This is the blog of someone very smart who is in the healthcare industry. I have known this individual for a quarter of a century and can attest to their wit, humanity and condor. As this person works so hard to help people in a crumbling system, their posts are not as frequent as an avid reader such as myself might desire. But, you would do yourself a disservice to dismiss the observations.
Anonymity is essential for this writer, so don't ask. The truth is the trade off, so to speak.
Do yourselves a favor... read it.