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THCB Reader - Issue #43

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THCB Reader

February 27 · Issue #43 · View online
Everything you always wanted to know about the health care system. But were afraid to ask.

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On today’s edition of the THCB Reader: I discuss the Democratic nominees’ main policy difference between the progressive and moderate sides on the Medicare For All debate; Mike Magee comments on how important modeling professionalism to students is but the system makes it difficult to realize true professionalism; and Hans Duvefelt argues that primary care is becoming more rigid, where people matter more as populations and not as individuals. Jess speaks to Molly Coye, a long-time expert who has spent 2 decades working to advance technology initiatives in health care, on what Molly thinks about the current class of innovators, technologists, developers, and investors on their latest health tech developments and solutions in the market. Enjoy! – Matthew Holt

Feb 24, Matthew Holt 
Since Saturday’s Nevada primaries, confusion seems to be reigning about how Bernie Sanders seems to be winning. Time (and not a lot more of it) will tell who actually ends up as the Democratic nominee. The key here is the main policy differential between the progressive and moderate sides, Medicare For All. It comes down to whether everyone is in the same state-run single payer system (a modified and expanded version of Medicare) or whether the private employer system is left as it is, with expanded access to something that looks like Medicare (the public option) for everyone else.

Feb 25, Mike Magee
In our modern world of “fake news”, concrete actions carry far greater weight than words ever did, and the caring environments we are exposed to in training are formative. They shape our future capacity to express trust, compassion, understanding and partnership. What if our mentors are able to “voice” and “model” professionalism, and even appear to be “practicing” professionalism, but the system itself makes it impossible for them and for their students to realize true professionalism? 

Feb 26, Hans Duvefelt
For Swedish-born family physician Hans Duvefelt, Swedish healthcare seemed competent but a bit uninspired and rigid, but a medical school class trip to the Soviet Union in 1977 showed him a healthcare system and culture even more eye-opening. But more and more, practicing primary care in America has become rigid. This hampering of improvisation with bureaucratic red tape in how you meet individual patients is becoming reminiscent of that class trip, where people mattered as populations, perhaps, but not as individuals.
Livongo is working to #SilenceNoisyHealthcare. Visit livongo.com for more details.
Livongo is working to #SilenceNoisyHealthcare. Visit livongo.com for more details.
Advice for Health Tech: Focus on Results, Mission, & Critics | Molly Coye, AVIA
Advice for Health Tech: Focus on Results, Mission, & Critics | Molly Coye, AVIA
The Health Data Goldilocks Dilemma: Sharing? Privacy? Both? - The Health Care Blog
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