Thehealthcareblog iconThehealthcareblogSep 10, 2026 ~8 min source read

Matthew Holt’s April Fools’ THCB relaunch pivots from health care to renewable energy, fly fishing and sailing

A 2010 April 1 post by Matthew Holt jokes that The Health Care Blog will shift its focus now that a fictional law has ‘solved’ health care; commenters flagged the joke by pointing to the legislation’s name and the proposed new journal title.

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The post is an April Fools’ piece proposing THCB change its focus to renewable energy, fly fishing, and sailing after claiming health care problems were ‘‘solved’’ by a named law.

Several regular contributors are mentioned as retiring to leisure activities or switching careers in the joke, including Brian Klepper, Bob Wachter, Jeff Goldsmith, and Maggie Mahar.

A commenter highlighted two giveaway signs the post was a joke: the legislation’s name in the first sentence and the new journal name in the last sentence.

The useful part

Given that all the major problems in the health care system in the US have more or less been solved by the recent law, it's apparent that a blog focusing on only health care is going to be pretty superfluous. Some of the more frequent and most important THCB contributors are have also subtly told us that they're ready to move onto other things. Bob Wachter has decided that with a combination of the new health care bill and with Don Berwick taking over all his work on patient safety, hospital care is about as good as it's going to get.

How it works

  • Jeff Goldsmith has worked out an arrangement with Maggie Mahar in which Jeff is retiring to Colorado to pursue his two loves of downhill skiing and fly fishing.
  • Another 364 days to go till we hear how they did with the new rum importing biz and solo practice.
  • Matthew: if you think You're tired of healthcare–imagine how you'd feel if you wrote 20,000 word posts and comments.
  • Granted, this is limited experience, but seeing as how your 1.5 years of high school physics qualifies you to lead analysis efforts on renewable energy, I think this works out okay for everyone.
  • (Maggie will have to raise her rates to make this work.) Most people of course realize that it is kinetic energy which allows a sailboat to move faster then the wind but I think Matt has a much grander plan...

What to take from it

When my children were young, I could ask them, but they're no longer at home.) But I did start laughing when I read the first line. Bob is going to stay in health care, but he's taking a crack at the issue of the rural physician shortage by moving to Idaho to start a solo primary care practice. He'll be opening his new practice just as soon as the bunker is built and stocked with sufficient supplies.

Example or evidence

  • I forgot it was April 1 (absent-minded professor–never know what day it is.
  • Leave a Reply Your email address will not be published.
  • For THCB itself, it's clear that with health care wrapped up, we need to turn to new challenges.
  • I'm really excited to lead this effort, and will be putting into practice my year and a half of high school physics to assess the various proposals and technologies for solving the world's energy crisis.

Details worth keeping

He'll be sending us regular reports on the latter. She'll be sending Jeff half her speaking fees. For the past several months John Irvine, THCB's managing editor, has been learning about the market by driving his SUV all over New Jersey and even sometimes into states where he has to pump his own gas.

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