{"id":267,"date":"2013-11-12T23:59:12","date_gmt":"2013-11-12T12:59:12","guid":{"rendered":"http:\/\/blog.panicola.com\/?p=267"},"modified":"2013-11-13T00:00:27","modified_gmt":"2013-11-12T13:00:27","slug":"the-gist-of-my-concerns","status":"publish","type":"post","link":"https:\/\/blog.panicola.com\/?p=267","title":{"rendered":"The gist of my concerns&#8230;"},"content":{"rendered":"<p><span style=\"line-height: 1.714285714; font-size: 1rem;\">Post-change makers festival closing event, here\u2019s a first go at capturing my main beefs with the health system \u2013 a little rough around the edges but captures the gist:<\/span><\/p>\n<p>&nbsp;<\/p>\n<table border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td valign=\"top\" width=\"160\"><b>\u00a0<\/b><\/td>\n<td valign=\"top\" width=\"160\"><b>Appearance<\/b><\/td>\n<td valign=\"top\" width=\"160\"><b>Reality<\/b><\/td>\n<td valign=\"top\" width=\"160\"><b>Vision<\/b><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"160\">Mission<\/td>\n<td valign=\"top\" width=\"160\">Brittle health system<\/td>\n<td valign=\"top\" width=\"160\">Bankrupt sickness market<\/td>\n<td valign=\"top\" width=\"160\">Sustainable learning wellness market<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"160\">Universality<\/td>\n<td valign=\"top\" width=\"160\">Universal healthcare<\/td>\n<td valign=\"top\" width=\"160\">Safety net + PHI<\/td>\n<td valign=\"top\" width=\"160\">Universal<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"160\">Payment<\/td>\n<td valign=\"top\" width=\"160\">Fee for care<\/td>\n<td valign=\"top\" width=\"160\">Fee for activity<\/td>\n<td valign=\"top\" width=\"160\">Fee for outcomes<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"160\">Leadership<\/td>\n<td valign=\"top\" width=\"160\">Run by experts<\/td>\n<td valign=\"top\" width=\"160\">Run by amateurs<\/td>\n<td valign=\"top\" width=\"160\">Run by the finest minds<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"160\">Levers<\/td>\n<td valign=\"top\" width=\"160\">Doctors in hospitals prescribing pharmaceuticals and performing procedures<\/td>\n<td valign=\"top\" width=\"160\">Unmanaged social determinants with doctors spruiking pills and procedures<\/td>\n<td valign=\"top\" width=\"160\">Actively managed social determinants featuring broccoli magnates<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>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.<\/p>\n<p>I just returned from the closing event for this: <a href=\"http:\/\/changemakersfestival.org\/\">http:\/\/changemakersfestival.org\/<\/a><\/p>\n<p>I didn\u2019t have a chance to properly speak with Jenny about our discussion, but got the impression that there simply wasn\u2019t the kind of support for think tanks here that existed overseas.<\/p>\n<p><span style=\"line-height: 1.714285714; font-size: 1rem;\">That said, I did have a reasonable chat with Nicholas Gruen \u2013 an very interesting economist and thinker \u2013 and suspect there may be an alternate angle to pursue\u2026 will keep you posted.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Post-change makers festival closing event, here\u2019s a first go at capturing my main beefs with the health system \u2013 a little rough around the edges but captures the gist: &nbsp; \u00a0 Appearance Reality Vision Mission Brittle health system Bankrupt sickness market Sustainable learning wellness market Universality Universal healthcare Safety net + PHI Universal Payment Fee &hellip; <a href=\"https:\/\/blog.panicola.com\/?p=267\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">The gist of my concerns&#8230;<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,5,9,18,17,22,6,3],"tags":[],"class_list":["post-267","post","type-post","status-publish","format-standard","hentry","category-complex-adaptive-systems","category-data-saving-lives","category-healthcare","category-meaning","category-musings","category-policy","category-politics","category-rapid-learning-health-systems"],"_links":{"self":[{"href":"https:\/\/blog.panicola.com\/index.php?rest_route=\/wp\/v2\/posts\/267","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.panicola.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.panicola.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.panicola.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.panicola.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=267"}],"version-history":[{"count":3,"href":"https:\/\/blog.panicola.com\/index.php?rest_route=\/wp\/v2\/posts\/267\/revisions"}],"predecessor-version":[{"id":270,"href":"https:\/\/blog.panicola.com\/index.php?rest_route=\/wp\/v2\/posts\/267\/revisions\/270"}],"wp:attachment":[{"href":"https:\/\/blog.panicola.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=267"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.panicola.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=267"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.panicola.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=267"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}