Don Berwick (@donberwick) header
Don Berwick (@donberwick) profile picture

President Emeritus @theIHI. Former administrator @CMSGov. Pediatrician. Better care, better health, lower cost.

Cambridge, Massachusetts
Joined September 2012
Photo by Don Berwick (@donberwick)Photo by Don Berwick (@donberwick)Photo by Don Berwick (@donberwick)Photo by Don Berwick (@donberwick)Photo by Don Berwick (@donberwick)Photo by Don Berwick (@donberwick)
A British writer penned the best description of Donald Trump I’ve ever read: “Why do some British people not like Donald Trump?” A few things spring to mind. Trump lacks certain qualities which the British traditionally esteem. For instance, he has no class, no charm, no coolness, no credibility, no compassion, no wit, no warmth, no wisdom, no subtlety, no sensitivity, no self-awareness, no humility, no honour and no grace – all qualities, funnily enough, with which his predecessor Mr. Obama was generously blessed. So for us, the stark contrast does rather throw Trump’s limitations into embarrassingly sharp relief. Plus, we like a laugh. And while Trump may be laughable, he has never once said anything wry, witty or even faintly amusing – not once, ever. I don’t say that rhetorically, I mean it quite literally: not once, not ever. And that fact is particularly disturbing to the British sensibility – for us, to lack humour is almost inhuman. But with Trump, it’s a fact. He doesn’t even seem to understand what a joke is – his idea of a joke is a crass comment, an illiterate insult, a casual act of cruelty. Trump is a troll. And like all trolls, he is never funny and he never laughs; he only crows or jeers. And scarily, he doesn’t just talk in crude, witless insults – he actually thinks in them. His mind is a simple bot-like algorithm of petty prejudices and knee-jerk nastiness. There is never any under-layer of irony, complexity, nuance or depth. It’s all surface. Some Americans might see this as refreshingly upfront. Well, we don’t. We see it as having no inner world, no soul. And in Britain we traditionally side with David, not Goliath. All our heroes are plucky underdogs: Robin Hood, Dick Whittington, Oliver Twist. Trump is neither plucky, nor an underdog. He is the exact opposite of that. He’s not even a spoiled rich-boy, or a greedy fat-cat. He’s more a fat white slug. A Jabba the Hutt of privilege. And worse, he is that most unforgivable of all things to the British: a bully. That is, except when he is among bullies; then he suddenly transforms into a snivelling sidekick instead. There are unspoken rules to this stuff – the Queensberry rules of basic decency – and he breaks them all. He punches downwards – which a gentleman should, would, could never do – and every blow he aims is below the belt. He particularly likes to kick the vulnerable or voiceless – and he kicks them when they are down. So the fact that a significant minority – perhaps a third – of Americans look at what he does, listen to what he says, and then think ‘Yeah, he seems like my kind of guy’ is a matter of some confusion and no little distress to British people, given that: • Americans are supposed to be nicer than us, and mostly are. • You don’t need a particularly keen eye for detail to spot a few flaws in the man. This last point is what especially confuses and dismays British people, and many other people too; his faults seem pretty bloody hard to miss. After all, it’s impossible to read a single tweet, or hear him speak a sentence or two, without staring deep into the abyss. He turns being artless into an art form; he is a Picasso of pettiness; a Shakespeare of shit. His faults are fractal: even his flaws have flaws, and so on ad infinitum. God knows there have always been stupid people in the world, and plenty of nasty people too. But rarely has stupidity been so nasty, or nastiness so stupid. He makes Nixon look trustworthy and George W look smart. In fact, if Frankenstein decided to make a monster assembled entirely from human flaws – he would make a Trump. And a remorseful Doctor Frankenstein would clutch out big clumpfuls of hair and scream in anguish: ‘My God… what… have… I… created?' If being a twat was a TV show, Trump would be the boxed set.” -Nate White
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...the MA program, now the dominant form of Medicare enrollment, is the source of a lot of unnecessary expense. We released a second report estimating that in 2024 alone, MA overpayments + subsidies likely amount to between $83B and $127B. americanprogress.org/article…
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You may be thinking: this all sounds great. But it also sounds expensive. How are we going to pay for this? Well as it turns out...
