Enterprise Architecture: From Incite comes Insight…
James McGovern is an industry thought leader whose focus is on the human aspects of technology around open source, SOA, software security, enterprise architecture and agile software development.
Wednesday, September 17, 2008
Does this make me a liberal or conservative?
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Today’s blog is slightly offtopic but I feel compelled to comment on the absurdity of making a profit from healthcare. I believe that the principles of open source when applied to this problem could make things better…
One of my cousin’s is a recent graduate of a nursing program and has started to learn first hand how people suffer and die because of HMO’s, big insurance (Aetna, Cigna, United Healthcare, etc) and Pharmaceuticals (Pfizer, Merck, Bristol Myers Squibb, etc) and their decision making process. They are, by law, beholden to their stockholders and the bottom line, and therefore have an ethical conundrum in that at times they have an incentive to deny needed care in the name of profit.
I am not for government healthcare because it suffers from much of the same problem as the current system. The government also is beholden to many of the same financial burdens. Imagine if the principles of open source were applied to healthcare where HMO’s had to make their business rules publicly available in a well-formed XML format that could be inspected by others? Imagine the ability for a consumer to use an open source rules engine such as JBoss Drools and could proactively tell whether a claim is going to be approved or denied. The current model requires consumers to expose themselves to financial risks as they don’t have a clue upfront as to their own liability.
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I’d say it makes you a Libertarian.
You’re rightly suspicious of the gooferment in your healthcare. I’d suggest that the gooferment get the boot and we begin to unwind the mess we are in. Step One imho is to disconnect employment from health insurance and equalize the tax-deduct-ability of it.
The gooferment should be the insurer of last report; not, like in Medicare, or the VA, the provider, insurer, and the regulator.
If health insurance was like life insurance, there’d be very little regulation (i.e., only what was needed to prevent fraud) and it would be cheap and easy.
Oh, and let’s not kid anyone, that all the gooferment in health care, does ANYTHING but make it expensive and oppressive. And, people die unnecessarily!
When we allow liberty and the free market place to work, it will do wonders. It took “us” a hundred years to screw things up, hopefully we’re smart enough to fix them a lot faster. But give the attitude that “gooferment will save us” I’m not so sure we’re up to the task!
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