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On Missed Opportunities

Thursday, November 19th, 2009

By Evan Falchuk

For my birthday, my mother gave me a reprint of the front page of the New York Times from November 19, 1969.  In large print the banner headline screams: “2 ASTRONAUTS LAND ON THE MOON.”

201px-AP12goodship

Astronauts Pete Conrad and Alan Bean landed early that morning, east coast time, and spent the rest of the day and a few hours of the next on the lunar surface.  It was an exciting day.

But then it struck me.

If on this November 19, 40 years later, two astronauts were to land on the moon, the headline in the New York Times would be just as big, and scream just as loudly.

Of all the things you could tell someone in 1969 about the world of 2009, I bet there are few things thing they would find impossible to believe.  One of them would be that the astronauts of Apollo 12 were some of the last people to walk on the moon.

How did this happen?

There are lots and lots of reasons.  Vietnam, Watergate, the oil shocks and recession, the Cold War, the end of the Cold War, Iraq, OJ, 9/11, Iraq again, and on and on.  There were so many things that seemed much more important than sending people to the moon.  And before you know it, it’s been almost 40 years since anyone’s been there.  In fact, it’s been 37 years since anyone has even left low earth orbit.

There’s a lesson I take from this, on my birthday.

It is the commonest of human traits to believe there will always be time.

There will always be time to take a chance and do something you’ve always dreamed of doing.  There will always be time to tell someone you love them, repair a broken relationship, end a troubled one.  There will always be time to read with your child, forgive someone for something they’ve done, make a new friend.

Just not today.  No, today I am busy, and distracted with other important things.  I’ll get to what’s really important, once I finish with this.  It won’t take long.

But time moves on.

The photographs released recently of the Apollo 12 landing site should serve as a monument.  A testament to the unfinished business of life, the unrealized dreams, and should compel us to reach for what we really long to achieve.

Some will sell their dreams for small desires
Or lose the race to rats
Get caught in ticking traps
And start to dream of somewhere
To relax their restless flight
Somewhere out of a memory of lighted streets on quiet nights…

Top 5 Most-Read Posts for October

Monday, November 9th, 2009

By Evan Falchuk

Here are the top 5 most-widely read posts from See First for the month of October.

1.  What Really Matters

2.  Why Is Health Insurance So Expensive?

3.  If You Had to Fix Just One Thing

4.  Doctors: Beware of Politics

5.  Don’t Get Sick

Weekend Roundup

Monday, October 26th, 2009

By Evan Falchuk

In case you missed it over the weekend, here’s what’s happening:

I posted about:

    • Is the resurrection of the public option a sign of the resurgence of states rights in insurance?

      In the news:

        • Cool kids having a “swine flu party”?  CDC says don’t go.

          Weekend Roundup

          Tuesday, October 13th, 2009

          By Evan Falchuk

          In case you missed it over the long weekend:

          Dr. Robert Centor continues to share his terrific insights on how medical quality being wrecked by how insurers deal with primary care.

          I wrote about how badly the federal government’s good work on getting patients engaged in their care is doomed without a social media strategy.

          At the New York Times’ Economix blog, David Leonhardt writes again about his idea of what he calls a “prostate cancer test” for whether health care reform is going to work.  I commented that he is mistaken.  The misguided focus on money over medicine continues to plague health care reform discussions.

          Lots of twitter buzz over the weekend on my post Doctors: Beware of Politics.  Check out the insightful comments.

          Dr. David Cutler, writing in the New England Journal of Medicine wonders – will the cost curve bend, even without reform? Related thoughts here.

          The Boston Globe reported on how Massachusetts’ new payment reform plan may place limits on where patients can seek medical treatment.  In a state dominated by major teaching hospitals, this will an interesting battle to watch unfold.

          Also, research reported on in the American Scientist suggests that multitasking tends to degrade your cognitive abilities.  The implication is that gorging on information is the evolutionary equivalent of gorging on food.  A behavior that’s adaptive in a world of scarcity, maybe not so much in a world of abundance.

          In the News

          Monday, September 14th, 2009

          By Evan Falchuk

          I’m on the Voice of America today talking about how people use social media. The transcript is here.

          I previously talked to Wired magazine about how social media can help you find balance between work and family.   That interview was on the magazine’s Geek Dad blog.  You can read it here.

          UPDATE: I also am honored today to have won a health care “Innovator Award” from CDHC Solutions Magazine – I’m one of their “Solutions Superstars.”

