Post-change makers festival closing event, here’s a first go at capturing my main beefs with the health system – a little rough around the edges but captures the gist:
| Appearance | Reality | Vision | |
| Mission | Brittle health system | Bankrupt sickness market | Sustainable learning wellness market |
| Universality | Universal healthcare | Safety net + PHI | Universal |
| Payment | Fee for care | Fee for activity | Fee for outcomes |
| Leadership | Run by experts | Run by amateurs | Run by the finest minds |
| Levers | Doctors in hospitals prescribing pharmaceuticals and performing procedures | Unmanaged social determinants with doctors spruiking pills and procedures | Actively managed social determinants featuring broccoli magnates |
That said, and given the issues and concerns we discussed, I suspect some (if not all) of what needs to happen, has to happen alongside or entirely outside the existing system. Hmm.
I just returned from the closing event for this: http://changemakersfestival.org/
I didn’t have a chance to properly speak with Jenny about our discussion, but got the impression that there simply wasn’t the kind of support for think tanks here that existed overseas.
That said, I did have a reasonable chat with Nicholas Gruen – an very interesting economist and thinker – and suspect there may be an alternate angle to pursue… will keep you posted.