Ricky's Riffs:

Random Thoughts on Travel, Education, Health, and the World in General


The Insurance Game

June 15th, 2013

A few weeks ago, a patient gleefully told me that he had gotten excellent new health insurance through his employer. The coverage included more chiropractic visits than his previous insurance plan, yet his co-pay was still minimal.

It was difficult for me to share his excitement—especially since I knew what he would tell me next. Read the rest of this entry »


On Walls and Healing: Israel, Palestine, and the Search for Wholeness

April 23rd, 2013

As she scanned my passport, the teenage Israeli soldier stared through the bulletproof glass that separated us. Looking down at my photo and then up again, she finally waved me through.

On the other side of “The Wall,” taxis waited.  I picked one out of a clump and haggled over the fare. (“It’s fucking hard here man” my driver said, as he demanded an exorbitant price. I bargained it down, all the while assuring him that I could see it was “fucking hard” here). He drove me to my hotel, the Paradise.Read the rest of this entry »


Mindfulness: Stress Reduction, Path to Enlightenment, or a New Orientalism?

January 14th, 2013

People are talking about mindfulness as if it’s the latest fashion trend: mindful eating, mindful communication, mindful movement, even mindful business management. The explosion of books, CD’s and videos on the subject now includes weekend seminars and lengthy meditation retreats. Leaders of this new field articulate the merging of mindfulness, technology, and ancient wisdom traditions to rapt audiences. Academies are dedicated to its study. An industry has been born.

But what exactly is mindfulness?Read the rest of this entry »


Levels of Healing, Part Two: Psycho-Energetic Dimensions

November 26th, 2012

With seemingly clear boundaries between our bodies and the world through which we move, it’s easy to feel separated from everything outside our skin.  But as physical, chemical, emotional, and energetic beings, this perception belies our true nature.Read the rest of this entry »


Obamacare and the Future of Health (in America): Re-Visioning Health and Healing, Part Three

July 17th, 2012

The Supreme Court’s decision to uphold the Affordable Care Act (ACA) has profound implications for the future of American health care. Of course it will lead to changes in how care is delivered. But it will also lead to a transformation in our perception of the meaning of health and healing.Read the rest of this entry »


The Haight Ashbury Free Medical Clinic: Radical Healing/Radical Healers

April 29th, 2012

I worked at the Haight-Ashbury Free Medical Clinic from 1986 until 2001. With the exception of the medical director and a few nurse practitioners and physician assistants, the providers–psychologists, chiropractors, acupuncturists, podiatrists, physical and massage therapists, and a variety of medical specialists—were all volunteers.Read the rest of this entry »


Re-Visioning Health and Healing, Part One: A Shifting Landscape

September 30th, 2011

As most of us know, we Americans are a mess—overworked, overweight, and stressed out.  In addition to the increased demands of our technologically fueled lives and their damaging effects on our wellbeing, we have a health care system in free fall.  In one generation we have seen a shift from low cost, comprehensive coverage to $3000 deductibles, low quality HMOs and escalating numbers of people without any insurance at all. Altogether, these developments have damaged health care outcomes and changed the trust relationships between patients, doctors, employers, and health insurance carriers.Read the rest of this entry »