Science of Inequality

But … it is part of the American mythology that everyone has the opportunity to be rich.

How is healthcare different from a commodity?

“How is healthcare different from a commodity?” may be as enigmatic as Caroll’s riddle from Alice in Wonderland, “Why is a raven like a writing desk?” Lewis Carroll did not posit an answer to the riddle, but many people have suggested answers. My favorite may be, “Because neither one can ride a bicycle.” Because healthcare in the U.S. costs more than 17% of GDP and health outcomes lag behind other industrial countries, the answer to the healthcare question may need to be less frivolous than the answer to the raven question.

Information management that improves health outcomes and reduces costs

I would like to start this blog with a story about my college-age daughter. Like most college students, she likes pizza. Beth, because she is a modern child completely comfortable in the information age, orders her pizza over the internet. She can monitor the progress of her pizza online. She knows when the cheese has been applied and also the pepperoni. She knows when the pizza has been placed in the delivery car, and she knows, within a few seconds, when the deliveryman will knock on our door. She also knows the deliveryman’s name.

US Healthcare as a Complex System

Healthcare in the U.S. is complicated. There are dozens of components: hospitals, hospices, assisted living facilities, nursing homes, home care, pharmacies, pharmaceutical companies, the Food and Drug Administration, the Patent Office, specialized physicians, general physicians, physicians assistants, nurses, medical device manufacturers, Medicare, Medicaid, private insurers, self insurers, employers, self-employed, wellness centers, chronic conditions, acute conditions, end-of-life conditions, rare diseases, personalized medicine, cosmetic surgery, concierge medicine, and many more. The complication is impossible for any single person to penetrate or understand.