Ricky's Riffs:

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


COVID Diaries, Part Two: Naming Our World

January 27th, 2021

COVID intruded into our world last Winter, then raged through the Spring and Summer of 2020. After taking a small break in the Fall, it exploded again–predictably–on the heels of reckless Thanksgiving and Christmas travel.

So here we are, rounding the turn on our first full year of COVID.Read the rest of this entry »


COVID Diaries, Part One: On Practice in the World of COVID-19

May 2nd, 2020

One of the biggest challenges for me during this pandemic has been the very real possibility that work, as I have known it, may never be the same.Read the rest of this entry »


Some Early Thoughts on a Global Pandemic: COVID Diaries, Part 1

March 23rd, 2020

We have suddenly been thrust into a global pandemic. Seemingly overnight, our lives have changed. Many of us are on lockdown, prohibited from leaving our homes except to go to the grocery store, the pharmacy, or the doctor. We must now maintain “social distance” to prevent infection, staying at least six feet from others.

There were already signs, back in December 2019, of a strange viral disease originating in the filthy live animal markets of China’s Wuhan province. Then it was seen in South Korea, and Japan. Somehow it jumped to Italy, and spread throughout Europe. All the while, from our “distant” perch–despite alarms being sounded by infectious disease and public health experts–our leaders looked on, and did nothing.Read the rest of this entry »


The Democratization of Health and Healing

January 26th, 2020

I’d like to start a movement called “Humans for the Democratization of Health and Healing.” The movement will include many stakeholders: patient/consumers, healthcare practitioners, industry, and government. It will question the traditional relationships among all of these entities. And it will demand change from them all–including myself!Read the rest of this entry »


The War on Health Care

July 10th, 2019

Our health care system is in crisis. Everyone feels it. Premiums and deductibles keep rising, provider networks are narrowing, and the bite out of the average American paycheck gets bigger and bigger. Health care has taken center stage in the run-up to the 2020 election.

The Democrat arguments swing from elimination of the private health insurance industry and Medicare-For-All to a public option to buy into the Medicare system.  The Republicans have no plan, beyond destroying the ACA (Obamacare) and crying “socialism!”Read the rest of this entry »


Pain, the Opioid Crisis, and Alternative Care

November 19th, 2018

Drug overdoses killed approximately 72,000 people in in the United States in 2017. This was an increase of 10% from 2016. The two reasons cited are (1) Americans continue to use opioids in increasing numbers, and (2) there are more powerful, deadlier, synthetic opioids available in the underground marketplace—mainly fentanyl, which is 100 times stronger than morphine.  While the latter is the primary cause of fatalities, there is a connection between the two explanations.

It is established that of those who die of opioid overdoses, 80% started their use/abuse of these drugs with a prescription for pharmaceutical painkillers: for football injuries, work injuries, post-surgical pain, dental issues. Too many medical doctors prescribe these drugs routinely.Read the rest of this entry »


Interview: “A Rationale For a Single Payer Health Care System.”

November 9th, 2018

Ricky is interviewed by Michael Finney, consumer affairs reporter for Channel 7 Bay Area and KGO Radio, about his article “A Rationale For a Single Payer Health Care System.”