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The document discusses the concept of a "biotech social contract" where the biotech industry commits to developing new medicines and technologies that will eventually become generic, and society commits to providing universal health insurance with low out-of-pocket costs so patients can afford treatments. It encourages writing an op-ed framing drug development within this social contract and calling on legislators to eliminate out-of-pocket costs to uphold society's end of the bargain and ensure patients can access needed treatments.
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Medical costs are once again rising rapidly, forcing health care back into political prominence.
This issue direct affects you as a student, family member, employer, and/or employee. The
problem of medical costs is so pervasive that it underlies three quite different policy crises. First
is the increasingly rapid unraveling of employer-based health insurance. Second is the plight of
Medicaid. Third is the long-term problem of the federal government’s solvency which is largely
a problem of health care costs.
Write an eight page paper addressing each of these issues. Be sure to choose a position (of
which there are many) and substantiate that position with facts and economic data. Some of the
issues which need to be answered are:
Is health care spending a problem?
Is employer-based insurance unraveling?
Medicare and Medicaid
The inefficiencies of the health care.
Single-payer and beyond.
How much health care should we have?
Can we fix health care?
Solution
1. Is health care spending a problem?
In 1960 the United States spent only 5.2 percent of GDP on health care. By 2004 that number
had risen to 16 percent. At this point America spends more on health care than it does on food.
But what’s wrong with that?
The starting point for any discussion of rising health care costs has to be the realization that these
rising costs are, in an important sense, a sign of progress. Here’s how the Congressional Budget
Office puts it, in the latest edition of its annual publication The Long-Term Budget Outlook:
Growth in health care spending has outstripped economic growth regardless of the source of its
funding. The major factor associated with that growth has been the development and increasing
use of new medical technology. In the health care field, unlike in many sectors of the economy,
technological advances have generally raised costs rather than lowered them.
Notice the three points in that quote. First, health care spending is rising rapidly “regardless of
the source of its funding.” Translation: although much health care is paid for by the government,
this isn’t a simple case of runaway government spending, because private spending is rising at a
comparably fast clip. “Comparing common benefits,” says the Kaiser Family Foundation,
changes in Medicare spending in the last three decades has largely tracked the growth rate in
private health insurance premiums. Typically, Medicare increases have been lower than those of
private health insurance.
Second, “new medical technology” is the major factor in rising spending: we spend more on
medicine because there’s more that medicine can do. Third, in medical care, technological
advances have generally raised costs rather than lowered them although new technology surely
produces cost savings in medicine, as elsewhere, the additional spending that takes place as a
result of the expansion of medical possibilities outweighs those savings.
So far, this sounds like a happy story. We’ve found new ways to help people, an.
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Chapter 9 Comprehensive BenefitsAnother important measure of he
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Read the Case Study The Whole Foods Alternative to ObamaCare, loc.docx
Read
the Case Study: The Whole Foods Alternative to ObamaCare, located on page 20 of the textbook.
Write
a paper of approximately 750 words that will include three separate writing projects:
The first will be a brief letter (approximately 250 words) in which you pretend to be John Mackey responding to a major supplier of Whole Foods that has threatened to terminate business dealings because of the controversial op-ed piece.
The second will be a statement (approximately 250 words) that you will read at the next Whole Foods board of directors meeting to explain your decision to write the op-ed piece and your subsequent handling of the resulting publicity.
The third will be your analysis (approximately 250 words) of whether Mackey's Op-ed article and his response afterward showed that he properly applied the four steps in the strategic communication process:
Identify the purpose
Analyze the audience
Consider the context
Analyze the method
Examine which steps (if any) he took and which (if any) he missed
Article of page 20 of textbook
Case Study:
The Whole Foods Alternative to ObamaCare
The Wall Street Journal
OPINION
AUGUST 11, 2009, 7:30 P.M. ET
“Eight things we can do to improve health care without adding to the deficit.”
—John Mackey
“The problem with socialism is that eventually you run out of other people’s money.”
