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 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

    1. 1. Complementary Currencies for Health Care Mark Szpakowski szpak@eastlink.ca
    2. 2. Context: Money Today National currencies / legal tender Money as debt (the movie) The crash of unlimited growth (the news)
    3. 3. Context: $Crisis• The more debt, the more money• Total financial derivatives debt: $600 Trillion• Total global GDP: $60 Trillion• Crash! Bubbles are built in!
    4. 4. Complementary Currencies• Targeted and Regional• Money as wealth rather than debt• Counter-cyclical (anti-bubbles)• http://en.wikipedia.org/wiki/Complementary_currency
    5. 5. 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
    6. 6. 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
    7. 7. Open Money Today• Complementary Currency Apps• + Web Social Networking• + Ubiquitous Devices• => Open Money• Explosion of interest and innovation!
    8. 8. Open Money• A platform for multiple currencies• Not an individual currency design• Enabled by WWW infrastructure• And by ubiquitous devices (eg, cell phones)
    9. 9. 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
    10. 10. Health Care• Wicked problem• Cannot be solved within the same framing• Complementary currencies: reframe?
    11. 11. 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
    12. 12. HC Use Case 1• Health Care dollars: $HC• Anne takes care of Betty for 1 hour• Anne gets 1 $HC
    13. 13. 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
    14. 14. 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
    15. 15. 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 $
    16. 16. HC Resources, Needs• Elder Care • Example: Japan’s Fureai Kippu• Share the Care/Volunteer groups• Professional caregivers• Resources and commodities
    17. 17. The Leverage Point• Health Care Electronic Infostructure • Unified Health Record • Health Telepresence• Marry Health Infostructure with CC Payment Infrastructure!
    18. 18. The Proposal• Frame and articulate • Hypotheses to be tested • ROI to be calculated• Engage partners in pilot project(s)• Evaluate results, and ROI
    19. 19. Partners• National • Health Canada • Canada Health Infoway • Treasury Board
    20. 20. Partners• Provincial Governments• Regional Health Districts• Health Care Providers & Vendors• Change Management/Leadership
    21. 21. Contact• Mark Szpakowski, szpak@eastlink.ca• memer.com/blog/open-money-resources

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