Afflictions in the healthcare system

12 Aug

Drug sales are hospitals’ second biggest source of revenue, and many offer incentives that can lead doctors to overprescribe or link doctors’ salaries to the money they generate from prescriptions and costly diagnostic tests. Some pharmaceutical companies offer additional under-the-table inducements for prescribing drugs, doctors and experts say.

via Hospitals Are Battlegrounds of Discontent – NYTimes.com.

Read the entire article, its actually not about the United States, it’s about China.  Although at least this portion applies equally to our healthcare delivery system in the United States.

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Why Charlie Rangel should defend himself

11 Aug

In an unprecedented 31-minute speech on the House floor done against the advice of lawyers and friends, Rep. Charlie Rangel, attacked head on the allegations against him and the process under which he said he’s suffered unfairly.

via Rangel’s Rant – Swampland – TIME.com.

I won’t comment on Charlie Rangel’s guilt or innocence but I will say that his trial will be an incredibly positive event for the country.  Trials are instructive and cathartic events.  While a plea deal only tells us that an individual did wrong, trials teach us about the systems and processes that created the person’s conduct.   Trials are sunlight on a wound whereas “apologize and resign” is a band-aid.

If Charlie Rangel defends himself, we, the American people, will learn about what goes on in our government and what favors are considered normal.  Through tales of other representatives, we’ll get to judge the normality or abnormality of Rangel’s actions.  Rangel or his witnesses will surely tell us what his colleagues do and we’ll get some insight into what’s tolerated.

There is no question that a trial could be very bad for Democrats, and maybe even Republicans, but that’s probably because the truth will be uncomfortable and maybe even a little shameful.   The lives of powerful politicians come with special privileges and unimagineable burdens.   It is a world that 99% of us know nothing about.  A vigorous Rangel defense is a good way for us to find out.

I ask Charlie Rangel to defend himself as (maybe) his last act of public service.  He may end up teaching all of us a powerful civics lesson that it seems only trials or powerful investigative journalism can bring out.  With the latter largely dead in the popular press, we’ll have to hope that Congressman Rangel chooses to fight.

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Do people want all-purpose?

11 Aug

That said, if Facebook introduces its own check-in service, the companies and investors that have been dominating geolocation to date may be in trouble.

via Facebook tiptoes closer to launching geolocation | VentureBeat.

I’ve often thought about whether consumers want an all-purpose anything.  Do we want one search engine for every type of search?  Google’s dominance suggests the answer is yes.  Do we want one auction site for anything we wish to buy or sell?  Ebay appears to be the dominant player with just a couple of specialty competitors.  How about price quotes, do we want one site where we can get a quote for anything?  The answer on this seems to be pretty clearly no because we have LendingTree for mortgages, uShip for shipping, Cars.com for cars, and many many more.

If we narrow our focus to social networks or how we manage our social relationships, I wonder if we really want to do everything at Facebook, our Wal-Mart of social networks, or if we prefer to go boutique at Gowalla or Foursquare for our check-ins.

The key here is in determining how most people actually use facebook as it is and social check ins as they are.  Facebook’s central bet with starting their own check-in service may be that when you share your location you want to do this for all 1,100 of your friends.  But I’m willing to bet that lots of people will be turned off by this and that they will prefer to circulate to a much smaller group of friends.

At the end of the day, all-purpose solutions in social networks may just come down to whether we prefer intimacy or efficiency.  So far Facebook has made a bundle on efficiently keeping up with your friends.  But close friendships don’t thrive on this type of behavior and I do think that one of the points of check-ins is to enjoy quality time with friends, not just share your location.  Social networking with intimacy as its goal may be the very reason why Facebook shouldn’t create its own services but rather opt to allow–as it has thus far–its users to broadcast their Foursquare location through facebook.

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More Lessons from Japanese Architecture

10 Aug

The boom in quirky small homes was fueled by new design and materials technology, which have slashed the price of a custom-built home by as much as two-thirds, making these homes affordable for singles and middle-class couples.

via In Japan, Living Large In Really Tiny Houses : NPR.