—Margaret Thatcher
With a projected $1.8 trillion deficit for 2009, several trillions more in deficits projected over the next decade, and with both Medicare and Social Security entitlement spending about to ratchet up several notches over the next 15 years as Baby Boomers become eligible for both, we are rapidly running out of other people’s money. These deficits are simply not sustainable. They are either going to result in unprecedented new taxes and inflation, or they will bankrupt us.
While we clearly need health-care reform, the last thing our country needs is a massive new health-care entitlement that will create hundreds of billions of dollars of new unfunded deficits and move us much closer to a government takeover of our health-care system. Instead, we should be trying to achieve reforms by moving in the opposite direction—toward less government control and more individual empowerment. Here are eight reforms that would greatly lower the cost of health care for everyone:
Remove the legal obstacles that slow the creation of high-deductible health insurance plans and health savings accounts (HSAs). The combination of high-deductible health insurance and HSAs is one solution that could solve many of our health-care problems. For example, Whole Foods Market pays 100% of the premiums for all our team members who work 30 hours or more per week (about 89% of all team members) for our high-deductible health-insurance plan. We also provide up to $1,800 per year in additional health-care dollars through deposits into employees’ Personal Wellness Accounts to spend as they choose on their own health and wellness.
Money not s ...
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Digital Transformation Frameworks: Driving Digital Excellence
[To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
This presentation is a curated compilation of PowerPoint diagrams and templates designed to illustrate 20 different digital transformation frameworks and models. These frameworks are based on recent industry trends and best practices, ensuring that the content remains relevant and up-to-date.
Key highlights include Microsoft's Digital Transformation Framework, which focuses on driving innovation and efficiency, and McKinsey's Ten Guiding Principles, which provide strategic insights for successful digital transformation. Additionally, Forrester's framework emphasizes enhancing customer experiences and modernizing IT infrastructure, while IDC's MaturityScape helps assess and develop organizational digital maturity. MIT's framework explores cutting-edge strategies for achieving digital success.
These materials are perfect for enhancing your business or classroom presentations, offering visual aids to supplement your insights. Please note that while comprehensive, these slides are intended as supplementary resources and may not be complete for standalone instructional purposes.
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Microsoft’s Digital Transformation Framework
McKinsey’s Ten Guiding Principles of Digital Transformation
Forrester’s Digital Transformation Framework
IDC’s Digital Transformation MaturityScape
MIT’s Digital Transformation Framework
Gartner’s Digital Transformation Framework
Accenture’s Digital Strategy & Enterprise Frameworks
Deloitte’s Digital Industrial Transformation Framework
Capgemini’s Digital Transformation Framework
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Medical costs are once again rising rapidly, forcing health care back into political prominence.
This issue direct affects you as a student, family member, employer, and/or employee. The
problem of medical costs is so pervasive that it underlies three quite different policy crises. First
is the increasingly rapid unraveling of employer-based health insurance. Second is the plight of
Medicaid. Third is the long-term problem of the federal government’s solvency which is largely
a problem of health care costs.
Write an eight page paper addressing each of these issues. Be sure to choose a position (of
which there are many) and substantiate that position with facts and economic data. Some of the
issues which need to be answered are:
Is health care spending a problem?
Is employer-based insurance unraveling?
Medicare and Medicaid
The inefficiencies of the health care.
Single-payer and beyond.
How much health care should we have?
Can we fix health care?
Solution
1. Is health care spending a problem?
In 1960 the United States spent only 5.2 percent of GDP on health care. By 2004 that number
had risen to 16 percent. At this point America spends more on health care than it does on food.
But what’s wrong with that?
