[Oe List ...] Health Care--ENGAGEMENT!

[David & Lin Zahrt]

I've sent a Letter to the Editor to our local weekly papers. Lin has  
sent two of them. They've been published. Its hard to know what, if  
any, difference they make.
It seems to me that David Dunn was leading us in the proper direction  
when he cited what he observed was The Contradiction. And it seems  
that John picked up on that direction.

I'm an Old TImer. Maybe we should have a TOP facilitator (or  
facilitator team) do this. I guess we need to agree, first of all,  
that we have been presented with a unique opportunity to engage the  
entire community in an overall plan that would make a significant  
difference once implemented. We could act upon our corporate wisdom  
rather than conduct a daily forum where we challenge each other,  
bicker about concepts or ideologies, or even engage in name-calling.

What I remember is that when we expected to solve a problem we start  
out creating a Vision--since the Health Care system is definitely  
broken, a 5-year vision would be a good start. We will undoubtedly  
not get it all fixed with the first plan. We pull the Vision  
brainstorm into a consensed-upon gestalt. Then we're on to the  
Contradictions. Once again we create a consensed-upon gestalt and  
then ask for the Strategic Directions. Once those have a consensed- 
upon gestalt we brainstorm the Tactical action necessary. I don't  
know that we've done this as a community over the internet before,  
but it may well be that we get volunteers to pick a Strategic action  
and create the Tactical Implementation. Or perhaps we go one more  
level and spread out at the Implementary level.

My 2 cents worth for the Vision--
o   Disconnect health care and the profit made from health care

o   Reward (subsidize) preventive health-care policies

o   Identify diet-related health-care problems: some clearly  
volitional; some social/industrial (corn syrup in everything)

o   Establish new guidelines for medical liability & malpractice  
procedure

o   Pay MDs for promoting wellness

o   Include multiple alternatives for treatment (naturopathic) in  
insurance


David

On Sep 3, 2009, at 10:16 PM, jlepps at pc.jaring.my wrote:

> I wonder if this dialogue could be aided by using the ToP Strategic  
> Planning Process: Vision, Contradictions, Strategies. (That's  
> probably far enough for a group as dispersed as we). Maybe we could  
> begin with vision and answer the question: What would a solution  
> look like? What are the dimensions of a viable, desirable health  
> care system? (Not what we don't want, but what we do want, please.)  
> I suspect we have a lot of agreement on that, but maybe not.
>
> Then we can sort out what contradictions are blocking that vision  
> (not what's wrong with the present system).
>
> Our strategy question will be something like what can we do to  
> address the contradictions?
>
> John
> LENS International (M) Sdn Bhd
> 5th Fl, Tower 1 Wisma MCIS
> Jalan Barat
> 46200 Petaling Jaya, Selangor
> Malaysia
> on the web at <www.lensinternational.com>
> email: <jlepps at pc.jaring.my>
>

David & Lin Zahrt
Country Homestead B&B
22133 Larpenteur Rd.
Turin, IA 51040
-- Doorway to the Loess Hills -
<http://country-homestead.com>
Where a change of pace is as good as a vacation, and a sense of place  
is soothing to the soul.
<chbnb at netins.net>
Skype <loesshills>




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