He is a physician, researcher, writer and expert on the use of medical information technologies. After graduating with a BA in Economics from Swarthmore College, he received his medical degree from Washington University in St. Louis, Missouri. He completed residency training in Internal Medicine at Washington University and the University of Arizona, followed by a residency in Dermatology at Oregon Health and Sciences University. He is the founder and Executive Director of U.S. Healthcare Constitution.org, a non-profit organization dedicated to establishing and defending the rights and responsibilities of, and limitations on, the major participants in the U.S. healthcare system.