The starting point for any discussion of rising health care costs has to be the realization that these
rising costs are, in an important sense, a sign of progress. Here’s how the Congressional Budget
Office puts it, in the latest edition of its annual publication The Long-Term Budget Outlook:
Growth in health care spending has outstripped economic growth regardless of the source of its
funding. The major factor associated with that growth has been the development and increasing
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advances have generally raised costs rather than lowered them although new technology surely
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Chapter 9 Comprehensive BenefitsAnother important measure of he
Chapter 9
"Comprehensive BenefitsAnother important measure of health care systems is whether they offer all of theessential services individuals need. The difficulty lies in defining what is essential.Although all observers would agree that comprehensive health care must includecoverage forprimary care, agreement breaks down quickly when we begindiscussing specialty care. Some individuals, for example, consider coronary bypasssurgery an essential service, but others consider it an overpriced and overhypedluxury. Similarly, some favor offering only procedures necessary to keep patientsalive, but others support offering procedures or technologies such as hip replace-ment surgery, home health care, hearing aids, or dental care, which improvequality of life but don’t extend life.Any system that does not provide comprehensive benefits runs the risk ofdevolving into a two-class system in which some individuals can buy more carethan others can. To those who believe health care is a human right, such a sys-tem seems unethical. Others object to such systems on economic grounds, argu-ing that it costs less in the long run to plan on providing care for everyone thanto haphazardly shift costs to the general public when individuals who can’t affordcare eventually seek care anyway.AffordabilityGuaranteeingaccessto health care does not help those who can’t afford topur-chaseit. Consequently, we also must evaluate health care systems according towhether they make health care coverage affordable, restraining the costs notonly of insurance premiums but also ofco-payments, deductibles, and othercrucial services such as prescription drugs and long-term care. Although the ACAoffers some subsidies and tax credits to help people pay their premiums, it stillleaves millions with many bills for these latter costs.For health care to be affordable, individual costs must reflect individualincomes. As noted earlier, most insured Americans receive their insurancethrough employers. Typically, employers pay part of the cost for that insuranceand deduct the rest from each employee’s wages. Because low- and high-wageworkers have their salaries reduced by the same dollar amount, low-wage work-ers are effectively hit harder: Paying $3,000 per year for health insurance might,for example, force a wealthier worker to scale back his vacation plans but force apoorer worker to put off fixing his roof. For this reason, the US system is con-sideredfinancially regressivein that poorer people must pay a higher percent-age of their income than do wealthier people. In contrast, in countries such asGreat Britain and Canada, health coverage is paid for through graduated in-come taxes. Poorer persons pay alowerpercentage of their income for taxesand therefore for health care than do wealthier persons, creating afinanciallyprogressivesystem. Either way—whether through taxes or lowered wages—the nation’s citizens pay all the costs of health care" "Financial EfficiencyAnother critical measure of ...
Read the Case Study The Whole Foods Alternative to ObamaCare, loc.docx
Read
the Case Study: The Whole Foods Alternative to ObamaCare, located on page 20 of the textbook.
Write
a paper of approximately 750 words that will include three separate writing projects:
The first will be a brief letter (approximately 250 words) in which you pretend to be John Mackey responding to a major supplier of Whole Foods that has threatened to terminate business dealings because of the controversial op-ed piece.
The second will be a statement (approximately 250 words) that you will read at the next Whole Foods board of directors meeting to explain your decision to write the op-ed piece and your subsequent handling of the resulting publicity.
The third will be your analysis (approximately 250 words) of whether Mackey's Op-ed article and his response afterward showed that he properly applied the four steps in the strategic communication process:
Identify the purpose
Analyze the audience
Consider the context
Analyze the method
Examine which steps (if any) he took and which (if any) he missed
Article of page 20 of textbook
Case Study:
The Whole Foods Alternative to ObamaCare
The Wall Street Journal
OPINION
AUGUST 11, 2009, 7:30 P.M. ET
“Eight things we can do to improve health care without adding to the deficit.”
—John Mackey
“The problem with socialism is that eventually you run out of other people’s money.”
—Margaret Thatcher
With a projected $1.8 trillion deficit for 2009, several trillions more in deficits projected over the next decade, and with both Medicare and Social Security entitlement spending about to ratchet up several notches over the next 15 years as Baby Boomers become eligible for both, we are rapidly running out of other people’s money. These deficits are simply not sustainable. They are either going to result in unprecedented new taxes and inflation, or they will bankrupt us.
