibility: In Education? Yes! In Health Care? No!

4 Comments | Posted September 12, 2009 | 12:47 PM (EST)


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Healthcare and education are so similar that we have labeled them "Twins in Trouble" in the journal Total Quality Management. Each is critically important to us as individuals and as a nation. In each, the outcomes occur years-to-decades in the future after actions we...

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Healthcare is an Unprincipled Non-System.

3 Comments | Posted September 6, 2009 | 01:00 PM (EST)


Everyone knows (except Washington) that you cannot cure a sick anything -- patient or system - without a correct diagnosis. What is the diagnosis for sick, "broken" healthcare?

Washington apparently thinks that there is not enough money in the system because the Bill they are discussing will add $1...

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Rights With No Responsibilities?

5 Comments | Posted September 3, 2009 | 11:41 AM (EST)


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Is there such a thing as a right without a responsibility? Our most fundamental rights to "life, liberty and the pursuit of happiness" come - of necessity - with the responsibility not to abridge someone else's rights to life liberty, and the pursuit of...

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The Emperor Has No Clothes

1 Comments | Posted September 1, 2009 | 10:48 AM (EST)


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I am just writing what everyone knows: the Emperor has no clothes. What is touted as health care reform isn't (going to reform health care.)

Start with basics. As enunciated by the President, health care expenditures are dragging us down. As individuals, the...

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What to Ask at a Town Hall on Health Care

8 Comments | Posted August 28, 2009 | 12:58 PM (EST)


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Like you, I am concerned that the health care reform proposed will not fix health care. I tried to attend our local town hall meeting on health care but could not get in. I had prepared some questions in advance that I believe...

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They Are Still Practicing Bad Medicine -- on Medicine (and Therefore on Us).

3 Comments | Posted August 24, 2009 | 12:50 PM (EST)


Imagine that your doctor says the following. What should you do?

You tell me you have trouble breathing, chest pain and swollen ankles. I will do expensive tests but I already know what is causing this. The root cause is a "broken" heart muscle - you need a new heart....
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ObamaCare Is Not "a Good Start." They Are Blowing an Opportunity to fix Health care.

7 Comments | Posted August 24, 2009 | 10:22 AM (EST)


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Time for another reality check on health care reform (so-called). Previously, people wrote that "Anything is better than what we have now." We now know that is not true. Now people write, ObamaCare "is not perfect but at least it's a start." Regretfully,...

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To POTUS: We Are ALL Afraid

127 Comments | Posted August 16, 2009 | 02:33 PM (EST)


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Dear Mr. President:
There are 'signs' everywhere: from violent town hall meetings to the passionate print media and fiery blogs. Your people are angry and as Spider Robinson wisely quipped, "Anger is always fear in disguise." The people are afraid ... of your...

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In Health Care, Complexity Costs and Kills. ObamaCare Will Increase Complexity: You Do the Math

9 Comments | Posted August 13, 2009 | 11:30 AM (EST)


Complexity is considered bad in most business activities because it reduces efficiency and therefore costs money. In health care it is worse because it also kills. Anything done to health care that increases complexity will waste money and lose lives.

Operations experts in successful businesses such as Toyota,...

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An Objective, Evidence-Based Opposition to ObamaCare

49 Comments | Posted August 7, 2009 | 03:05 PM (EST)


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U.S. health care is sick. Practicing good medicine on this critically ill system starts with empathy but none of the other, more voluble emotions currently on display like anger, name-calling and blaming. Good medicine requires objective evaluation of evidence, not depending solely on logic.

...
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A 3 Question Survey About Fixing Healthcare

Posted August 5, 2009 | 01:24 PM (EST)


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We have heard the pros and cons about ObamaCare or AAHCA (America's Affordable Health Choices Act) from both sides of the aisle but not from the general population. What do you think about Washington's plans to fix healthcare?

I would like to learn...

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Dialogue on Healthcare: Your Comments, My Responses and Apologies

7 Comments | Posted July 31, 2009 | 12:21 PM (EST)


People are responding to these healthcare blogs with comments and rebuttal. Thank you. Dialogue is the first step to a cure for healthcare: not among self-styled experts and power brokers but between us - the people in the trenches - patients and providers alike. We are simple and have only...

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Government Cuts Expenditures -- Only We Can Cut Costs

1 Comments | Posted July 28, 2009 | 05:37 PM (EST)


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You cannot listen to a politician talk about health care without hearing the phrase "cost cutting." Problem is: government cannot cut costs, only we can.

When you and I use the word "cost," we mean the sum of all resources -- materials,...

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I Oppose Obama's Healthcare Reform (and You Should Too) Because It Does Not Reform Healthcare

11 Comments | Posted July 24, 2009 | 03:16 PM (EST)


Most people think in binary - black and white; good or bad. "If you're not with me, you're against me." If you are against ObamaCare, you oppose healthcare reform. I am and I do not.

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There is no question that healthcare is sick. The...

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"Anything" Is Not Necessarily Better Than the Health Care We Have Now

5 Comments | Posted July 21, 2009 | 06:51 PM (EST)


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Health care is considered so sick in the USA that many believe anything is better than what we have now, so let's pass ObamaCare. At least, it is a step forward. NOT! Wrong! Dangerous!

Our leaders in Washington are taking full advantage of our...

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ObamaCare: Robbing Peter to Pay...No One

7 Comments | Posted July 17, 2009 | 03:12 PM (EST)


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I should know better than to think, "They can't be serious proposing that!" But the Democrats' fix for healthcare sends even my shock-and-surprise meter into red zone.

The President's self-styled Health Reform Plan, or ObamaCare, reforms [fixes] nothing. It robs Peter...

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