[FoRK] User-friendliness and fascism

Gregory Alan Bolcer greg at bolcer.org
Mon Apr 11 09:58:53 PDT 2011

I know of three medical company startups addressing these types of 
inefficiences, one in emergency room sourcing, one in in-home remote 
healthcare monitoring, one in practioner-multiplier and immediacy. 
They are all well funded and are pursuing the inherent dysfunctional 
bloat as commercial ventures.

As we learned in P2P, centralized does not always mean optimized, nor 

I think it's funny your author is talking about a technology problem, 
but then instantly jumps to the political world.  Not everything is a 
political problem.


On 4/11/2011 9:35 AM, Damien Morton wrote:

> Like Microsoft operating systems, America's health-insurance system is
> incoherent, hard to understand, often dysfunctional and bloated by
> obsolete legacy systems. (Though unlike Windows machines, it's not
> cheap.) Different parts fail to operate properly with each other, and
> the whole thing is incomprehensible to most users, patients and
> doctors alike. But try to set up a central authority like MedPAC to
> make decisions about how to fix Medicare, or to mandate that policies
> cover a set of basic conditions, or to make end-of-life counseling
> available to seniors so they don't go through their final weeks in a
> blizzard of legal confusion—try to fix any of this stuff, and you'll
> be accusedof "taking the control of health care out of the hands of
> patients and their doctors." This rhetoric is often driven by vested
> commercial interests. Medical-industry groups don't want a panel of
> experts making decisions about Medicare because it reduces their
> ability to buy concessions through congressional lobbying.

greg at bolcer.org, http://bolcer.org, c: +1.714.928.5476

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