I have an ongoing interest in healthcare.
- I was first CTO for Living Independently, using motion sensors to monitor senior citizens so they could safely live alone longer.
- I was going to join a Complementary Medicine (Alternative Health) startup in 1999, but they failed to get funding.
- I helped start Medscape, 1994-2000.
- I worked for SCP Communications, a medical journal publisher and events manager, in 1992-93.
- I was an internal consultant (Management Engineer) for New York Hospital in 1988-89.
- I did some WorkProcess consulting for Glendale Adventist Medical Center in 1985.
2005: I'm still tempted at times to start a narrow-topic (probably something psych-oriented) healthcare content/community website. I may do it as a side business some time in the future. Might take a Nono Publishing approach of combining a WebLog and a Vertical Search Engine.
- looks like HealthLine beat me to it! :)
- demographic shifts (increasing age) will significantly increase costs
- increasing Chronic Condition-s will significantly increase costs
- US system is optimized for hospital-based care of acute problems
- this doesn't fit with growing areas of demand
- increasing care by lower-skilled professionals, Amateur-s, family-members, and self will be increasingly important
- Trade Guild forces are fighting against this
Some things broken:
- employers get to deduct their expenses of providing Health Insurance, but individuals can't deduct the cost of insurance they buy themselves. (Tax Deduction)
- the prices to buy Health Insurance as an individual Free Agent are obscene. Does risk-averaging really provide a benefit to insurers handling a corporation? That just doesn't smell right. (Group Purchasing)
- if as a Free Agent you focus on a Catastrophic policy (because, after all, it's pretty silly to buy "insurance" to cover standard physician visits), then you pay a ridiculous fee for doctor visits (if you're an HMO member, you pay $15 and the HMO pays maybe another $45; go alone and you pay over $100). (Group Purchasing)
- we focus on benefits for SeniorCitizens, yet they have much more wealth than children - I think we need Means Testing for Social Security, Medicare, and everything else.
- just because medical technology makes certain interventions possible, that doesn't mean it's a good idea for the individual. While I'm OK with letting them make that choice for themselves, I'm not convinced the rest of us need to pay for it.
- many late-life health issues are a direct result of personal Life Style decisions: Smoking, excessive alcohol (Drink Ing), sedentary life (Obesity), super-fatty diets, etc. Why should the rest of us bear the burden of bad Physical Fitness choices?
- Arnold Kling on using Reputation Management instead of Paternalism - he notes Drug Regulation issues, I think Malpractice would be interesting.
- I think EHealth systems (e.g. EMR) are being mis-designed as overly-scoped messes, rather than be focused on specific areas of problem, like Medical Error-s, that can be attacked by specific behavior changes (e.g. Online Prescribing).
books on the future:
covered by MedBlog-s