tag:blogger.com,1999:blog-59271016069445772022024-03-12T18:00:03.509-07:00HealthReformOlogy ™Transfromation-Rx Creates 'Prescriptions for Change' for the Evolving Health SectorTransformation-Rxhttp://www.blogger.com/profile/01045436073099463855noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-5927101606944577202.post-26266836496169430142010-03-15T09:56:00.000-07:002010-03-15T10:19:44.508-07:00HealthReformOpoly ™<applet align=left codebase="http://digitalmediamagik.com/kgPrivate/oldPammettCharterSite/stampCube/classes/" code="image3dcube.class" width=244 height=236><br /><param name="background" value="99FF99" /><br /><param name="shadowcolor" value="99FF99" /><br /><param name="spotlight" value="yes" /> <!--no yes --><br /><param name="showlightbutton" value="no" /><br /><param name="sleeptime" value="2" /> <!-- value="5" --><br /><param name="target" value="_self" /><br /><param name="anglestep" value="2" /><br /><param name="mouseresponse" value="1" /> <!--"6" --><br /><param name="zoomspeed" value="1" /> <!--"5" --><br /><br /><param name="image0" value="http://www.digitalmediamagik.com/clients/John-Rosala/face-00-3Dcube.jpg" /><br /><param name="image1" value="http://www.digitalmediamagik.com/clients/John-Rosala/face-01-3Dcube.jpg" /><br /><param name="image2" value="http://www.digitalmediamagik.com/clients/John-Rosala/face-02-3Dcube.jpg" /><br /><param name="image3" value="http://www.digitalmediamagik.com/clients/John-Rosala/face-03-3Dcube.jpg" /><br /><param name="image4" value="http://www.digitalmediamagik.com/clients/John-Rosala/face-04-3Dcube.jpg" /><br /><param name="image5" value="http://www.digitalmediamagik.com/clients/John-Rosala/face-05-3Dcube.jpg" /><br /><param name="url0" value="http://healthreformopoly.wordpress.com/" /><br /><param name="url1" value="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjKlK67j_zQpAFQQjU2vQ3STjQTalD9IDKrku7pcAHYxKOM_jpL-dj_udss8E2ILIL2EMaU3qa6ynxPfCbLNStJLBcyieY7o-t0WujJy0joX0kVvVYgqWl6dkyelBYXCfM4Cw0p-ea2Edc/s1600-h/faces-Amber-and-Joe-kp-n808775289_5830762_6869.jpg" /><br /><param name="url2" value="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjP7YHjY1-gok6FpOuC_ZHm7KqaFH5Drz6oqEH9OODLau5Jy1JOafr86UAmdK1MriT8P0khOyAdd5SO9M6L754YTVqgUg0-mCLrwxkxIzLo5YPpUMdue0QSKyKia2ozxHvUoCvdLiLlUBU/s1600-h/CanadianStamp-wedding-onThe-beach-Miranda-and-Ralph+Phelan.jpg" /><br /><param name="url3" value="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhaTQzmSQ1ROh_5OGH-NMfMtFEDEWUV__zBTKR04_6XNI9fDWHmGt9M4t8l8TaV2YTO6QdFEWL0njsc5QHnGdB1wJXz8xl7-dgQH8huKUtpyeL0wLW2aB3_Tip08rkOpE4hAw8D4NzM-ko/s1600-h/EmilyJeanPammett-RWU-equestrian-640x572-12-02-09.jpg" /><br /><param name="url4" value="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgxxZRzWWxhHVU5uZHIZCVZ168IaP_JsFwbxin1B9b3uMFvSm4M5O56703fCKMtdFzC9Nmq-Z4MSQ0SOsTzVT-WdC7ke90afadSYTYTUBnWGiZkhf1elzbUa_i4mQinsGgP63I8x3VVG2Y/s1600-h/Jilli-Picasa-Thesaloniki.jpg" /><br /><param name="url5" value="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiRVJNJvJhgcffAd6yfxkse8D7XuZkdQ_-U7Esjw39sKW02UC0budhObRaXCXiz3gsQTULM3CehfguBPOUN-ZECw6xwiPGIswSupk9qpXcAuc1nR8wmN4LkPWS-3W0xGz7Jen1B0dOc8jE/s1600-h/Millie-horse-SQ-1062x1155.jpg" /><br /></applet>Transformation-Rx focuses on creating 'prescriptions for change' that respond to the evolution of the health sector. The health sector is complex with many systems, issues, and viewpoints that need to be investigated when considering any changes. <a href="http://www.digitalmediamagik.com/siteMenus/ConsultingServices.aspx" title="Transformation-Rx is a health sector consulting practice focusing on the creating 'prescriptions' for change that respond to the evolution of the health sector. The health sector is complex with many systems, issues, and viewpoints that need to be investigated when considering any changes. ">As an analogy for this changing environment, the <i>rotating</i> <a title="more info about the 3D cube navigator" href="http://javaboutique.internet.com/3DPhotoCube/index.html">3D cube navigator</a> shown on the left, the idea being that "the complex changing nature of the health sector, as represented by this navigator cube "experience".