11 Things About Health Care I'm Dying to Redesign

The folks at Ideo recently published 19 Things We're Dying to Redesign, covering a wide range of products, services, and systems, both big and small.  It's very thought-provoking, but only one of them addressed a health care topic (oddly enough, incontinence). If there is an area of our lives that badly needs redesign, it would be health care. And not redesigning it sometimes literally results in us dying. Let's start with a clean slate. I'm not as ambitious as Ideo, in terms of the breadth or number of topics, but here are 11 things about heath care that I'm dying to redesign...

Only Trump Can Go To Single-Payer

Today, I want to submit to you that only Trump can make single-payer health care happen in this country. Only a billionaire, surrounded by a cabinet of billionaires, representing a party partial to billionaires, can make that hazardous 180 degrees political turn and better the lives of the American people, and perhaps the entire world as a result. Oh, I know it’s too soon to make this observation, but note that both Mr. Nixon and Mr. Begin were deeply resented (to put it mildly) in their times, by the same type of people who find Mr. Trump distasteful today.

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A DIY Pharmaceutical Revolution Is Coming—If It Doesn’t Kill Us First

Kristen V. Brown | Gizmodo | August 2, 2017

As Mixael Laufer tells it, the vision came to him in El Salvador. Laufer was visiting Central America as a human rights envoy, touring a tiny, rural mountain town with the Marin County Peace and Justice Coalition. When he arrived at the town’s medical clinic, it had just run out of birth control. “I thought to myself, ‘This is a country where there are there are methamphetamine and ecstasy labs everywhere. Birth control isn’t that much more complicated,’” Laufer told Gizmodo. “‘Why aren’t these people just making their own birth control?’”...

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Ransomware Costs N.Y. Hospital Nearly $10M

Steven Porter | Health Leaders Media | July 28, 2017

A hospital that lost control of its computers last spring when hackers unleashed ransomware on its systems has paid nearly $10 million recovering in the past few months. The hackers had demanded nearly $30,000 worth of bitcoin as ransom, but officials with Erie County Medical Center in Buffalo, New York, declined, knowing there would be no guarantee that the attackers would fully remove their malicious software once paid off, The Buffalo News reported Wednesday.

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Daring to Defend the Federal Bureaucracy

Charles S. Clark | Government Executive | August 2, 2017

In an age where “unelected bureaucrats” is a common Washington epithet, give credit to a law professor, former college president and experienced federal manager for cutting against the grain. “The need for a robust civil service has never been greater,” writes Paul R. Verkuil in Valuing Bureaucracy: The Case for Professional Government. “To be effective, government must be run by professional managers,” says the former president of William and Mary College who served five years in the Obama administration as chairman of the Administrative Conference of the United States...

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Feds' Rampant Use of No-bid Contracts the Essence of Corruption

David Williams | The Hill | August 1, 2017

Secretary of Veterans Affairs (VA) David Shulkin just awarded a contract worth billions of dollars to Cerner, a health technology company. Secretary Shulkin, who was seeking a firm to build the VA's new electronic health records system, awarded the contract without even considering proposals from other companies. Such "no-bid" contracts are an outrage. Companies seeking the government's business should compete on price and quality — just like firms that operate exclusively in the private sector...

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Opioid Epidemic Makes EHRs Essential to Public Health

When public health is threatened by an outbreak of SARS or Zika or avian influenza, widely disseminated information becomes a crucial tool used to curtail the spread of disease. But transmittable diseases are not the lone threats to public health. Other metaphorically pathogenic events—the current opioid epidemic, for example—are more effectively managed by making sure doctors have complete information when evaluating patients and, especially, writing prescriptions.

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Apple Is Fighting A Secret War To Keep You From Repairing Your Phone

Damon Beres and Andy Campbell | Huffington Post | June 9, 2016

Your shiny new iPad Pro is on the fritz. The touchscreen is cracked and isn’t working properly. You could take it to an affordable local repair shop, but mom and pop may not know how to heat up the glass ​just enough to separate the LCD from the rest of the device — it’s a complicated process that involves an acute understanding of the tablet’s insides. Once they’ve cracked open the iPad, they may not even know what to do to replace each component...

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Millions of Americans Live Nowhere Near a Hospital, Jeopardizing Their Lives

Caitlin Ostroff and Ciara Bri'd Frisbie | CNN | August 3, 2017

As a nurse practitioner, Wanda Liddell knew it was a medical emergency when she saw one of her patients struggling to breathe last month. But in her backcountry town of Cross City, Florida, the ambulance took 30 minutes to arrive. Even worse, it was another 45 miles to the nearest hospital. Liddell faces this situation often and always wonders, what if? She is one of many medical providers working in towns 30 miles or more from a hospital, a distance that can make the difference between life or death...

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How Time-series Databases Help Make Sense of Sensors

Infrastructure environments' needs and demands change every year and systems become more complex and involved. But all this growth is meaningless if we don't understand the infrastructure and what's happening in our environment. This is where monitoring tools and software come in; they give operators and administrators the ability to see problems in their environments and fix them in real time. But what if we want to predict problems before they happen? Collecting metrics and data about our environment gives us a window into how our infrastructure is performing and lets us make predictions based on data. When we know and understand what's happening, we can prevent problems, rather than just fixing them...