Healthcare Napkins All

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  • + kayroldj kayroldj 21 hours ago
    i like this. ya, this is actually true. I’m working in the medical field, that’s why I know
  • + paulv1973 paulv1973 22 hours ago
    Great presentation but you failed to mention how government run health care has failed everywhere it’s in place. Also, you forgot to mention the corruption that will take place (AARP stands to make millions).
  • + guestd342552 Simon Buehler 2 days ago
    Wow, thanks for sharing that! a) interesting technique and b) interesting topic
  • + clarityi clarityi 1 month ago
    The proposed Legislations actually direct and place new Regulations on all 3 groups; Insurance Companies, Patients and Providers... rather than just Insurance Companies as the Video claims. Thereby putting Gov’t in the prominant decision making role and position for all 3. I’d prefer that a continued competing existence and context between the interests of all 4 groups remain, rather than Gov’t be elevated into the determining position for the other 3. Needed reform will best come about in the context of the former rather than the later.
  • + guestc436524 Ian Duncan 1 month ago
    Dan put this on Youtube!!!
  • + ShimCode ShimCode 1 month ago
    Very nice presentation! and a couple good points...that’s for sure....

    Tommy Boy: ’Guy puts a fancy guarantee on a box ’cause he wants you to feel all warm and toasty inside.’

    Ya figure you put that little napkin drawing on the Internet and in a box under your pillow at night, the Guarantee Fairy might come by and leave a quarter, am I right, Dan?

    So who’s the ’Guarantee Fairy’ that’s gonna come and pay all the other ’quarters’ Dan?

    This one ’Guarantee Fairy’ is really tired of being nickled and dimed. And now I’m being quartered?!

    I vote for Dan Roam as ’Napkin Czar!’
  • + bange bange 1 month ago
    Very well executed and the content and message is so relevant
    Regards
    http://guidegenius.com
  • + micahsheppa micahsheppa 1 month ago
    THERE’S NOTHING WRONG WITH BEING LIBERAL. Just like there’s nothing wrong with being Conservative. You people have not seen ’ultra liberal’ -- give me a break. And yes, it is more productive to think than to shout. God help us the day ’thinking’ becomes partisan.

    As for ’presenting facts in attempt to influence’ not being the same as education, please please give me an example of a time when education has been unbiased. Facts are facts. There is never a time when having more facts is bad. If Michael Moore is only presenting one side of the story, then quit whining, come up with the other side, and finance your own *&^% movie.
  • + vaishnaviRagunathan Vaishnavi Ragunathan 1 month ago
    Cool one. Well deserved. Congrats !!!

    I’m a newbuddy.

    Please have a look at my new slide. Link is http://www.slideshare.net/vaishnaviRagunathan/ten-tips-to-become-a-better-listener.

    Let me know your feedback at your own convenience.


    Thanks & regards,
    Vaishu.
  • + guest1f06f9 johnrgraham 1 month ago
    Nice but with some factual errors: Half of private insurance is non-profit and slideshow suggests it’s all for-profit. Also states that conservatives want no change which is entirely incorrect: Conservatives want the government to give the money to the people instead of their employers, but cannot compete in lobbying with the entrenched interests.

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Healthcare Napkins All - Presentation Transcript