</a><br /><br />. Use the <strong>3D cube navigator</strong> (on the left) to explore the set of healthreformopoly articles:<br /><span style="font-size:2px;"> • </span>Move your mouse into the center of the green background frame (to the left) to “<i>drive</i>” and “<i>look at</i>” each of the images.<br /><span style="font-size:2px;"> • </span>As you move the mouse (within the <strong>3D cube frame</strong>) you are in <strong><i>“drive mode”</i></strong> — doing manipulation via mouse movement, <u>without</u> mouse clicks. E.g. move the mouse towards any corner of the frame and the cube begins rotating in that direction. The rotation <i>follows you around</i> as you move the mouse, and is faster/slower <u>depending on how close you are to the center of the cube</u>.<br /><span style="font-size:2px;"> • </span>Click on any cube face; it "zooms out", showing you the title of the article. A subsequent single click continues the rotation.<br /><span style="font-size:2px;"> • </span><strong>Double Click</strong> on any given face of the cube to 'read that article'. When finished, your browser's "Back" button returns you to the cube navigator.<br /><span style="font-size:2px;"> • </span>In <strong><i>“drive mode”</i></strong> the rotation stops whenever you move the mouse outside of the green background space, and resumes when you re-enter it.Transformation-Rxhttp://www.blogger.com/profile/01045436073099463855noreply@blogger.com0tag:blogger.com,1999:blog-5927101606944577202.post-46597770171180478162010-03-05T08:39:00.001-08:002010-03-06T12:35:11.824-08:00HealthReformOpoly ™<meta equiv="Content-Type" content="text/html; charset=utf-8"><meta name="ProgId" content="Word.Document"><meta name="Generator" content="Microsoft Word 11"><meta name="Originator" content="Microsoft Word 11"><link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CJOHNRO%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C04%5Cclip_filelist.xml"><!--[if gte mso 9]><xml> <w:worddocument> <w:view>Normal</w:View> <w:zoom>0</w:Zoom> <w:punctuationkerning/> <w:validateagainstschemas/> <w:saveifxmlinvalid>false</w:SaveIfXMLInvalid> <w:ignoremixedcontent>false</w:IgnoreMixedContent> <w:alwaysshowplaceholdertext>false</w:AlwaysShowPlaceholderText> <w:compatibility> <w:breakwrappedtables/> <w:snaptogridincell/> <w:wraptextwithpunct/> <w:useasianbreakrules/> <w:dontgrowautofit/> </w:Compatibility> <w:browserlevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:latentstyles deflockedstate="false" latentstylecount="156"> </w:LatentStyles> </xml><![endif]--><style> <!-- /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0in; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman";} @page Section1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.Section1 {page:Section1;} --> </style><!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} </style> <![endif]--><span style=";font-family:Arial;font-size:11pt;" >The health industry will continue to be based on private sector delivery of services with a free choice of providers and services being selected (and funded) by the people (except for selected Public Health Services including those provided in public schools, the military health care systems, and the Veterans Administration). <span style=""> </span>In addition the health related finances need to be reallocated from paying for marginally cost-effective health care services to more funding for value-added health promotion initiatives. </span>.
