Friday, April 20, 2007

Health Care As A Spectrum


Culture Shift
  • Better eating, sleeping, exercise habits
  • Shift primary focus from illness to wellness
  • Incentivize good behavior
Bedrock Basic Care
  • A national grid of medical clinics that provide basic care to anyone who walks in
  • As the country gets richer you add number and quality of services offered
Basic Universal Insurance
  • For the next level services not offered by bedrock basic care
  • Private sector
  • Managed competition
  • Plenty of market forces so there is a constant push to bring down costs and enhance quality
Advanced Health Insurance
  • For services not covered by Bedrock Basic Care and Basic Universal Insurance
  • Purchased by those who can afford it and those who qualify for associated government programs
  • Plenty of market forces so there is a constant push to bring down costs and enhance quality
Flight Into Space Kind Of Health Insurance
  • If the super rich want super care at super expensive rates and can afford it, let them have it
  • Over time services move from the right to left


When you say universal health insurance, that can sound like you are saying no matter who you are, no matter what disease you have, no matter how expensive an operation you need, you will get it. That would be utopia. And any such promise would be a lie, not humanly possible. There is no such thing called a blank check.

Take a look at the table above.

Left takes pressure off of right. As in Culture Shift takes pressure off of Bedrock Basic Care which takes pressure off of Basic Universal Insurance and so on. Right adds to the quality of left over time. So what was once only available to those with Advanced Health Insurance can end up being part of the Bedrock Basic Care package over time.

This way health care is universal. It is unnecessary for the vast majority of the people for vast stretches of time. It is there when it is needed. The market forces are at work. Innovation is not muffled. Money is made. Profit is made. There is competition. So costs don't go up when they don't have to.

Health Care Options
The Spectrum Concept: Wide Applications
The Spectrum On Gender
The Spectrum/Dialogue Concept Is Key To Power

Something similar should be thought of in terms of education. If you put all books and all journal articles online that are "free" and supported by ads, you are putting all that in the Bedrock Basic Care compartment. The technology is already there. I am working on my autobiography that way. I am not looking for a publisher. I am publishing it as I am writing it. Online. Ads are displayed. It is so easy to do. All it will take is for some college textbook writers to follow in my footsteps. And there will be a deluge. Money will still be made. But there will be no artificial profits.

Bill Clinton's Gore Offensive

Never underestimate Bill Clinton. He just might talk Gore into jumping into the fray to split up what he thinks is the male voting block. Well, Obama has the Spitzer option.

In The News

India marks 'wedding of century' CNN International
Bollywood couple's low-key wedding disappoints celebrity-mad India The Age A woman claiming to be the lover of Bachchan slashed her wrist in front of the actor's home. ..... Police later arrested the woman, who they said was a struggling fashion model. ..... the guests — much like Liz Hurley's guests at her nuptials with Arun Nayar — were sworn to secrecy. .... the union was a gathering of the who's who of India. Top industrialists, film stars and politicians attended. ...... The most conspicuous absence was that of the other big dynasty that dominates Indian life as much as the Bachchans — Congress Party leader Sonia Gandhi and her children. ...... The two families used to be inseparable. It was Amitabh's mother, Teji, who gave Sonia away at her wedding to Rajiv. ..... Their children grew up together. The family albums are full of shared picnics, dinners and holidays. But at some point after Rajiv's assassination, a rift occurred between Sonia and the Bachchans. They have been estranged since. ....... Speculation was rife that the Gandhis would be invited, but the Bachchans evidently decided to seal the estrangement. ........ The gold-embossed invitation cards were four-pages long and came in a box, accompanied by flowers and traditional Indian sweets. ...... The henna was brought in especially from Rajasthan, the brocade silk saris were from Benares and the white tents air-conditioned.
No PowerPoint? Google will offer a free alternative Indianapolis Star
New Star Sanjaya Malakar Plans On Hiring Bodyguard
Playfuls.com He dropped out of high school after his sophomore year and later obtained a GED. ...... While most people believe it was the “American Idol” haters who kept Sanjaya on the show for so long, the 17-year-old Indian thinks it was his fans alone who voted for him. .... Speaking about the Idol contestants and the outside world, Sanjaya said they are kept busy and isolated. ...... "We're in a bubble . . . . I got inklings every once in a while of something different going on that I guess was a cultural phenomenon, but I don't think it really has hit me yet how big it is."
Barack Obama outlines energy policy MSNBC Obama seeks to cut greenhouse gas emissions from cars by five percent in 2015 and ten percent in 2020. The idea echoes California's approach.
Obama: Change gun laws for mentally ill
MSNBC
A new era of black political leaders
Obama critical of McCain over Iraqi visit
Obama dismisses notion of VP spot
Obama: U.S. ready for health care reform Obama said his fundraising success was proof that the nation's political mood was shifting and that Americans were eager to embrace new ideas. ..... take our country back...... Obama noted that in previous campaigns, presidential candidates have offered detailed proposals without building that political support
Sculpture of Obama as Jesus causes stir the plan he'll eventually support will offer universal coverage and will squeeze efficiencies out of the health care system. It also will stress preventive programs, such as weight control. .... "Standing pat is not an option." ..... Obama said if he was starting from zero, he would likely support a single-payer system, similar to the government-run program in Canada. But he's leery of taking such a step because the United States already has a complex and established system of employer-based health coverage. ....... "The government is already covering half the people," said Obama ...... Medicare, Medicaid and veterans health systems ..... Obama cited his mother's struggle with health care as she dealt with ovarian cancer. She died at age 53. ..... Obama said he was surprised that few at the meeting were willing to scrap the system. ..... "There are no simple answers," Kirsch said.

Dems and former President Clinton reach out to black leaders Staten Island Advance
To Bill Clinton, Obama's just one of the pack
Chicago Tribune
Bill Clinton: Hillary would be best; Gore might run; Dems have ... USA Today "you have got the prospect that vice president Gore might run." ..... Sen. Hillary Rodham Clinton, "would be the best president by a good long stretch, for all kinds of obvious reasons -- or at least they are obvious to me. ... But she also genuinely loves her job in the Senate. ... So for her personally, she is going to (be) fine regardless. "






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