  1. 2009 © Digital Roam Inc. Dan Roam dan@danroam.com www.thebackofthenapkin.com
  2. Napkin #1
  3. Health care in America is a business governed by a simple equation: I get sick. My Doc fixes me. My Doc gets paid. 3
  4. In the last several years there’s been a shift in the equation: Insurance jumped in between me and my doctor. Insurance now rations my treatment and health costs. 4
  5. That happened because health care is really two different businesses: There’s the business … and then there’s of providing health… the business of providing payment. 5
  6. I’m in the middle. Me, my health, and my money sit in between these two businesses. 6
  7. When I’m healthy, insurance loves me: I pay premiums that insurance collects, and they don’t have to pay anything back. 7
  8. When I’m sick, providers love me: Through my insurance, I pay Doctors, hospitals, and pharma for their products and services. 8
  9. These two businesses hate each other. (Ultimately, I’m the only source of money for both.) 9
  10. They have conflicting interests and fight over my money. (It’s a zero-sum game.) Providers like to prescribe Insurers charge more new and expensive (and allow less) to keep treatments to keep money money flowing in. flowing in. 10
  11. As the providers and insurers fight, my costs keep going up. (Bankrupting me and my employer.*) I’m the only one adding money INTO the equation, so I get squeezed. *more on this later. 11
  12. Now government steps into the picture: Government is worried: people and businesses are both too squeezed. 12
  13. Government thinks most of the changes are on the insurance side: Almost all legislation being debated impacts the insurance side of the equation. 13
  14. Next napkin: What health care reform is really about. (It isn’t health care.) 14
  15. 2009 © Digital Roam Inc. Dan Roam dan@danroam.com www.thebackofthenapkin.com
  16. Remember how all the reforms are focused on the insurance side? All the big changes the White House is demanding are directed towards the private insurance companies. 17
  17. The White House should call it what it is: If the White House wins, it will be the private insurance companies sitting on the outside looking in. 18
  18. Is that fair? The only value private insurers bring to the equation is to keep costs down for members. (And pay shareholders. Remember: this is a business.) 19
  19. Is that fair? YES. Without a doubt. Private insurers have failed miserably at keeping costs down. If they can’t manage member costs, why do they exist? 20
  20. Private insurers had a remarkably profitable 2008. (Yes, in the recession.) 2008: Detroit dies.Wall Street tanks. 9.5% unemployed. Private insurance does just fine. 21
  21. Is anybody else being asked to reform? Yes, but not so much: Me: Providers: Take better care of myself. Be more efficient. Try not to get sick. Order fewer procedures. Don’t get fired. (Ha!) Revamp malpractice. (how?) (Pharma is being asked to pay an $80 billion gift.) 22
  22. In the end, who will pay for any reform? Me. Assuming I’m presently employed and covered, I’m the only player putting money into the system. 23
  23. And where will the money I pay go? (There are 3 possibilities.) 1. Increase 2. Fund new 3. Fund a new profits for non-profit government Private Insurers. insurance insurance plan (no exchanges. profit allowed). Yes, it is that simple. 24
  24. Next napkin: What plans are really on the table? (And what is just hype?) 25
  25. 2009 © Digital Roam Inc. Dan Roam dan@danroam.com www.thebackofthenapkin.com
  26. Today, we have a purely business-driven insurance model. Today, health care in America is a profit- oriented business where costs are mainly controlled by restrictive private insurers. 28
  27. There are 3 options on the table: #1 is a less restrictive private model. The first option is less restrictive private insurance. Everyone must be covered by a private plan, and no one may be excluded because of pre-existing conditions. 29
  28. #2 is private insurance (like today) in competition with “co-ops”. Restrictive private insurance remains for those who want it. Others must buy insurance through private, non-profit co-ops (or ‘exchanges’). 30 2009 © Dan Roam THE BACK OF THE NAPKIN all rights reserved
  29. #3 is private insurance competing with government-managed insurance. Restrictive private insurance remains for those who want it. Others must buy insurance through a government managed program. (Like a really big Medicare.) 31 2009 © Dan Roam THE BACK OF THE NAPKIN all rights reserved
  30. Who is behind each? The conservatives didn’t The White House want any change, but they wanted this, but now know change is coming. knows it won’t get it. 32
  31. Which bills promote which? 33
  32. The private insurance industry doesn’t like any of these options (for good reason). Insuring everyone Competing with Government means insurers’ co-ops means loss prices will costs go up. of customers who undercut private can pay. prices. 34 2009 © Dan Roam THE BACK OF THE NAPKIN all rights reserved
  33. Insurance sees the first option as the least bad*, so they’ve poured money into sinking the others. * Then again, if they play this right, they could make $trillions! 35
  34. Coming on the 4th napkin: Business and politics aside, what do the options mean to me?
  35. 2009 © Digital Roam Inc. Dan Roam dan@danroam.com www.thebackofthenapkin.com
  36. Quick review: 3 insurance options are on the table: All 3 require universal coverage for all citizens. The difference is the amount of government-backed coverage. 39
  37. Note: when the debate started, there was a 4th, all-government option. Reps. Conyers (D-MI) and Kucinich (D-OH) proposed H.R. 676, an all-government national health insurance plan. 40
  38. This “single-payer” option has been removed from the debate. The White House has pulled support. H.R. 676 is effectively dead. 41
  39. At the end of the day, what do the 3 options mean to me? 42
  40. 1) If I’m presently employed and insured, all options will cost me more. Higher premiums Indirect taxes Direct taxes. as private insurers’ through loss of costs rise to cover untaxed more people. insurance benefit. 43
  41. So why reform? Because if we do nothing, it’s going to cost even more. People concerned that reforms will bankrupt the USA need to recognize that health costs are already bankrupting us. 44
  42. The additional costs are unknown. All I can choose is how my money will be taken from my pocket. I’ll pay higher I’ll lose a presently I’ll pay more private insurance untaxed employment direct taxes. premiums. benefit. 45
  43. 2) A key issue to debate is whether I will pay directly or through my employer. Switching the tax benefit to a tax credit will give the government an additional $250 Billion per year with no impact on my compensation. 46
  44. 3) In all cases, my actual health will at least not get worse. All plans let me All plans let me All plans will help keep my existing keep my existing more people be coverage. providers. covered. 47
  45. Although today’s debate is really insurance reform, there are issues on the other side: Although they’re not core to today’s insurance debate, we need to address cost-cutting options on the provider side. 48
  46. In the end, how we each decide to support reform will be guided by 3 questions: Should health be Change is coming; Will I be better a profit-driven how do I want to off shouting or business? pay for it? thinking? 49
  47. Dan Roam dan@danroam.com www.thebackofthenapkin.com
  48. Dan Roam is author of the international bestseller "The Back of the Napkin: Solving Problems and Selling Ideas with Pictures“, the ‘best innovation book of 2008’ according to Anthony Jones is a health care BusinessWeek and Fast Company. and life sciences marketing strategist and founder of Next Dan has helped leaders at Microsoft, Wal- Lifesciences. Over more than 20 Mart, and the United States Senate solve years, he has held senior complex problems through visual thinking. management positions at Scient, Dan and his whiteboard have been featured Deloitte Consulting and Reuters on CNN, MSNBC, ABC News, and NPR. as well consulted to several Fortune 1000 and emerging market companies. Dan Roam dan@danroam.com www.thebackofthenapkin.com C. Anthony Jones, M.D. www.digitalroam.typepad.com tony@nextlifesciences.com

+ Dan RoamDan Roam, 3 months ago

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