Organizations should stay committed to Lean

Regarding the recent article “Presence Health rethinks its Lean initiative,” Lean and Lean Six Sigma are needed in healthcare more than ever. Implementing and then dropping continuous improvement, only to reintroduce it, is one of the reasons people seem to believe it's a fad. When implemented correctly, it can improve the happiness of both customers and employees while also reducing costs, as the writer highlighted in the article.

Andrew Leong

improvement adviser

TQMI Ltd.

Liverpool, England

Regarding “Sanders' health plan revenue again found to fall short of costs," do either of these most recent analyses take into account redirecting the revenue from the vast downsizing of private health insurance markets? Ask any doc's office how much they like dealing with dozens of insurance companies and the several flavors of benefit plans offered by each of them. Ask any large corporation how much they enjoy negotiating with insurers or setting up Employee Retirement Income Security Act (ERISA) plans for their employees.

Michael Mundorff

Salt Lake City