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Here's a look at our Medicare 2.0 principles and what they'd mean for the program in one handy table. americanprogress.org/shareab…
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In a nutshell, those principles include: (1) making coverage simple and comprehensive, (2) dramatically reducing out-of-pocket costs, (3) modernizing prescription drug policy, (4) centering primary care, and (5) focusing on population health and health equity.
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Our first report, "Medicare 2.0," envisions a new set of reform principles for the Medicare program writ large--and applies those principles to both traditional Medicare and Medicare Advantage (which now accounts for >50% of the Medicare market) americanprogress.org/article…
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Thrilled to share two new, major @CAP_Health reports on reforming the Medicare program. I had the honor of working with esteemed colleagues Don Berwick, Rick Gilfillan, Micah Johnson on these (with an incredible assist from @FellowWhoPoints) 🧵
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Don Berwick retweeted
Liverpool players take a knee in memory of George Floyd at Anfield on Monday
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Don Berwick retweeted
New in @USATODAY - With former @CMSGov administrators, @donberwick (D) and Tom Scully (R), we present 3 bipartisan policy recommendations to expand health coverage and protect progress towards value-based care during #Covid usatoday.com/story/opinion/2…
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With former @CMSGov administrators @DonBerwick (@BarackObama) & Tom Scully (@GeorgeWBush), we argue during #COVIDー19: • Extend insurance coverage through #ACA exchanges • At least temporarily expand Medicaid • Protect value-based payment, including 2021 growth in ACOs /1
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Former @CMSGov Admin. @DonBerwick & @YaleLawSch Lowenstein Clinic members in @HealthAffairs: Solitary confinement = torture & shouldn't be used to limit spread of #COVID19 in prisons. Time-limited, medically necessary quarantine ≠ solitary confinement. law.yale.edu/yls-today/news/…
Former administrator of @CMSGov @donberwick, Leanne Gale, Faith Barksdale, & Megan Hauptman of @YaleLawSch urge, "we must do everything we can to preserve the health, dignity, and #humanrights of #incarcerated people before it’s too late." #COVID19 bit.ly/2y98fVt
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The IHI Lucian Leape Institute is saddened by the death of longtime LLI Member Paul H. O’Neill. bit.ly/2S2aYH2 Paul was a valued leader, friend, and staunch advocate for the physical and psychological safety of our essential workforce. @PittsburghPG
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Question of the day: What is your most tangible piece of advice for health care organizations seeking to rapidly scale their #telehealth efforts? bit.ly/3932zJ0 | #COVID19 #HITsm #HealthIT
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#WHA72 committed to recognize #patientsafety as a key health priority and to take concerted action to reduce patient harm in health care settings. The Health Assembly also endorsed the establishment of World Patient Safety Day to be marked annually on 17 September. #HealthForAll
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"Creating love is at the center of our calling as healers." The most powerful medicines are love and compassion. @Vivek_Murthy #IHIAlliance
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"Care better than we've ever seen, health better than we've ever known, cost we can all afford." At @TheIHI with @donberwick! #IHIAlliance
The widow of the Indian man murdered in Kansas in February anti-immigrant hate crime now faces deportation from US. nitter.gq/htTweets/status/907421…
Srinivas Kuchibhotla murder: Widow faced deportation from US after losing resident status read.ht/B6pj
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Kate Hilton of @IHIOpenSchool shares 4 strategies to lead teams with purpose bit.ly/2v1rT28 via @FierceHealth #HCLDR
Despite political messaging from others at HHS, I align with the experts from @aafp @AmerAcadPeds @AmerMedicalAssn in opposition to #AHCA
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