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<br />Transformation-Rxhttp://www.blogger.com/profile/01045436073099463855noreply@blogger.com0tag:blogger.com,1999:blog-5927101606944577202.post-81861470707423081642010-03-01T08:39:00.000-08:002010-03-01T08:41:42.426-08:00HEALTH REFORM --- Go Where the Money Is ….. and Go There Often<meta equiv="Content-Type" content="text/html; charset=utf-8"><meta name="ProgId" content="Word.Document"><meta name="Generator" content="Microsoft Word 11"><meta name="Originator" content="Microsoft Word 11"><link rel="File-List" href="file:///C:%5CDOCUME%7E1%5CJOHNRO%7E1%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C16%5Cclip_filelist.xml"><o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="place"></o:smarttagtype><o:smarttagtype namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="country-region"></o:smarttagtype><!--[if gte mso 9]><xml> <w:worddocument> <w:view>Normal</w:View> <w:zoom>0</w:Zoom> <w:punctuationkerning/> <w:validateagainstschemas/> <w:saveifxmlinvalid>false</w:SaveIfXMLInvalid> <w:ignoremixedcontent>false</w:IgnoreMixedContent> <w:alwaysshowplaceholdertext>false</w:AlwaysShowPlaceholderText> <w:compatibility> <w:breakwrappedtables/> <w:snaptogridincell/> <w:wraptextwithpunct/> <w:useasianbreakrules/> <w:dontgrowautofit/> </w:Compatibility> <w:browserlevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:latentstyles deflockedstate="false" latentstylecount="156"> </w:LatentStyles> </xml><![endif]--><!--[if !mso]><object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id="ieooui"></object> <style> st1\:*{behavior:url(#ieooui) } </style> <![endif]--><style> <!-- /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0in; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman";} @page Section1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.Section1 {page:Section1;} /* List Definitions */ @list l0 {mso-list-id:2050840373; mso-list-type:hybrid; mso-list-template-ids:-767140470 1762814316 67698713 67698715 67698703 67698713 67698715 67698703 67698713 67698715;} @list l0:level1 {mso-level-tab-stop:.75in; mso-level-number-position:left; margin-left:.75in; text-indent:-.25in;} ol {margin-bottom:0in;} ul {margin-bottom:0in;} --> </style><!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} </style> <![endif]--> <p class="MsoNormal" style="line-height: 11.25pt;"><span style="font-size: 11pt; font-family: Arial;">With the current functioning of the health sector industries, they will absorb every dollar that the population is willing to make available. The continual escalation in health spending will not be curbed until the consumers get ‘sick’ of feeding the health sector’s seemingly insatiable appetite for money and take action.
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<br /><span style="font-size: 11pt; font-family: Arial;"></span></p><span style="font-size: 11pt; font-family: Arial;">The health reform efforts need to consider bank robber Willie Sutton’s approach and focus on where the money is – and go there often. Many health reform proposals address financing systems with some insurance reforms but they have virtually no focus on the delivery of services where 90% of the costs are generated.
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<br />In spending over 17% of it’s Gross Domestic Product (GDP) on health care services, the <st1:country-region st="on"><st1:place st="on">U.S.</st1:place></st1:country-region> is paying almost twice as much as other economies in the world. And ranking about 40<sup>th</sup> in the world in terms of mortality measures, the U.S gets marginal results. – The <st1:country-region st="on">U.S.</st1:country-region> spends about a third more of its GDP on health Care than <st1:country-region st="on"><st1:place st="on">Canada</st1:place></st1:country-region> does with a public sector health care approach.
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<br /></span> <p class="MsoNormal" style="line-height: 11.25pt;"><span style="font-size: 11pt; font-family: Arial;">As a percentage of GDP’s, developing countries spend about 7% whlie other developed countries spend about 11% -- <st1:place st="on"><st1:country-region st="on">China</st1:country-region></st1:place> spends only about 5% of their GDP on health care. The <st1:country-region st="on"><st1:place st="on">U.S.</st1:place></st1:country-region> government projections for $2.5 Trillion of health care spending in 2010 and almost 20% of the overall GDP by 2019 are shown in the following table:</span></p><p class="MsoNormal" style="line-height: 11.25pt;"><span style="font-size: 11pt; font-family: Arial;">
<br /></span></p> <table class="MsoNormalTable" style="border-collapse: collapse;" border="0" cellpadding="0" cellspacing="0"> <tbody><tr style="height: 15.25pt;"> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 2.2in; height: 15.25pt;" width="211"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">CATEGORY</span></p> </td> <td colspan="2" style="border-style: solid solid solid none; border-color: windowtext windowtext windowtext -moz-use-text-color; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in; height: 15.25pt;" width="168"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">2010</span></p> </td> <td colspan="2" style="border-style: solid solid solid none; border-color: windowtext windowtext windowtext -moz-use-text-color; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 2in; height: 15.25pt;" width="192"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">2019</span></p> </td> </tr> <tr style="height: 3.5pt;"> <td style="border-style: none solid solid; border-color: -moz-use-text-color windowtext windowtext; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2.2in; height: 3.5pt;" width="211"> <p class="MsoNormal" style="text-align: center;" align="center"><span style="font-size: 11pt; font-family: Arial;"> </span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in; height: 3.5pt;" width="96"> <p class="MsoNormal" style="text-align: center;" align="center"><span style="font-size: 11pt; font-family: Arial;">($ Millions)</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in; height: 3.5pt;" width="72"> <p class="MsoNormal" style="text-align: center;" align="center"><span style="font-size: 11pt; font-family: Arial;">% of Total</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 69.8pt; height: 3.5pt;" width="93"> <p class="MsoNormal" style="text-align: center;" align="center"><span style="font-size: 11pt; font-family: Arial;">($ Millions)</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.2pt; height: 3.5pt;" width="99"> <p class="MsoNormal" style="text-align: center;" align="center"><span style="font-size: 11pt; font-family: Arial;">%of Total</span></p> </td> </tr> <tr style=""> <td style="border-style: none solid solid; border-color: -moz-use-text-color windowtext windowtext; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2.2in;" width="211" valign="top"> <p class="MsoNormal" style="line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;">Total