This two-part seminar will take an in-depth look at health care in Rhode Island and in the US, and compare our organization, costs and outcomes to other nations. Session one will look closely at Rhode Island: what we have, how it is organized, how it is funded, who is in charge, and at the public health outcomes that result. Session two will look at health care in the US, at Medicare, Medicaid, private insurance, hospitals, and Pharma and ask similar questions: what we have, how it is organized, how it is funded, who is in charge, and at the public health outcomes that result.
Michael Fine, M.D. is an award-winning author, community organizer, public health leader, and family physician. He is the author and co-author of a number of books including “On Medicine As Colonialism” (PM Press, 2023), which explores how medicine and health care have been used by health care profiteers to co-opt the state’s regulatory power, Medicare, and Medicaid and extract resources from communities; “Health Care Revolt,” an expose, manifesto and playbook that exposes the failures of the health care market to deliver health and plans a movement to build the health care system the US needs (PM Press, 2018); and “Rhode Island Stories” (Stillwater River Press, 2021).
Dr. Fine currently serves as Chief Health Strategist for the City of Central Falls and served in the Cabinet of Governor Lincoln Chafee as Director of the Rhode Island Department of Health 2011-2015, overseeing a broad range of public health programs and services, 450 public health professionals and managing a budget of $110 million a year. He is the recipient of many honors and awards but is most interested in seeing the U.S. create a health care system that is for people, not for-profit, and that starts by providing robust primary care to all Americans, in every neighborhood and community. Dr. Fine lives in Scituate, with his wife Carol Levitt, also a family physician. He has two adult children.