Author Archives: ddxdx

About ddxdx

A Family physician, former county coroner and former Idaho State Senator

Health Care Limbo

Congress makes policy changes nowadays in mammoth budget bills. I guess they chat about who gets what over bourbon or martinis, then lump it all together in a thousand pages and trillions of dollars. Health care policy took a left … Continue reading

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Santa Comes to the Capitol

Santa’s sleigh circled the dome and found a safe spot to perch. Santa stretched his legs, swung his big belly out and planted his boots in the crusty Boise snow. He patted Dunder’s and Bitzen’s flanks and circled back for … Continue reading

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Surprise Medical Bills

The ambulance has brought you to the closest emergency room after you collapsed eating your cheeseburger. The EMTs got your heart going again but your sweat soaks through your Seahawks sweatshirt and it feels like there is a chain binder … Continue reading

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Mastering Engagement

It has been heartening for me to see a local uproar involving our school district that didn’t have to do with a levy, teacher pay or athletics. Our little dust up has to do with “Mastery Based Learning”. I’m not … Continue reading

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Don’t be a Tool

I went to a public forum on Federal lands in Idaho a few years back that the Idaho legislature sponsored. It was a traveling interim committee meeting the legislature set up to consider just what the Idaho legislature should do … Continue reading

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Health Care Cost Transparency

Getting the power of the marketplace to have some effect on health care costs has been the holy grail for years. The Trump administration just announced a major move. Let’s look at it. In an announcement Friday, while many were … Continue reading

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Two Patriots Walk Into a Bar

Alexander Hamilton was waiting for James Madison at the crowded sports bar. He sipped his pint and barely noted the many screens showing the many games. He frowned at the ring his glass had left on the counter, lost in … Continue reading

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Helping Out

This last week I ran into a guy in clinic that made me thankful for Idaho voters. We were able to help him out. You should know about this. It’s not about politics or policy, just about how we were … Continue reading

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Vending Machine?

Sometimes when you listen to people you hear the way they think. When we have a problem to solve, how we think about it, how we frame it can determine our ability to find a solution. Many people see government … Continue reading

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Don’t Take Offense; Remember

In the middle of my career I was given a gift. The nurse I had worked with for a long time told me she would need to be leaving the office at 4PM each day to deal with family issues. … Continue reading

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