Disruptive medicine technology
Medicine, like education, is a convoluted industry that seems more interested in bilking people out of their earnings than one in which public service is the goal.
The monstrosity we now call health care is so enormous that it's eating the US government's budget -- feeding off the gigantic teat of the wage earners in this country.
Medicine, as a model, is now ripe for an infusion of technology, the likes of which created a subeconomy out of a music player. we can do for diagnostic medicine what Apple and Steve Jobs did for portable computing.
Four years ago the President told us that we were embarking on a jorney to digitize health care records in a way that would streamline the industry and the patient experience.
That didn't happen. i recently visited a walk-in clinic that was in my health care insurance "network" and stepped up to the counter, where I was asked, "Who sent you?"
"Nobody. Me." How else was I supposed to answer that question? I'd never been asked that when visiting a medical facility. I had an issue and decided to take myself in for an expert diagnosis and treatment. How else do people find themselves in a doctor's office?
Then I remembered when I had worked for a turkey processing plant and how they had medical staff onsite that dealt with work injuries and other issues that would otherwise hit the plant's productivity. When their was an injury that required medical treatment, the worker was sent to the plant physician -- usually a private doctor under contract with the plant for just such occasions.
So the majority of the patience entering this clinic were workers of a plant who had a business relationhip with the facility; it was common for plant medical personnel to send a worker in for treatment.
But the look and feel of the clinic, as well as the way I was handled, felt like something I would expect from one in a third-world country. I was surrounded by people who were obviously poor, didn't speak the language or were dressed in work attire. This was not the clientele of any doctor's office I had ever visited before.
My next thought was that my company had obviously made a deal with the lowest grade health care provider they could possibly find -- a way to save some money on their health care costs.
This is only my most recent encounter with today's medical industry. I'm thinking this is probably the tip of the iceberg nightmare faced by the broader population.
What has happened to medicine? In 1958, all the medical expenses for the birth of my parents' first child cost about two weeks of Dad's salary, without insurance. In today's dollars, let's call that $2,500. IA friend recently had a baby and their out-of-pocket expenses alone were more than $10,000, and their insurance company paid the lion's share of the costs.
To answer the question above, regarding what's happened to medicine, insurance. That's right, insurance is the reason this has become such a huge profit center of our very culture.
Over time, preditory business interests have taken over the entire medical establishment to the point where they have the resources to write legislation to enrich themselves and ensure market advantages while holding the American people hostage.
It was a slow process that began with a simple promise. You pay an insurance company a little out of your paycheck every month, and they'll pay your medical bills. If you required treatment catastrophic injury or disease, the insurance company would pay the bills.
Fast forward to today. You not only have to pay skyrocketing premiums, but you also have to pay huge annual (or per illness) deductibles and growing amounts for copays at every turn.
Insurance companies have effectively removed market forces out of the health care market and have successfuly driven up the prices of everything having to do with the practice of medicine.
Technology and science can solve these problems. We can essentially knock the legs out from under the insurance companies and handle 95% of our own medical needs through self care.
The technology now exists that will allow us to monitor our health and detect abnormalities that were once only in the wheelhouse of big hospitals. And this can be done far more efficiently and with a granularity of data that has never been possible before.
How often is your heartrate or blood pressure or core body temperature read? Usually when you visit the doctor, whch for some of us is practically never. At best it's a few times a year. It's statistically impossible to get rolling averages and trends that have any meaning when your data set has between 0 and 3 entries. Technology can increase the resolution to hundreds of times every day -- and correlate that data with events.
That's just one approach. There are many other dagnostic tools that we can put in our hands that will advance medicine for both the patient and the doctors, moving disgnostics ahead by miles instead of inches.
A lot of times a doctor only gets to see a snapshot of your vitals in one instance. The values themselves can only give current state information. But it's the changes over time that can give the big picture far more clarity, revealing much more about what's happening inside your body and why.
Now if we take that richer dataset and combine it with everyone's trends, averages and causal factors, we can now build disgnostic models that tell an elaborate story about how to treat illness and injury.
It's ridiculous that medicine is in such a dark age today, knowing what we have learned in the last 100 years. Doctors and medicine in general is almost secretive about human health. What is known about the human body should be accessible by everyone at a glance. What is well known and understood by the medical community should be presented in an open-source way so that everyone has a clear understanding of what causes illnesss and what can be done immediately to prevent it, treat it or cure it.
There ought to be an app that tells us everything that can be known about our bodies. More thought has gone into monitoring the mechanical health of cars and trucks than has gone into the health of the human body. A mechanic at the shop can know instantly the speed, location and fuel efficiency of a fleet truck 1,000 miles away. In fact he get a graph of all his fleet vehicles' statistical trends, even making any number of adjustments on the fly.
Why can't we as a civilized society give the same attention to the human condition? Why can't we decide to end medical profiteering because it's immoral to let it continue?
Bringing medicine into the 21st century is a moral calling and it's not beyond the human capacity to push back against powerful lobbies; they only have the power we permit them to have through our legislature and courts.
The true entitlement society is not the young or the poor or the elderly, but corporations -- and the industry as a whole -- who believe it their calling to generate huge and growing profits from the suffering of an entire society, and will fight tooth-and-nail to keep it.
The pledge every political candidate should be to end this kind of entitlement thinking. No judge and no legislator should think it beyond his or her own moral calling to weed out the takers of our wealth who would keep us in the dark ages of medicine and deny us the right to flourish with the skill and knowledge we have gained since the American revolution.
