Ricky's Riffs:

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


Israel/Palestine: A Land of Hope and Pain

February 15th, 2014

On the beaches and in the hip cafes of Tel Aviv, it is easy to escape the feeling of life at the edge of a precipice. Israelis refer to this modern Mediterranean city as “the bubble”: a place where one can imagine an Israel of secularism and safety.Read the rest of this entry »


New Models for Health and Healing

December 24th, 2013

We are currently in a full-blown health care crisis. The Affordable Care Act (ACA, or Obamacare) roll-out was a disaster. People in some states are still struggling to register through exchange websites to buy insurance. Others resist being forced to get insurance at all (the young and healthy), while some have learned that, despite President Obama’s promise that they could keep their old insurance plans, they could not. For many, the new policies are shockingly expensive.

On the provider side, things are even worse. Allowable benefits have been reduced, and reimbursements slashed by 60% or more in 2013 alone. Facing these cuts, providers are being forced to leave insurance networks, provide reduced quality care, or just get out of practice altogether. Meanwhile, patient premiums are rising.Read the rest of this entry »


Magic and Healing: An Interlude

October 28th, 2013

My good friend and colleague, Paul, strongly disagreed with my last blog. In that article I described what I believed to be a paradigm shift taking place in health care: a cultural movement away from allopathic medicine, now our dominant mode of healing, to a medicine that is more inclusive and integrative.Read the rest of this entry »


Paradigms, Power, and Healing

August 3rd, 2013

I recently read through some materials given to me by a colleague. She is a broker for a company that creates health care programs for large corporations and had just returned from a “Wellness” conference sponsored by a major health insurance provider. The emphasis of the conference was on the development of wellness products and their introduction into the insurance marketplace.Read the rest of this entry »


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 »


NAMM, MusiCares, and Tribal Healing

February 18th, 2013

I recently returned from attending my second NAMM (National Association of Music Merchants) show.  This year, as in the past, I was working with MusiCares, the charitable health and human services arm of the Recording Academy (GRAMMYs).

MusiCares offers support for musicians in need.  Among other benefits, it helps them pay their rent, subsidizes the cost of medical services, and provides free support groups for musicians who are dealing with staying clean and sober.   Read the rest of this entry »