Open Money and Health Care
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Open Money and Health Care

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Out-of-the-box solutions for re-contextualizing and fixing the funding problem with healthcare are needed. Use of complementary currencies is explored as a way to to do so with some isolation from ...

Out-of-the-box solutions for re-contextualizing and fixing the funding problem with healthcare are needed. Use of complementary currencies is explored as a way to to do so with some isolation from increasingly fragile debt-based currencies, while improving the quality of care. The context is Canada, but not limited to that.

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Open Money and Health Care Open Money and Health Care Presentation Transcript

  • Complementary Currencies for Health Care Mark Szpakowski szpak@eastlink.ca
  • Context: Money Today National currencies / legal tender Money as debt (the movie) The crash of unlimited growth (the news)
  • Context: $Crisis• The more debt, the more money• Total financial derivatives debt: $600 Trillion• Total global GDP: $60 Trillion• Crash! Bubbles are built in!
  • Complementary Currencies• Targeted and Regional• Money as wealth rather than debt• Counter-cyclical (anti-bubbles)• http://en.wikipedia.org/wiki/Complementary_currency
  • Examples• Around us - CDN Tire, Air Miles, Linden $• Historical - Bali; Europe; Brazil• Time Dollars - Ithaca Hours; fureai kippu• Targeted - elder care; health care• Regional - connect resources to needs
  • Money as wealth• wealth: forward days of survival • resources in the ground • are a better store of value • than money in the bank• Terra - based on basket of commodities • http://en.wikipedia.org/wiki/Bernard_Lietaer
  • Open Money Today• Complementary Currency Apps• + Web Social Networking• + Ubiquitous Devices• => Open Money• Explosion of interest and innovation!
  • Open Money• A platform for multiple currencies• Not an individual currency design• Enabled by WWW infrastructure• And by ubiquitous devices (eg, cell phones)
  • Health Care Context• Nova Scotia example: • Costs today: 50% of NS Provincial Budget • Costs tomorrow: 100% • 1 day in hospital: $6000 • 80% of costs: labour
  • Health Care• Wicked problem• Cannot be solved within the same framing• Complementary currencies: reframe?
  • Health Care Reframing• Hypothesis: CC can reframe Health Care• CC can remove costs from national $• Move much labour costing to CC• Move some goods costing to CC
  • HC Use Case 1• Health Care dollars: $HC• Anne takes care of Betty for 1 hour• Anne gets 1 $HC
  • HC Use Case 2• Anne needs health care• Anne spends 1 $HC, paying Charles• Charles has $HC available for self/family• Charles buys service X with $HC
  • HC Use Case 3• Charles pays hospital for care with $HC• Hospital buys health gadget from Acme• Hospital pays Acme $CDN + $HC• Acme pays employees $CDN + $HC• Employees pay for health care with $HC
  • Context: Regionality• CCs can encourage regional circulation• Regionality is a good thing • Lower transportation costs • Lower carbon/climate costs • Local care for local resources & people • Isolation from self-destructive debt $
  • HC Resources, Needs• Elder Care • Example: Japan’s Fureai Kippu• Share the Care/Volunteer groups• Professional caregivers• Resources and commodities
  • The Leverage Point• Health Care Electronic Infostructure • Unified Health Record • Health Telepresence• Marry Health Infostructure with CC Payment Infrastructure!
  • The Proposal• Frame and articulate • Hypotheses to be tested • ROI to be calculated• Engage partners in pilot project(s)• Evaluate results, and ROI
  • Partners• National • Health Canada • Canada Health Infoway • Treasury Board
  • Partners• Provincial Governments• Regional Health Districts• Health Care Providers & Vendors• Change Management/Leadership
  • Contact• Mark Szpakowski, szpak@eastlink.ca• memer.com/blog/open-money-resources