Complaining about health care prices is nothing new. The medical component of CPI has been higher than the overall CPI for decades. As far back as 1989 Gerry Anderson and colleagues showed "It's the Prices, Stupid" that explained why our national spending was so high compared to other countries. More recently, Elizabeth Rosenthal detailed those prices in an series of reports in The New York Times. She recently followed those up with her incisive book An American Sickness. Dr. Rosenthal also illustrated some of the clever techniques used to wring the most money out of our pockets, such as the upcoding industry and tacking facility fees onto visits. As the saying goes, if you're sitting at a poker table and you can't figure out who the sucker is, it's you.
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Kangaroos, Insurance Companies, and the Rising Cost of Healthcare
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When the Hacker Ethic Meets Old Ideas About Brand
Open organizations apply principles from open source software development more broadly. Existing organizations find the open approach appealing because it promises gains in productivity and efficiency—but openness may have farther-reaching consequences than we anticipate or intend. One influential set of open principles comes from Steven Levy's book about the early history of the computing revolution, Hackers. Levy lays out what he calls "the Hacker Ethic," and it begins with "the Hands-On Imperative"...
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A Left-Handed Software User's Plea
Left-handed people face many challenges in a right-hand dominated world. For the 10% of us who live under their oppression, it can be maddening. In the early 20th century, my left-handed grandfather was forced to write with his right hand in school, making his handwriting completely illegible. What would great lefties like George H.W. Bush, Bart Simpson, Lt. Cmdr. Data, Barack Obama, or Bill Gates think? At least we have advanced a little... but not enough...
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CoderDojo merges with the Raspberry Pi Foundation
In late May, CoderDojo Foundation, which runs a volunteer-led network of coding clubs for children around the world, announced that it was merging with the Raspberry Pi Foundation. This is a significant development that has tremendous potential to impact education, the maker movement, and the growth of coding around the world. By working together, Raspberry Pi and CoderDojo will create the world's largest effort to involve young people in computing. "This merger presents a huge amount of opportunity to learn from one another, share opportunities, and became a more robust and sustainable movement that is supporting safe spaces for children of all ages to get creative with technology," says CoderDojo executive director Giustina Mizzoni...
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What Does it Mean to Have an Open Mindset?
Successful companies are those that grow and expand. But bigger companies often need more managers. Excessive layers of management can instill cumbersome bureaucracy in a company, and bureaucracy can become a significant problem for companies when it can causes wasteful resource allocation, decreases productivity, and decelerates innovation. We can observe that open thinking can challenge or overcome potential problems of bureaucracy. Even if your company isn't a software company, it's still possible to adopt the mindset prevalent in free and open source software communities and instill openness within your company's culture...
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Tips and Top Presentations from Write the Docs Portland 2017
Imagine a room full of smart, funny, and quirky people who all love documentation, technology, and... food. Put all that together and you have Write the Docs (WTD) in Portland—a community conference where documentarians meet to discuss the things we love the most. WTD is a direct descendant of Read the Docs, a site that hosts documentation of open source software. Because of its origin in the open source movement, WTD is open to a variety of job titles who all care about documentation and clear communication. This year, we had QA people, librarians, software developers, and, of course, technical writers and editors, with some User eXperience (UX) people thrown in for good measure...
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4 Easy Ways to Work Toward a Zero Trust Security Model
There has been a lot of talk about zero trust networks lately, but little consensus about what they actually are. Similar to DevOps or software defined networking, that zero trust means something a little different to everyone is becoming clear. That said, there is one thing we can all agree on: The network cannot be trusted. At its core, zero trust is a security model. Any system operating in a way that completely removes trust from the underlying network is said to be conformant to the model. As you might imagine, there are many ways to accomplish this goal, some more robust than others. All zero trust implementations, however, rely on extensive authentication and authorization processes that can be sprinkled liberally throughout the infrastructure...
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Improving Healthcare Delivery: Data as Service Provider
We have all experienced, or know someone who has experienced, problems with our healthcare delivery systems. To be sure, there are commonalities among the issues that arise but each patient’s situation has unique, personal features. These differences can lead to vastly different outcomes, including those affecting family caregivers. Consider a couple general examples. There can be a range of medical errors, whether caused by physicians or other medical personnel, some largely inconsequential and others leading to devastating outcomes; there can be discontinuity of care with siloed or non-integrative providers and procedures where each sector of the medical profession is working to solve the body part problem in their limited sphere and coordination is hard to achieve...
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A New Perspective on Meritocracy
Meritocracy is a common element of open organizations: They prosper by fostering a less-hierarchical culture where "the best ideas win." But what does meritocracy really mean for open organizations, and why does it matter? And how do open organizations make meritocracy work in practice? Some research and thinking I've done over the last six months have convinced me such questions are less simple—and perhaps more important—than may first meet the eye...
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Health Care's Kodak Moment
For those of us of a certain age, a "Kodak moment" connotes a special event that should be captured by a photo, presumably on Kodak film. For younger generations, the term probably doesn't mean anything, because they don't know what Kodak is and have never seen film. That's why, for some, "Kodak moment" has come to suggest a turning point when big companies and even entire industries can become obsolete. Health care could soon be at such a point. Anthony Jenkins, a former CEO of Barclay's, recently warned that banks could face a Kodak moment soon...
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