We need a truly disruptive technology in medicine that will make obsolete the corporatist health care complex.
The monstrosity we now call health care is so enormous that it's eating the US government's budget -- feeding off the gigantic teat of the wage earners in this country.
Medicine, as a model, is now ripe for an infusion of technology, the likes of which created a subeconomy out of a music player. we can do for diagnostic medicine what Apple and Steve Jobs did for portable computing.
Four years ago the President told us that we were embarking on a jorney to digitize health care records in a way that would streamline the industry and the patient experience.
That didn't happen. i recently visited a walk-in clinic that was in my health care insurance "network" and stepped up to the counter, where I was asked, "Who sent you?"
"Nobody. Me." How else was I supposed to answer that question? I'd never been asked that when visiting a medical facility. I had an issue and decided to take myself in for an expert diagnosis and treatment. How else do people find themselves in a doctor's office?
Then I remembered when I had worked for a turkey processing plant and how they had medical staff onsite that dealt with work injuries and other issues that would otherwise hit the plant's productivity. When their was an injury that required medical treatment, the worker was sent to the plant physician -- usually a private doctor under contract with the plant for just such occasions.
So the majority of the patience entering this clinic were workers of a plant who had a business relationhip with the facility; it was common for plant medical personnel to send a worker in for treatment.
But the look and feel of the clinic, as well as the way I was handled, felt like something I would expect from one in a third-world country. I was surrounded by people who were obviously poor, didn't speak the language or were dressed in work attire. This was not the clientele of any doctor's office I had ever visited before.
My next thought was that my company had obviously made a deal with the lowest grade health care provider they could possibly find -- a way to save some money on their health care costs.
This is only my most recent encounter with today's medical industry. I'm thinking this is probably the tip of the iceberg nightmare faced by the broader population.
What has happened to medicine? In 1958, all the medical expenses for the birth of my parents' first child cost about two weeks of Dad's salary, without insurance. In today's dollars, let's call that $2,500. IA friend recently had a baby and their out-of-pocket expenses alone were more than $10,000, and their insurance company paid the lion's share of the costs.
To answer the question above, regarding what's happened to medicine, insurance. That's right, insurance is the reason this has become such a huge profit center of our very culture.
Over time, preditory business interests have taken over the entire medical establishment to the point where they have the resources to write legislation to enrich themselves and ensure market advantages while holding the American people hostage.
It was a slow process that began with a simple promise. You pay an insurance company a little out of your paycheck every month, and they'll pay your medical bills. If you required treatment catastrophic injury or disease, the insurance company would pay the bills.
Fast forward to today. You not only have to pay skyrocketing premiums, but you also have to pay huge annual (or per illness) deductibles and growing amounts for copays at every turn.
Insurance companies have effectively removed market forces out of the health care market and have successfuly driven up the prices of everything having to do with the practice of medicine.
Technology and science can solve these problems. We can essentially knock the legs out from under the insurance companies and handle 95% of our own medical needs through self care.
The technology now exists that will allow us to monitor our health and detect abnormalities that were once only in the wheelhouse of big hospitals. And this can be done far more efficiently and with a granularity of data that has never been possible before.
How often is your heartrate or blood pressure or core body temperature read? Usually when you visit the doctor, whch for some of us is practically never. At best it's a few times a year. It's statistically impossible to get rolling averages and trends that have any meaning when your data set has between 0 and 3 entries. Technology can increase the resolution to hundreds of times every day -- and correlate that data with events.
That's just one approach. There are many other dagnostic tools that we can put in our hands that will advance medicine for both the patient and the doctors, moving disgnostics ahead by miles instead of inches.
A lot of times a doctor only gets to see a snapshot of your vitals in one instance. The values themselves can only give current state information. But it's the changes over time that can give the big picture far more clarity, revealing much more about what's happening inside your body and why.
Now if we take that richer dataset and combine it with everyone's trends, averages and causal factors, we can now build disgnostic models that tell an elaborate story about how to treat illness and injury.
It's ridiculous that medicine is in such a dark age today, knowing what we have learned in the last 100 years. Doctors and medicine in general is almost secretive about human health. What is known about the human body should be accessible by everyone at a glance. What is well known and understood by the medical community should be presented in an open-source way so that everyone has a clear understanding of what causes illnesss and what can be done immediately to prevent it, treat it or cure it.
There ought to be an app that tells us everything that can be known about our bodies. More thought has gone into monitoring the mechanical health of cars and trucks than has gone into the health of the human body. A mechanic at the shop can know instantly the speed, location and fuel efficiency of a fleet truck 1,000 miles away. In fact he get a graph of all his fleet vehicles' statistical trends, even making any number of adjustments on the fly.
Why can't we as a civilized society give the same attention to the human condition? Why can't we decide to end medical profiteering because it's immoral to let it continue?
Bringing medicine into the 21st century is a moral calling and it's not beyond the human capacity to push back against powerful lobbies; they only have the power we permit them to have through our legislature and courts.
The true entitlement society is not the young or the poor or the elderly, but corporations -- and the industry as a whole -- who believe it their calling to generate huge and growing profits from the suffering of an entire society, and will fight tooth-and-nail to keep it.
The pledge every political candidate should be to end this kind of entitlement thinking. No judge and no legislator should think it beyond his or her own moral calling to weed out the takers of our wealth who would keep us in the dark ages of medicine and deny us the right to flourish with the skill and knowledge we have gained since the American revolution.
We need a truly disruptive technology in medicine that will make obsolete the corporatist health care complex.
