No Matter What

Extortionate drug prices >> affordable drug prices. No matter what.

Exploitation of market consolidation >> pursuit of care unto the last. No matter what.

Coding games >> protection of patients against onerous medical debt and bankruptcy. No matter what.

Excessive executive compensation >> investment to improve true social influences on health. No matter what.

Promulgation of unnecessary care >> democratization of necessary care. No matter what.

Do not meet greed with silence. Silence is assent.

Eat My Dust

America’s health care system is the worst among developed countries? What?

Americans delight over a formidable challenge, not languish. It’s just who we are.

Americans gained their freedom from the British Empire longgg before any other country in the world.

We’re about to do it again. Americans will gain freedom from greed longgg before any other country in the world. It’s just who we are.

What’s My Responsibility?

Expecting Congress to cauterize our health care system from kleptocapitalist behaviors is as naïve as the ill expecting our health care system to heal them.

The rot is everywhere.

It’s responsibility, not rights, that is being asked of us.

‘I slept and dreamed that life was a beauty. I awoke and found that life was a duty.’ -Ellen Cooper

Rationality of Irrationality

We’ll be disappointed if we wait for AI to solve health care’s problems.

Emotions, more than logic, guide human decisions. Then how is it that it’s only now that they’re beginning to show up in strategic imperatives?

Cognate

We cannot achieve external changes until we make internal changes.

We share roots. We’re one.

Becoming More Reliable

What am I being asked to show up for?

Who is counting on me?

What happens if I don’t make good on that promise? What happens if I do make good on that promise?

Can I think of a time when I was grateful for someone’s reliability?

The ‘I’m trying my best’ card can be pulled at any time. As long as there’s clarity.

‘For want of a nail, a shoe was lost. For want of a shoe, a horse was lost. For want of a horse, the battle was lost.’

Indivisible

The reason for our atomization is also the culprit for a sense of survivalism over citizenship.

We need to figure out a way to come together as one. Indivisible—come what may. Generosity over greed.

The resilience that emerges from such teamwork is what will save us. Teamwork like fire ants.

Becoming Free

Value-based contracting has shown up in journals for over a decade. Why are we still just talking about it?

We hand over our freedom to greed. It can be taken back with generosity. Ask the monkey whose fist got stuck in the cookie jar.

The time is calling on us to become fertilizers.

From Extractive to Regenerative

We’re destroying the source of our survival. No wonder we’re failing.

Don’t let a single patient fall through. Not a single one. They’re the subject of our gratitude.

The Point Is

If the goal is the point, it should be central in our message.

We risk misinterpretation, misguidance, and mistrust by misdirecting attention to the tool while sidelining the goal.

Tools: decks, memos, initiatives, drugs, presentations, meetings, us

Goals: cost-effectiveness, sustainability, resilience, well-being, improvement of health, convenience, seamless transition of care