Expenditures</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" width="96"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">$2,569.6</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" width="72"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">100%</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 69.8pt;" width="93"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">$4,482.7</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.2pt;" width="99"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">100%</span></p> </td> </tr> <tr style=""> <td style="border-style: none solid solid; border-color: -moz-use-text-color windowtext windowtext; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2.2in;" width="211" valign="top"> <p class="MsoNormal" style="line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;"> % of GDP</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" width="96"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">17.3%</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" width="72"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;"> </span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 69.8pt;" width="93"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">19.3%</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.2pt;" width="99"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;"> </span></p> </td> </tr> <tr style=""> <td style="border-style: none solid solid; border-color: -moz-use-text-color windowtext windowtext; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2.2in;" width="211" valign="top"> <p class="MsoNormal" style="line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;"> Per Capita Expenses</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" width="96"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">$8,289.9</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" width="72"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;"> </span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 69.8pt;" width="93"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">$13,387.2</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.2pt;" width="99"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;"> </span></p> </td> </tr> <tr style=""> <td style="border-style: none solid solid; border-color: -moz-use-text-color windowtext windowtext; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2.2in;" width="211" valign="top"> <p class="MsoNormal" style="line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;"> Hospital Care</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" width="96"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">$788.9</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" width="72"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">32.9%</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 69.8pt;" width="93"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">$1,374.5</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.2pt;" width="99"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">33.0%</span></p> </td> </tr> <tr style=""> <td style="border-style: none solid solid; border-color: -moz-use-text-color windowtext windowtext; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2.2in;" width="211" valign="top"> <p class="MsoNormal" style="line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;"> Professional Care</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" width="96"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">$797.2</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" width="72"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">33.3%</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 69.8pt;" width="93"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">$1,370.7</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.2pt;" width="99"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">33.0%</span></p> </td> </tr> <tr style=""> <td style="border-style: none solid solid; border-color: -moz-use-text-color windowtext windowtext; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2.2in;" width="211" valign="top"> <p class="MsoNormal" style="line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;"> Nursing Home & Home Care</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" width="96"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">$226.4</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" width="72"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">9.4%</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 69.8pt;" width="93"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">$399.7</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.2pt;" width="99"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">9.6%</span></p> </td> </tr> <tr style=""> <td style="border-style: none solid solid; border-color: -moz-use-text-color windowtext windowtext; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2.2in;" width="211" valign="top"> <p class="MsoNormal" style="line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;"> Prescription Drugs (Retail)</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" width="96"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">$260.1</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" width="72"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">10.9%</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 69.8pt;" width="93"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">$457.8</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.2pt;" width="99"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">11.0%</span></p> </td> </tr> <tr style=""> <td style="border-style: none solid solid; border-color: -moz-use-text-color windowtext windowtext; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2.2in;" width="211" valign="top"> <p class="MsoNormal" style="line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;"> Other Medical Products</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" width="96"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">$69.1</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" width="72"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">2.9%</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 69.8pt;" width="93"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">$106.4</span></p> </td> <td style="border-style: none solid solid none; border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.2pt;" width="99"> <p class="MsoNormal" style="text-align: center; line-height: 11.5pt;" align="center"><span style="font-size: 11pt; font-family: Arial;">2.6%</span></p> </td> </tr> </tbody></table> <p class="MsoNormal" style="line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;">
<br /></span></p><p class="MsoNormal" style="line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;">Most economists feel that with the <st1:country-region st="on"><st1:place st="on">U.S.</st1:place></st1:country-region> population spending almost one fifth of the overall economy on the health industry reforms are needed to constrain these expenses. It is also recognized that the demand-side of the equation – the health needs of the population of 300 million people – must be addressed with the people taking responsibility for their own health and only use health related services when actually needed.