While we clearly need health-care reform, the last thing our country needs is a massive new health-care entitlement that will create hundreds of billions of dollars of new unfunded deficits and move us much closer to a government takeover of our health-care system. Instead, we should be trying to achieve reforms by moving in the opposite direction—toward less government control and more individual empowerment. Here are eight reforms that would greatly lower the cost of health care for everyone:
Remove the legal obstacles that slow the creation of high-deductible health insurance plans and health savings accounts (HSAs). The combination of high-deductible health insurance and HSAs is one solution that could solve many of our health-care problems. For example, Whole Foods Market pays 100% of the premiums for all our team members who work 30 hours or more per week (about 89% of all team members) for our high-deductible health-insurance plan. We also provide up to $1,800 per year in additional health-care dollars through deposits into employees’ Personal Wellness Accounts to spend as they choose on their own health and wellness.
Money not s ...
The Proposed Health Care Reform’S Impact On Marketing
The document summarizes key aspects of the proposed US health care reform plan, including:
1) It would require all Americans to have health insurance and businesses to provide it or pay a penalty. Subsidies would help lower-income families purchase insurance.
2) Health insurance exchanges would be created to allow consumers to compare plans starting in 2013.
3) While hospitals, doctors, and private Medicare plans oppose aspects of the plan, supporters argue it will reduce costs and improve care by covering more of the uninsured.
Universal health care in the United States
This document discusses universal health care in the United States and its potential effects on society. It first defines universal health care as a system that provides health insurance to all citizens. It then compares the systems in other countries like Canada, Great Britain, and Germany. In the US, over 45 million people are uninsured despite health care being declared a basic right. The document outlines several potential effects of universal health care on employment, government spending, households, and the economy. Both pros and cons are discussed. In conclusion, it states that most cannot afford treatment without insurance and increasing costs may raise the uninsured population.
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UNCERTAINITY AND WELFARE ECONOMICS OF MEDICAL CARE BY ARROW
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Chapter 9 Comprehensive BenefitsAnother important measure of he
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Read the Case Study The Whole Foods Alternative to ObamaCare, loc.docx
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Incubateppt
- 1. June 13, 2019 Presented by: PETER KOLCHINSKY, PH.D PORTFOLIO MANAGER + MANAGING DIRECTOR
- 2. THE BIOTECH SOCIAL CONTRACT THE BIOTECH SOCIAL CONTRACT
- 3. THE BIOTECH SOCIAL CONTRACT
- 4. THE BIOTECH SOCIAL CONTRACT The drug development industry’s commitment to developing new medicines (and other technologies) that will go generic without undue delay is reciprocated by society’s commitment to providing universal health insurance with low/no out-of-pocket costs so patients can afford what their physicians prescribe.
- 5. THE BIOTECH SOCIAL CONTRACT The drug development industry’s commitment to developing new medicines (and other technologies) that will go generic without undue delay is reciprocated by society’s commitment to providing universal health insurance with low/no out-of-pocket costs so patients can afford what their physicians prescribe.
- 6. THE BIOTECH SOCIAL CONTRACT The drug development industry’s commitment to developing new medicines (and other technologies) that will go generic without undue delay is reciprocated by society’s commitment to providing universal health insurance with low/no out-of-pocket costs so patients can afford what their physicians prescribe.
- 7. THE BIOTECH SOCIAL CONTRACT THE BIOTECH SOCIAL CONTRACT
- 8. THE BIOTECH SOCIAL CONTRACT THE BIOTECH SOCIAL CONTRACT
- 9. THE BIOTECH SOCIAL CONTRACT THE BIOTECH SOCIAL CONTRACT
- 10. THE BIOTECH SOCIAL CONTRACT Synthetic genericization after 15-20 years Government already contracts for pandemic flu vaccines with fixed margins Won’t hinder innovation – only first ~15 years on market count in NPV models that justify early investment
- 11. THE BIOTECH SOCIAL CONTRACT The drug development industry’s commitment to developing new medicines (and other technologies) that will go generic without undue delay is reciprocated by society’s commitment to providing universal health insurance with low/no out-of-pocket costs so patients can afford what their physicians prescribe.
