Basic Health Access

For decades the designers have ignored the consequences of their designs as hundreds of small hospitals, small practices, and practices where needed have fallen prey to revenue too low, costs of delivery accelerating as complexity overwhelms health access. More counties are added and millions more a year are added to those with low or no access - by design. Triple Threat translates to little or no treatment for most Americans. Vampires suck the life blood of health access while zombies design costly and cumbersome innovations. Image from sfreporter.com Fight Zombie Thinking - Stop the Insanity The evidence basis is quite clear. Clinical interventions and especially digital clinical interventions are costly and can only address process - not outcomes (Annals of IM Comprehensive Review, more) Less Datapalooza and more Team Member Support - Team Members cannot celebrate their contributions because digitizers are celebrating. Health Access Care Still Fai

More articles indicate more closures of small hospitals. These articles have been appearing for over 30 years. Washington designers have implement a lethal combination of cost cutting to shrink revenue plus ever higher cost of delivery as shaped by regulation. The margins are low to negative and hope for the future of many hospitals is vanishing. All it takes is lost hope to die. Small practices face much the same decline by design as seen in small hospitals - and for the same reasons. It is hard to tell who to blame – Republicans, Democrats, the media that profits from controversy, or the designers that are so out of touch with basic health care needs for most Americans. The one thing that unifies all who are against small health care is the lack of awareness regarding the situations facing more and more Americans - soon to be half of Americans behind by design. It was quite interesting to see the HRSA impression regarding these closures. In many ways, HRSA was bla

Datapalooza is a celebration of advances in digitalization over the past decade. It is a chance to promote ideas, concepts, career opportunities, and merchandise. A call for papers could reward the right author with a publication - and even more attention. An academic approach to Datapalooza would critically consider whether the electronics movement has delivered or diverted with regard to the promises of improved health outcomes. There is good evidence that it has increased costs and has adversely impacted access to care where 40% and increasing proportions of Americans most lack access.  Year after year since 2005 and before, there have been the same promises - lower health care costs, better outcomes, better patient satisfaction, and better team member satisfaction. Year after year it is apparent that there are more costs and complications from digitalization. Health care spending has more than doubled and entirely in areas that have not improved outcomes - su