Health Care Status Quo Results Gallery
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Updated collection with more slides at https://www.slideshare.net/dchase/health-care-status-quo-results-gallery-234289014 Collection of graphics from the havoc that status quo healthcare has wreaked on the American Dream. Impacts of price gouging and profiteering.
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Hilary Graves - Repugnant Interventions - EA Global Melbourne 2015
Repugnant Interventions - Doublethink in Global Prioritization Outline:
1) Global prioritisation: child mortality, family planning and the
cancellation worry
2) Making it quantitative: the benefit-cost approach
3) CBA for child mortality reduction
3.1) Arguments for not counting ‘knock-on effects’
3.2) Critique of the CBA
4) CBA for family planning
4.1) An excursion into population axiology
4.2) Critique of the CBA
5) Conclusions
Summary / Conclusions:
• Child mortality and family planning are both (fairly) frequently cited as ‘top picks’ in global prioritisation.
• This is prima facie curious, since the most-obvious effect of the second intervention is precisely to undo the most-obvious effect of the first.
• Benefit-cost analyses (indeed) only manage to make both interventions simultaneously come out as ‘top picks’ by engaging in ‘doublethink’: making inconsistent decisions as to which effects (‘direct’ vs ‘indirect’) to count vs disregard, across the two interventions.
• Analyses of mortality-reduction projects neglect indirect (e.g. economic) effects.
• There may be a case for ignoring such effects in some
contexts (e.g. doctor-patient relationships), but not at the level of global prioritisation.
• Analyses of family planning programs ignore the (‘direct’) ‘value of lives not born’, counting only the ‘indirect’ effects on others.
• This presupposes a person-affecting and/or an average-utilitarian approach to population ethics. Those approaches are initially intuitive, but ultimately indefensible.
• There is a resulting danger that we are currently wasting billions of dollars per year, by doing and then undoing good.
• To fix this: More sophisticated analysis, including serious attempts to put neo-Malthusianism and the value of individual additional lives in dialogue with one another, is required.
Video of talk: https://www.youtube.com/watch?v=QCoYq7kzcH0
Hilary Greaves is Associate Professor in Philosophy at the University of Oxford, specializing in moral philosophy. She is currently particularly interested in what moral philosophy has to say about actions that affect the number of people who will live, and in connecting abstract theoretical work in this area to real-world issues that are relevant to public policy and philanthropic intervention.
Oxford Bio: users.ox.ac.uk/~mert2255/
The Future We Choose - Reestablising Health Sovereignty
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The Future We Choose - Health Rosetta
I have no doubt that the period we are living through will be looked at as the single biggest inflection point of our lifetimes. Every community will make an explicit decision to move forward or move further backwards.
2016: Do any of you remember what happened on March 9, 2016? Bernie/Trump; populism; economic depression; Draw on “Gone to War for Less” chapter (78% living paycheck to paycheck with most being functionally uninsured; opioid crisis; undisputed world leader’s in bankruptcy - 70% had so-called insurance). The fact is we’re already investing more than enough money to not only fund a world class hc system but fund what drives 80% of health outcomes -- what are broadly referred to as the SDoH. Today, there is a $1 trillion “tax” on the American Dream that isn’t a law...it’s a choice to accept wasted spending in hc. That “tax” would be the 15th largest economy in the world. Healthcare isn’t expensive. After all, clinicians only receive $0.27 of every $1 ostensibly spent on hc. What’s expensive is administrative bloat, price-gouging, fraud and profiteering. The result is what I’d call “hellth.”
2031: Let’s fast forward imagine a future together every community whether it’s an employer community or place-based community can focus on building what I call “wellth” that focuses on the totality of well-being. Things like a good, well-paying job, educational opportunities independent of your family history and the ability to live in a nice home in a safe neighborhood are central and are actually what drives 80% of health outcomes. The great news is you don’t have to imagine this future. You can see it with your own eyes from Florida to Alaska.
You would be hard-pressed to find more challenging pre-existing community conditions when a small group of forward-looking community members became true stewards of their community. Most didn’t have an official capacity or specific training. Rather, they simply had will...a will that is based in love for their community and can endure the inevitable challenges any time one tackles a meaningful problem.
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Collection of graphics from the havoc that status quo healthcare has wreaked on the American Dream. Impacts of price gouging and profiteering. Includes comparison between U.S. hospital prices vs international prices.
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Generic price spread between PBM and GoodRx
Examples of pricing differential between what big PBMs are paying (with employees' money) vs. what an individual consumer could get at the pharmacy.
