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

[jlepps at pc.jaring.my]

Thanks, David.

I believe this can be facilitated over the listserve, though the gestalting 
might be less participative than usual. Is there someone(s) who would be 
willing to take on this task? I'm up to here right now, but would be happy 
to play a second role. Seems to me the job will be:
         1. solicit responses to the question of vision: What would a 
desirable health care system look like? What are components of the desired 
system?
         2. Group the ideas into columns according to similarity.
         3. Post the columns on the listserve, and invite the group to 
provide 3-4-word names (We want to see _____)
         4. Invite a discussion of the names (perhaps for a week) and then 
settle on the ones with greatest consensus.

Move on to the contradictions and follow the same process; then to the 
strategy.

The ToP network has a task force working on ways to facilitate virtual 
meetings, and there are multiple software and web-based programmes that can 
be used. Unfortunately most charge a fee and are complicated to learn, so 
while we probably can't use them here, maybe someone from that group would 
like to play a role in this on the listserve.

While this may be a tedious process for us, it may just possibly generate 
some innovative ideas that are not yet in the national discussion. Who knows?

John

At 08:59 PM 9/4/2009 -0500, you wrote:
>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, 
><mailto:jlepps at pc.jaring.my>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: <<mailto:jlepps at pc.jaring.my>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.
><<mailto:chbnb at netins.net>chbnb at netins.net>
>Skype <loesshills>
>
>
>
>
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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>  
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