Sunday, May 31, 2009
Tuesday, May 26, 2009
This is obviously a great idea: A $10 million prize for designing a better healthcare system. Thumbing through the website, this stuck out:
Consumer(1) engagement: Consumers must opt-in to any programs the teams offer. The assignment of people to a team makes high rates of participation a requirement for success.And there's the rub: People do things that are harmful to themselves. And, just as infuriatingly, people irrationally do other things with no demonstrable benefit in hopes of protecting themselves. An X Team can tell people not to smoke, for example, but who hasn't heard that before? In fact, is there anyone in America who smokes but hasn't heard, at least a million times, that smoking causes lung cancer, emphysema, chronic bronchitis, bladder cancer, hastens heart disease, etc, etc, etc? Or food: who would choose hypertension, hypercholesterolemia, diabetes, coronary artery disease, and non-alcoholic steatohepatitis over health? Everyone who eats beef more often than once a week, it turns out, and probably everyone who eats McDonald's more than once a month.
1. Healthcare is not a commodity for consumption. Medical care is the energy, skill, and literally care a physician or nurse uses to lighten the load carried by a patient, a sufferer, a fellow human being who bears a burden.
Friday, May 22, 2009
Monday, May 18, 2009
Can we all just agree not to say "as per..." ever again? It is annoying, because no one seems to know what it means. It is impersonal, shifting authority, blame, and responsibility to the cloud.
Next time you are about to say it, just ask yourself if you really need both the "as" and the "per," and since you probably don't, ask yourself if you wouldn't sound like an ass if you said "per." Since you would, and the "as" doesn't add anything, you sound like an ass when you say both together.