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Tuesday, October 26, 2010

Government Innovation: Life (Part 1 of 3)

Life. I’m not talking about Oprah’s version of the BBC and David Attenborough’s Planet Earth. I’m talking about what is perhaps the most fundamental of rights granted to any person by positive law, natural law, social contract or any other system we could use to quantify rules and rights.
Our right to live is the cornerstone of ensuring a prosperous and sustainable society. Animal hierarchies decide and categorize social interactions to lessen violence and death and our laws seek to do the same. Life, however, has not always been a given right in human civilization and has not even extended to all people for the entire history of this country.  People from various political persuasions would argue that today, in the United States, our right to live is threatened by either the death penalty, poor healthcare, violence terrorism and war, abortion, poverty, poor nutrition and the list goes on.

And we expect our government, even the most libertarian among us, to protect our lives. We generally expect police/fire/emergency management services, a military and the most basic regulations to ensure that we don’t die as easily as some wouldn’t mind us to.

Personally, I would consider that protection of life extending to healthcare, including diet and nutrition, certain consumer regulations, like seat belts and pharmaceutical regulation, and the ability for us to live in a society where violence and death are not accepted forms of social dynamics.

So, we have arguably the most powerful military in the world. We have over one million police officers employed throughout the country. We have an unbelievably responsive 9-1-1 system that sends emergency personnel to your doorstep in minutes in most of the country - without asking how much money you have or insurance information or whether you paid your taxes or even voted (Except in South Fulton, TN). Not bad.

But the biggest gap that is readily visible is the health of our country. This lack of attention being paid to health is causing epidemic obesity and diabetes rates, steadily climbing rates of sexually transmitted diseases, emerging strains of antibiotic resistant bacteria and exploding rates of conditions, from cardiac issues, strokes, cancer, and of course, traumatic injuries.

And we don’t even provide the infrastructure to encourage people towards preventative care and personal responsibility.

Some argue the market will handle this. However, the facts are simple: We spend more per-capita and get less than other developed countries because we are allowing the private sector to cash in on our lagging health by discouraging cost-saving preventative measures.

We are putting the onus on the emergency medical system to pick up this slack, which ends up being astronomically more expensive and time consuming than if we had approached these problems from a proactive perspective. 

But by using technology, without even tackling the larger issues that are wrapped up in the all too ubiquitous mindless political posturing of our time, the government can take major steps towards improving this system and helping us improve our health and reduce the strain on our economy and healthcare system.

Allowing consumers total control over their healthcare information, as the VA is beginning to do with their ‘blue button,’ where people can download all of their medical history from the VA website, and then take that information, do with it what they will, is a great way to put a little control back in our hands. 

Modernizing patient care by switching to electronic charting, where medical records are kept on computers, will prevent errors from being made, save medical staff time and will save us money. Electronic records are cheaper, easier, transportable, downloadable and secure. We need to re-imagine the government’s role in e-charting as a springboard for developers to create the innovations that we can use to modernize our healthcare system. Should we tell the government to create this system? Not necessarily. But should we tell our government to ensure that data is accessible so that 3rd parties can create new innovations? Absolutely.
Even by expanding broadband internet, public libraries and educational resources to more people, we can help ensure people have all of the information to make the right decisions. Of course wrapped up in a larger discussion of a failing education system that doesn't teach people how to (a) find information and (b) make their own decisions, the idea that people should be able to realize what is healthy is critical. By releasing government data for reconsumption and sharing, we can allow third party innovators create meaningful web-based informational resources on personal health, how to choose the best healthcare providers and more.

None of these issues will solve the problem. They are but the tip of the iceberg of apolitical technology-based solutions that save money, improve efficiency and make the government more transparent and accountable.
Todd Park, the Chief Technology Officer for the U.S. Department of Health and Human Services said it best with an interview with NPR, "I think everyone, I would presume, is in favor of better informed consumers. Everyone's in favor of healthy Americans, everyone's in favor of more functional marketplaces. I mean it's not a political thing, it's an American thing."

Furthermore, healthcare is but one of a dozen fields that we can improve the government’s life-saving directive by using open technology. What are some ways you think government can better protect our lives using technology?

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