All posts by mdmunk

Healthcare’s Halo Effect: Lessons from Poland Spring, Maine

This week, after 5 years of happily bubbling in the corner of our kitchen, our five gallon Poland Spring spring water dispenser is headed back to Maine.  We’ve ended our contract, bought a water filter and are going to be happily drinking tap water from now on. What’s funny is that we’ve never really had ...

Switching Costs are Slowing Consumer Adoption of Healthcare Innovation

Healthcare seems ripe for disruption by new entrants, and there has been no shortage of trying.  According to a recent report published by PWC’s cbInsights, healthcare was the second largest US sector for investors in 2017, knocking the mobile and telecom sector into third place. It’s not hard to understand investor interest in the healthcare space. ...

You Don’t Define Great Customer Service. Your Customer Does.

My car was in the shop last week and I reserved a car at a neighborhood Enterprise rental location.  About a half-hour before they closed for the day I showed up at their office and stood in a line of four people, all of us waiting to pick up our cars. If you’ve ever rented ...

The New-Economy has Created a Trade Deficit in Small Cities and Towns. Healthcare Spending is the Bulwark

I recently drove through Lewiston, Maine.  It’s no longer the flourishing city it once was, though until the early 20th century Lewiston (seen in the drawing above) was a booming American mill town.  Its factories, hydro-powered by the Androscoggin River, were linked by rail to Boston and other large cities.  Like many mill towns in New England, ...

Healthcare’s Age of Acceleration

  I recently finished Thomas Friedman’s excellent book, Thank You for Being Late: An Optimist’s Guide to Thriving in the Age of Accelerations. In it, Friedman makes that case that we are living through an unparalleled time, marked by what he calls “accelerations” that are happening faster than humans are able to adapt.  He argues that we ...

On the Tragedy of the Commons: the Toxic Effects of Drug Co-Pay Coupons

Last week I was driving through Phoenix when I saw this sign at an intersection: It struck me that this was a perfect example of what happens when clever business folks figure out a way to short circuit the normal laws of consumer behavior.    How’s it work?  Bring your car in and the glass shop bills ...

Specialists and Practice Guidelines: On the Cash Cow in the Room

Here’s a personal story about medical overuse and willful ignorance. Stay tuned for the punchline. First, a little background: a couple of weeks ago I came across a great study on medical overuse, specifically adherence to national recommendations published in 2012 regarding the use of the PSA (prostate specific antigen) blood test to screen for prostate cancer.