The Big Fix: Clear Thinking for a Healthier Future

America’s healthcare system isn’t broken. It’s doing exactly what it was designed to do: maximize revenue within a fragmented, fee-for-service framework. That’s the problem.

For the better part of the past decade, I’ve written about what it will take to fix that system, not with one-time policy Band-Aids or silver-bullet technologies, but with fundamental redesigns that align incentives, elevate patients and build accountability into care delivery.

These commentaries, originally published by hfma, reflect a common throughline: system-level problems demand system-level solutions. The U.S. health economy is complex, yes. But complexity should not excuse dysfunction. It should demand clarity.

Why GoFundMe Is Not a Healthcare Policy

The rise of crowdfunding for basic care is a symptom of failed affordability. When families are forced to beg online for insulin or surgery, the system has already failed. Read more: GoFundMe Helps Some Pay for Healthcare, but It’s an Awful Solution

What This Important Exit Says About Primary Care

If retail giants can’t make it work, what will? Read more: Walmart Health’s Demise Is Emblematic of the Nation’s Primary Care Conundrum

How AI and Human-Machine Teams Will Transform Care Delivery

AI won’t replace clinicians, but clinicians who know how to harness AI will outperform those who don’t. The key is collaboration, not replacement. Read more: AI and the Rise of Human-Machine Collaboration in Healthcare

Why We Must Rethink Physician Training From the Ground Up

Today’s workforce pipeline is designed for the 20th century. Tomorrow’s health system needs a broader, more specialized bench, including new roles like “surgical mechanics.” Read more: Right-Sizing Physician Training? The Case for Surgical Mechanics

Why Non-Physician Professionals Hold the Keys to Transformation

Healthcare’s smartest people often don’t have “M.D.” after their names. Rewiring the system means empowering operations leaders, data scientists and frontline workers. Read more: Rewiring Healthcare’s Smartest Professionals (Hint: It’s Not Physicians)

What Pizza and Inflation Teach Us About Healthcare Pricing

Hint: It’s not about the cheese. Healthcare costs keep rising because we allow opaque, inflationary pricing that isn’t tied to value. Read more: Pizza, Productivity and the Impact of Inflation on Healthcare Finance

ASBPE Awards of Excellence

These columns have also been recognized for excellence in business journalism by the American Society of Business Publication Editors, honored for their clarity, relevance, and impact by peers in the field. What sets them apart is their unwavering focus on real problems with real consequences: unaffordable care, underperforming systems, and misaligned incentives. These ASBPE Awards of Excellence winning pieces were written for healthcare finance leaders, these pieces illuminate the path forward. These are not with platitudes or abstractions, these are the kind of systemic fixes that can actually work.