Singapore’s Healthcare is best. Can we use it here?

In our book, The Boids and the Bees: Guiding Adaptation to Improve our Health, Healthcare, Schools and Society, we described what we thought was the best health care system in the world. Our guiding principle was helping people make good decisions about their care and giving them the financial power to implement those decisions. The key to the […]

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Restructuring Health Care

There has been an increase in chatter about our health care system recently, The Senate held hearings in February on revising Medicare and there have been several comments in JAMA in this vein. The diagram above represents the solution proposed by Michael Porter and Thomas Lee in the Harvard Business Review under the title of “Why Health […]

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Fear and the War on Drugs

Last year the Organization of the American States (OAS) had a conference that dealt largely with our drug problems and the violence associated with them. It was easy for the conferees to see that the root of the problem was all of the money pumped into this system by purchasers in the U.S.  It was […]

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Ebola update

The authoritative news is that we are safe from outside attacks because we have a good system. But, like our military that always seems to be fighting the last war, our authorities seem to be ignoring the abilities our pathogens have to adapt. We are told, for example, that ebola is not transmitted from a […]

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Cyborg Science? Just say NO!

I just learned about Cyborg science the other day. The phrase comes from the book, Machine Dreams: Economics Becomes a Cyborg Science, by Philip Mirowski. A cyborg is a combination of man and machine. It’s a good term to describe how common it is for ‘scientists’ to use mathematics to describe, influence, and exert control over […]

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*Insurance is designed to pay for the unexpected crisis. Health insurance started that way in the U.S. but gradually, because the companies we work for were paying for it and getting a better tax break, it morphed into paying for it all. That means we have less interest in getting the ounce of prevention than if we were paying for some of those costs. Children we talk to about the dangers of drugs just say they’ll get a brain transplant if they burn theirs out. That’s why we think that Health Savings Accounts should be promoted by the government more; they put the individual back in a position of responsibility in making more choices in their health care. With Health Savings Accounts an ounce of prevention is worth a pound of cure.

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