Recommended
Hilary Graves - Repugnant Interventions - EA Global Melbourne 2015
Repugnant Interventions - Doublethink in Global Prioritization Outline:
1) Global prioritisation: child mortality, family planning and the
cancellation worry
2) Making it quantitative: the benefit-cost approach
3) CBA for child mortality reduction
3.1) Arguments for not counting ‘knock-on effects’
3.2) Critique of the CBA
4) CBA for family planning
4.1) An excursion into population axiology
4.2) Critique of the CBA
5) Conclusions
Summary / Conclusions:
• Child mortality and family planning are both (fairly) frequently cited as ‘top picks’ in global prioritisation.
• This is prima facie curious, since the most-obvious effect of the second intervention is precisely to undo the most-obvious effect of the first.
• Benefit-cost analyses (indeed) only manage to make both interventions simultaneously come out as ‘top picks’ by engaging in ‘doublethink’: making inconsistent decisions as to which effects (‘direct’ vs ‘indirect’) to count vs disregard, across the two interventions.
• Analyses of mortality-reduction projects neglect indirect (e.g. economic) effects.
• There may be a case for ignoring such effects in some
contexts (e.g. doctor-patient relationships), but not at the level of global prioritisation.
• Analyses of family planning programs ignore the (‘direct’) ‘value of lives not born’, counting only the ‘indirect’ effects on others.
• This presupposes a person-affecting and/or an average-utilitarian approach to population ethics. Those approaches are initially intuitive, but ultimately indefensible.
• There is a resulting danger that we are currently wasting billions of dollars per year, by doing and then undoing good.
• To fix this: More sophisticated analysis, including serious attempts to put neo-Malthusianism and the value of individual additional lives in dialogue with one another, is required.
Video of talk: https://www.youtube.com/watch?v=QCoYq7kzcH0
Hilary Greaves is Associate Professor in Philosophy at the University of Oxford, specializing in moral philosophy. She is currently particularly interested in what moral philosophy has to say about actions that affect the number of people who will live, and in connecting abstract theoretical work in this area to real-world issues that are relevant to public policy and philanthropic intervention.
Oxford Bio: users.ox.ac.uk/~mert2255/
The Future We Choose - Reestablising Health Sovereignty
Success in Alaska, Florida and Ohio points the way for our future
The Future We Choose - Health Rosetta
I have no doubt that the period we are living through will be looked at as the single biggest inflection point of our lifetimes. Every community will make an explicit decision to move forward or move further backwards.
2016: Do any of you remember what happened on March 9, 2016? Bernie/Trump; populism; economic depression; Draw on “Gone to War for Less” chapter (78% living paycheck to paycheck with most being functionally uninsured; opioid crisis; undisputed world leader’s in bankruptcy - 70% had so-called insurance). The fact is we’re already investing more than enough money to not only fund a world class hc system but fund what drives 80% of health outcomes -- what are broadly referred to as the SDoH. Today, there is a $1 trillion “tax” on the American Dream that isn’t a law...it’s a choice to accept wasted spending in hc. That “tax” would be the 15th largest economy in the world. Healthcare isn’t expensive. After all, clinicians only receive $0.27 of every $1 ostensibly spent on hc. What’s expensive is administrative bloat, price-gouging, fraud and profiteering. The result is what I’d call “hellth.”
2031: Let’s fast forward imagine a future together every community whether it’s an employer community or place-based community can focus on building what I call “wellth” that focuses on the totality of well-being. Things like a good, well-paying job, educational opportunities independent of your family history and the ability to live in a nice home in a safe neighborhood are central and are actually what drives 80% of health outcomes. The great news is you don’t have to imagine this future. You can see it with your own eyes from Florida to Alaska.
You would be hard-pressed to find more challenging pre-existing community conditions when a small group of forward-looking community members became true stewards of their community. Most didn’t have an official capacity or specific training. Rather, they simply had will...a will that is based in love for their community and can endure the inevitable challenges any time one tackles a meaningful problem.
Local 5 steps to transforming health plans
Four of the five steps are either invisible or a clear value-add for the health plan member. Why not get started restoring the American Dream?
Health Care Status Quo Results Gallery
Collection of graphics from the havoc that status quo healthcare has wreaked on the American Dream. Impacts of price gouging and profiteering. Includes comparison between U.S. hospital prices vs international prices.
Scott Haas USI Alternative Reimbursement Case Study Dropping Medical Spend ov...
Pacific Steel is a Great Falls, Montana based employer (ESOP) with approximately 700 employees in 9 states and over 40 locations.
Generic price spread between PBM and GoodRx
Examples of pricing differential between what big PBMs are paying (with employees' money) vs. what an individual consumer could get at the pharmacy.
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Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
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