Portage
Portage
A messenger is only a messenger if he has a message and he’s passing it.
A mailman is only a mailman if he has mail and he’s delivering it.
A market access-er is only a market access-er if he has a drug and he’s creating its portage.
It’s Important
It’s Important
The idea of a drug coming in and changing the game completely — that’s difficult to do, and most of the time it doesn’t.
COVID-19 vaccines are a rare exception. They were meant to release us from the pandemic. Thankfully they did. It’s because in addition to working, they were accessible.
The right technology works…only if it reaches its destination.
This is the only job of market access. Next to approval of the drug itself, market access is the next most important milestone. How can it not be?
On the Fringe
On the Fringe
In the next 10-15 years, I wonder how many of us will still have the jobs we have.
‘Surviving’ is trying to make it work in a system that doesn’t work.
‘Thriving’ is doing the next right thing.
Perhaps living on the fringe IS the safer option to scattering from the implosion.
Comradeship comes from relationships of exploited-exploiter and supported-supporter. The approaching era is beyond that of comradeship; it’s an era of divine relationship.
Maintenance
Maintenance
What was once new and grabbed attention will one day require attention.
Maintain it. Because you get to.
When In the Dip
When In the Dip
The dip is ominous to anyone except those who expect it.
“There you are…I’ve been waiting for you.”
The discomfort is real. Rather than retreating, it is wise to embrace it and charge forward. Hit harder than you’ve ever hit before.
A New Way of Doing Things
A New Way of Doing Things
Until the 20th century, monarchies were the most popular form of government.
Until the 21st century, health care was perverse in treating patients like ATMs.
Patients don’t exist for health care’s utilization or exploitation. They are a blessing to us. To be human is to be grateful and to recognize their generosity.
What does the new business model look like anyways?
Human
Human
There is harmony throughout the universe in everything except human relationships. Perhaps this is health care’s next frontier. Simple is often just as effective as complex.
Seek the thrill from being in the presence of another human being. You can accomplish far more working with others than working against them. We all sit on the same side of the table anyways.
Reason to Fight
Reason to Fight
Change creates confusion. Tossing yesterday’s playbook leaves us with nothing.
In times of confusion, we’d rather sit on the sidelines rather than dare play out there.
It’s easier to consume than to create. Until we relocate our center of gravity.
The more changeless our core, the easier it is to confront change.
Continuity
Continuity
Continuity of care is fundamental to high-quality care.
In its absence, fragmented care results in more ED visits, hospitalizations, and deaths. Especially among those who are already at a greater risk.
Continuity, like unity and generosity, is a human invention.
It doesn’t just happen; you have to make it happen despite what may happen: renegotiations, practice closures, provider turnovers, changes in insurance, new models of ambulatory care (retail clinics, commercial e-visit websites, smartphone apps, freestanding urgent care centers), and the inability of a provider to administer certain drugs.
Seeing Them
Seeing Them
The only way to engage with someone is to begin where they are, to see what they see, to gain enrollment in a conversation that leads to forward motion.
“You can’t be angry and curious at the same time.” -Cat Hoke