<br /></span></p><p class="MsoNormal" style="line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;">
<br /></span></p> <p class="MsoNormal" style="line-height: 12pt;"><span style="font-size: 11pt; font-family: Arial;">While some health insurance reforms are needed, the primary focus -- with a combination of actions at both the state and federal levels -- needs to address the delivery of services where 90% of the costs are generated. There are three fundamental and inter-related aspects that need to be balanced:
<br /></span></p><p class="MsoNormal" style="line-height: 12pt;"><span style="font-size: 11pt; font-family: Arial;">
<br /></span></p> <p class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in; line-height: 12pt;"><!--[if !supportLists]--><span style="font-size: 11pt; font-family: Arial;"><span style="">1.<span style="font-family: "Times New Roman"; font-style: normal; font-variant: normal; font-weight: normal; font-size: 7pt; line-height: normal; font-size-adjust: none; font-stretch: normal;"> </span></span></span><!--[endif]--><span style="font-size: 11pt; font-family: Arial;">access - making programs and services geographically available on a timely<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 0.5in; line-height: 12pt;"><span style="font-size: 11pt; font-family: Arial;"><span style=""> </span>basis with adequate levels of financing,
<br /></span></p><p class="MsoNormal" style="margin-left: 0.5in; line-height: 12pt;">
<br /><span style="font-size: 11pt; font-family: Arial;"><o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in; line-height: 11.5pt;"><!--[if !supportLists]--><span style="font-size: 11pt; font-family: Arial;"><span style="">2.<span style="font-family: "Times New Roman"; font-style: normal; font-variant: normal; font-weight: normal; font-size: 7pt; line-height: normal; font-size-adjust: none; font-stretch: normal;"> </span></span></span><!--[endif]--><span style="font-size: 11pt; font-family: Arial;">quality - assuring delivery of evidence-based services including the<o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 0.5in; line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;"><span style=""> </span>associated outcome effectiveness measurements, and <o:p></o:p></span></p> <p class="MsoNormal" style="margin-left: 0.5in; line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;"><o:p> </o:p></span></p> <p class="MsoNormal" style="text-indent: 0.5in; line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;">3. <span style=""> </span>costs - based on reasonable transparent prices for value-added products, <o:p></o:p></span></p> <p class="MsoNormal" style="text-indent: 0.5in; line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;"><span style=""> </span>programs, and services. <o:p></o:p></span></p> <p class="MsoNormal" style="text-indent: 0.5in;"><o:p> </o:p></p> <p class="MsoNormal" style="line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;">Health reform proposals focusing primarily on only on the access to health insurance will have limited impact on the cost of delivery of the health care services. A more <span style=""> </span>comprehensive and cost-effective approach would respond to both the health and health care needs of the people with accessible quality services.</span></p><p class="MsoNormal" style="line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;">
<br /></span> </p> <p class="MsoNormal"><span style="font-size: 11pt; font-family: Arial;">Private sector cost control initiatives are essential because the health sector is so and complex and expansive that government actions alone will have limited impact. Some federal legislation is needed to set standards for payments (e.g. Medicare). However, legislation also needs to be put in place on a state-by-state basis where issues like Health Exchanges and Medical Practice Acts can be addressed.
<br /></span></p><p class="MsoNormal"><span style="font-size: 11pt; font-family: Arial;">
<br /></span></p> <p class="MsoNormal" style="line-height: 11.5pt;"><span style="font-size: 11pt; font-family: Arial;">The entrenched health sector special interests - primarily health care providers, health insurers, and pharmaceutical companies -- have become problematic for the economy, in general, and for health reform, in particular. The undo influence of these special interests needs to be checked and redirected through both the private and public sectors. However, the public sector elected 'representatives' seem to be responding to the special interests - not the actual needs of the people. </span></p> Transformation-Rxhttp://www.blogger.com/profile/01045436073099463855noreply@blogger.com0