Re: Would patients like to be able to email their doctors?

From: Carey Gregory (tiredofspam123_at_comcast.net)
Date: 12/29/04

  • Next message: Frankie: "Re: Any link between acne, gingivitis, nail fungus, and skin lesions/scars?" 
    Date: Tue, 28 Dec 2004 22:30:31 -0500

    "cicero" <maisenberg@comcast.net> wrote:

    >It's not really a crusade. More like a "project".

    And a big one. Big as in huge, as in years, maybe even decades of work by
    many.

    >With many comitted
    >players--more than 4000 extant local, regional and sectoral health
    >networks.

    A tiny fraction of the players needed to play, and yet still a huge number.
    That's my point. Once you get beyond a group of people who can meet in one
    room, the project gets immensely difficult.

    >The Markle reports really lay out the best of the collective wisdom of
    >health informatics, health engineering, clinical practice, health
    >"industry" and others--each of which discipline house some "true
    >believers" willing to compromise their own unilateral "best interest"
    >in favor of a colelctive "common good."

    First off, I would be extremely skeptical of anyone willing to sacrifice
    their own best interest for the common good. That makes them either insane,
    financially suicidal, or liars. Guess which one I think is most likely.

    >What a revolutionary
    >concept--think of it--GE, Mass General, HCA, St. Paul, Pharma and
    >dozens of others all agreeing to try to achieve the same thing.

    Well, I hate to be the one to tell you this, but this isn't revolutionary in
    the least. You're heading down a well trodden path and it would behoove you
    to look at the experience of those who have gone before you.

    (Can you spell "paperless office?")

    >Maybe
    >it will blow up before being fully realized--just like HCCC (health
    >care cost contianment) did after the insurers figured out how to co-opt
    >"preferred provider" in the '80s.

    More likely it will simply get bogged down in a swamp of competing interests
    and differing standards with no compelling financial incentive to make the
    differing interests negotiate and compromise. Compromise will be necessary
    to make this happen. Now ask yourself why any of the players should
    compromise. If you can't think of a compelling answer with demonstrable
    *financial* benefits to the players, then the project is little more than a
    good idea that's destined for the graveyard of good ideas (which is
    currently in danger of overflowing).

  • Next message: Frankie: "Re: Any link between acne, gingivitis, nail fungus, and skin lesions/scars?"

    Relevant Pages

    • Re: Would patients like to be able to email their doctors?
      ... > and differing standards with no compelling financial incentive to make the ... > differing interests negotiate and compromise. ... It's fine to address the big players, but about 70% of the players at the ... tip of the spear - providers and smaller provider/systems/networks - are ...
      (sci.med)
    • Re: TOP TEN ISSUES IN ULTIMATE
      ... a foul that occurred against him in order to press an advantage and, ... despite not being players, they probably have more of an effect on the ... An 'excellent compromise' is not reason for withholding legitimate ... The notion of having 'opponents' (honest ...
      (rec.sport.disc)
    • Re: ECB vs Pietersen - battle heats up
      ... compromise and releases the players for the IPL next year... ... Bharat [actually I was unaware of that tour] ...
      (rec.sport.cricket)
    • Benitez says no to rotation policy ...
      ... Rafael Benitez is determined there will be no compromise in ... Liverpool's squad rotation policy - irrespective of how many ... complaints he receives from big-name players. ...
      (rec.sport.soccer)
    • Benitez says no to rotation policy ...
      ... Rafael Benitez is determined there will be no compromise in ... Liverpool's squad rotation policy - irrespective of how many ... complaints he receives from big-name players. ...
      (uk.sport.football.clubs.liverpool)