This made me wonder about when we will have quirky and affordable new home construction in the United States.  It would seem that the advances in design and materials technology is something we could duplicate in the United States, but could we duplicate the price?  Does anyone know of modern home builders that are using these methods or are this creative in the United States?

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More Thoughts on eBooks, advice for publishers, device makers, and (r)etailers

10 Aug

After making a cozy profit on the sale of my used iPad, I decided to take the plunge and buy the new Kindle. It hasn’t arrived yet but I’m incredibly excited about having a device that will make for an immersive reading experience. Thinking about life as a future Kindle-lover, I also put a lot of thought into why I hadn’t yet joined millions of others in the world of electronic reading. Put differently, what will it take for us to abandon physical books and do all our reading through a Kindle-like device?

There’s good precedence for this question: music. People really began to embrace mp3 players and listening to music on computers when it became possible to take all of the music they already owned and convert it to mp3 format. People warmed to a new device because it embraced the individual media they owned on their old devices while also allowing them to more easily add to their collection. The key was they almost never had to pay twice for music they already owned. This, in addition to a easy process for buying music, is what really allowed mp3 players to become the de-facto choice for music.

To become truly dominant, an ebook reader has to do what the mp3 player did. As the iPod embraced the CDs you already owned, the Kindle has to figure out a way for you to carry digital copies of the books you already own.

But rights holders (read: publishers) probably don’t want you to be able to have electronic copies of your physical books.  They want you to pay once for a physical copy and again for an electronic copy. They want to protect themselves against you selling the physical copy if you got the electronic copy for free. They also want eBooks to operate as “new books” only, with no competition from used books. The publishers (and device makers that double as new book e-tailers) make no money from a used book.

In making the calculation that you shouldn’t be allowed electronic copies of books you already own, publishers slow down the adoption rate of ebooks.  (And let’s not forget that an e-book market with many competing devicemakers/e-tailers is good for publishers.  $9.99 for an e-book means more profit for publishers than $9.99 for a paperback.  Of course its good for e-tailers too because they don’t have to cover the costs of warehousing, etc, etc.)

But there is a way out of this conundrum.  Device makers should offer a deal to publishers where they collect and recycle used books in exchange for the device maker granting the owner of the used book a digital copy of the used book.  Publishers could even get a $2 or $3 per book, paid by the consumer as a “conversion fee.”

As more and more people “trade-in” their used books for new books, the supply of used books will go down dramatically.  This will cause the prices of used books to go up and they will ultimately get very close to the price of new books.  This will eliminate the price advantage of buying used books.  At this point, more and more people will either buy new physical books or buy new e-books, bringing more revenues to publishers and e-tailers and taking away the competition provided by the used book market.

In the long run, the decision to digitize used books could prove to be an enormous revenue boon for publishers, device makers, and e-tailers.  It’s a decision that would speed adoption of an arguably higher profit sales model (e-books) while also providing incredible convenience to consumers.  I know that I would like it…

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Why stories are important to online retailers

9 Aug

I found this to be a wonderful insight on the importance of stories for online retailers.

On the marketing side, we’ve learned that having a great story is as important as having a great product. As a small company, you need to connect with your customers on an emotional level as well as on the physical level of the product. We sell DODOcase’s exclusively online which means most of our customers are buying a product without ever touching it. To achieve sales in this way, its important that customers ‘want’ to buy into the story as well as the product. We’ve believe that we are in the middle of a giant cultural shift from the book to the computer (e-reader/iPad). We hope that DODOcase can help ease that transition by providing the tactile experience we’ve all grown up with applied to these amazing new devices.

via The Way of the Dodo — How to Sell 10,000 iPad Cases at $60 Each (and Other Lessons Learned).

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Three very good sentences on privacy

9 Aug

As privacy becomes more and more scarce, those things we have to hide actually become increasingly valuable as well. Being able to keep that privacy increases in value. And that is going to lead to some very interesting and controversial business models and situations over time.

via Abundance And Scarcity In Privacy | Techdirt.

How about a search engine optimization service that populates hundreds of pages with good things about you so as to push the bad things to the end of the google rankings? Up til now its been services like identity theft protection or identity theft insurance but you could easily see services popping up which offer to obscure negative information about you or perhaps allow you to remove that information.

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