Yours,
Alex Peak
This has been on my mind a lot of late, having just had a year-long brush with working with a state institution myself – As you said, the culture is focused on Money and not the Consumer. Just as it is with healthcare.
I would have no problem convincing you that the waste I see just on bad IT decisions and software purchases was beyond reproach. The culture of state government is lazy and its bureaucracy is ineffective and stifling. If change is going to happen in health care, it needs to be a sea change: the stodgy paid-for software (read: Microsoft) and vendor model must be abolished.
I think now is the right time, at the cusp of mandated health-care reform, that a group of Open Source contributors can come together and forge a plan for a free-software-oriented health care system, and have a model ready for when RFPs come spilling out of the federal government. I would love to see a system that was made by the people, for the people: Not made by insurance companies for its stockholders and executives. It would run on cheap hardware and free software – what better way to save the system? This only represents a small part of the fiscal savings that such a bold move would produce; paper records, all the printers / ink / media, storage, insurance on that physical storage, mailing / faxing fees, everything.)
NOW is the time.
]]>(BTW do you mean “currently” when you say “presently”? 🙂
]]>And here is a post over on the Global Swadeshi Ning group by Vinay Gupta, that goes in a very similar direction.
]]>I’m reminded of a piece of advice I saw perhaps ten years ago to those who can’t afford health insurance or most treatment in the US. Broke your leg? Go to the emergency room, expect to walk away with a $10k bill. Go to a vet, finished and done for maybe two hundred lousy bucks, if you can find one who puts healing above obedience.
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