The beginning of a new year is always a good time to reflect on the medical trends on where we’ve been and where we are going. What are the positive and negative medical trends we’re seeing right now. Despite all the negativism about health care I believe that there is much to be hopeful about whether you are a patient or physician. Of course, there is no shortage of potential policy misadventures that could make things much worse too. I discuss both the good and bad medical trends in this episode.