          But truly, Best Doctors is the superstar and I’m honored to accept the award on behalf of the company and our terrific team.

          What 100 Major Employers Have to Say About Health Care

          Monday, July 6th, 2009

          By Evan Falchuk

          A couple of weeks ago, I presented data during a webinar from our most recent survey of more than 100 major US employers.

          We asked dozens of questions relating to the design of their benefits programs, strategies they are deploying to contain costs and improve employee health, and their views on the years to come.  I also presented some related Best Doctors data that depicted a disconcerting picture of the problems patients face in trying to get the right care.

          I was pleased to co-present with Delia Vetter, Senior Director of Benefits of EMC Corporation (disclosure, EMC is a Best Doctors client).  Delia presented a case study on her company’s approach to employee health and health care costs and took questions at the end.

          The session was loaded with valuable information for anyone interested in health care.

          Click here to review the webinar.

          I’m very interested in your feedback so please comment below. I hope to do more webinars in the future and I would love to get your feedback, thoughts and ideas.

          I See You Have the Machine that Goes “Ping!”

          Friday, June 5th, 2009

          By Evan Falchuk

          New IT systems are impressive and give the appearance you are operating in a state-of-the-art environment.  But do they really do any good if all they are doing is “computerizing the current set-up”?  It’s pretty much what we’re doing in the government’s massive new health care IT program.

          (more…)

          Pay No Attention to the Man Behind the Curtain

          Friday, May 15th, 2009

          By Evan Falchuk

          Yesterday’s USA Today reports on a list of doctors the newspaper is making available for free to its readers.  It’s a good lesson in  how complicated and conflicted health care is – and how hard it can be for consumers to figure out what’s really happening.

          Of course, I support the idea of getting as much useful health care information to consumers as possible, including lists of doctors.  But a look at how the USA Today list was put together reveals much more than just the names of doctors.

          The company USA Today hired to provide its list is one of many similar companies that do sales and marketing research for the pharmaceutical and managed care industries.  Their job is to profile doctors by crunching through reams of claims data.

          It’s part of the complicated dance of health care spending.  Pharmaceutical companies want to profile doctors as a way of efficiently using their sales force.  Knowing which doctors are the best targets for your sales and marketing efforts is very valuable.  This way, you don’t waste time selling Lipitor to a doctor that already prescribes it 80% of the time.  Meanwhile, managed care companies want to profile doctors for the opposite reason.  They want to know which doctors have high rates of prescribing brand-name drugs to they can encourage them to switch to generics.

          I’m sure these systems work, since pharmaceutical companies and managed care companies spend tens of millions of dollars on them.  But it’s not at all clear how a list created for this purpose can have much to do with what is actually important to consumers when they are sick.  Or why any of these companies would want to reposition themselves in this way.

          One possibility can be found in the halls of the Supreme Court.  Over the last few years, some states have passed laws banning the commerical use of doctors’ prescribing information.  This is the lifeblood of these profiling companies, and so the leaders in that industry have filed lawsuits to have these laws overturned.  If they lose, the business of these companies will disappear, or will have to drastically change.

          Maybe they’re trying to find a new business.

          UPDATE: More here.

          Why Isn’t This the Government’s Quality Web Site?

          Tuesday, May 5th, 2009

          By Evan Falchuk

          It’s a great site, but to find it you have to know where to look.  Luckily, the Washington Post unearthed it.

          It’s called “Questions Are the Answer,” and it’s a call to consumers to get involved in their care by asking smart questions of their doctors.

          The messaging is simple, and effective.  Under alternating pictures of a waiter and a doctor it says “you’ll ask him about the side dish . . . but you won’t ask him about the side effect.”  The rest of the site has public service videos and easy-to-read sections with practical advice on how to ask your doctor questions.

          This should be the face of health care quality improvement.

          The Death of Health Care Quality

          Monday, May 4th, 2009

          By Evan Falchuk

          It should be easy to define health care quality: did the patient get the right diagnosis and treatment?

          But it’s not. And it’s because of something Al Gore wrote about in the 1990s.

          (more…)

        • "Medicine is learned by the bedside and not in the class room. Let not your conception of manifestations of disease come from work heard in the lecture room or read from the book: see and then research, compare and control. But see first."
          - Sir William Osler, MD
          The Father of Modern Medicine
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