- 12. THE BIOTECH SOCIAL CONTRACT THE BIOTECH SOCIAL CONTRACT
- 13. THE BIOTECH SOCIAL CONTRACT So what can we do?
- 14. THE BIOTECH SOCIAL CONTRACT CELEBRATE GENERICS - they are our legacy.
- 15. THE BIOTECH SOCIAL CONTRACT THE BIOTECH SOCIAL CONTRACT
- 16. THE BIOTECH SOCIAL CONTRACT What else can we do?
- 17. THE BIOTECH SOCIAL CONTRACT Lobby for elimination/capping of out-of-pocket costs (source of outrage) How you can lobby…
- 18. THE BIOTECH SOCIAL CONTRACT Write an article/op-ed about your work using the framework of the biotech social contract Here’s how…
- 19. THE BIOTECH SOCIAL CONTRACT Start with a meaningful human story There is a problem… describe Disease X It causes suffering and costs society a lot of money… doctor visits, hospital stays, surgery, and other healthcare services That will be true 20, 50, and 100 years from now and those costs are only climbing. WRITE AN ARTICLE/OP-ED
- 20. THE BIOTECH SOCIAL CONTRACT We believe we can make a difference, and we’re developing Drug X based on novel scientific discoveries. Our company needs/has funding and can only get/keep it if investors know that we can charge and get paid a high price when we launch for a finite time. But after our patents expire, our drug will remain an inexpensive generic forever. WRITE AN ARTICLE/OP-ED
- 21. THE BIOTECH SOCIAL CONTRACT We know that the public is outraged over patients being unable to afford the medicines their doctors prescribe. So are we. High drug costs are more analogous to paying off a mortgage (investment) vs paying rent (expenses) If we couldn’t charge high prices, investors would pull our funding, not because they are heartless but because people just can’t invest their retirement savings in a non-profit pursuit. WRITE AN ARTICLE/OP-ED
- 22. THE BIOTECH SOCIAL CONTRACT We want all patients to be able to afford what their physicians prescribe. That’s the whole reason we are pursuing a treatment. We do not expect any patient to be able to afford to pay for our drug – not even by means of a 20% or 10% copayment. WRITE AN ARTICLE/OP-ED
- 23. THE BIOTECH SOCIAL CONTRACT Since no patient can get a drug unless a physician prescribes it, we don’t see the point of out-of-pocket costs as a means of ensuring that patients have skin in the game; their suffering and distress is more than enough sacrifice. Paying for the drugs we need when our doctors say we need them is what health insurance is for, and high out-of-pocket costs should not be the reason that patients who could benefit from our drug continue to suffer. WRITE AN ARTICLE/OP-ED
- 24. THE BIOTECH SOCIAL CONTRACT Just as people whose homes are burning should not have to pay a copayment to the fire department to subsidize a service that protects our whole community, patients who need treatment today should not have to subsidize innovation that potentially serves everyone for the rest of time. That’s what taxes and insurance are for. FIRE DEPARTMENT ANALOGY:
- 25. THE BIOTECH SOCIAL CONTRACT Yes, we believe that healthcare is a right. Our drug is a worthwhile investment that society can afford on behalf of current and future generations of patients with Disease X. We can step up together to spread costs across the entire population through our taxes and insurance premiums rather than force those unlucky enough to get sick to collapse under the burden of medical debt. WRITE AN ARTICLE/OP-ED
- 26. THE BIOTECH SOCIAL CONTRACT So we ask our elected leaders, Congresswoman A and Senators B and C, to pass legislation to eliminate or significantly cap out-of-pocket costs and avoid short- sighted reforms such as price controls that treat worthwhile investments like expenses and would shut down funding for our research and so much other drug development, dooming all patients who have Disease X today and all who will ever be diagnosed with it to a future no better than what they face today. CALL TO ACTION:
- 27. THE BIOTECH SOCIAL CONTRACT To get a template… Email Jessica Sagers, PhD Associate, Publishing and Outreach RA Capital Management Jsagers@racap.com And join www.IncubateCoalition.org
- 28. THANK YOU