IBM and Dr. Mengele - Together Again
If you didn't catch the National
Governors Association meeting on Health Care & Information
Technology, 7/22/2007, I strongly recommend that you watch it.
It's in the video archive on the
Watch it a couple of times so that you can absorb what they are
saying. The discussion centered around a national
The initiative shifts the focus of medical care from the doctor-patient relationship to one of information collection and exchange among the providers of services so that everybody can have access to your medical record. In the new paradigm of Health IT, you are a "consumer" not a patient.
There are several critical aspects of the planning for the HIT system that should be understood by all. The following is a brief discussion of each.
and Quality Improvement
The collected data will reside in networked systems at the community, state, and national (and international) levels. The initiatives are supposed improve the quality of care for the "consumers" and reduce costs system wide. In reality, it will simply shift health care dollars from the pockets of providers to the information technology industry. The savings will come from replacing qualified doctors with less qualified people using "Decision Support" systems and shifting the focus of medical care from caring for the sick to caring for the healthy. This new way of looking at health care is a set up to 'blame the victim' with built in incentives for the health care provider to dump sick people because sick people will affect their performance ratings and as a result, their compensation.
In order to implement this system - and I'm calling it a single system because multiple systems that are networked together are in effect a single system - requires changes in the following areas:
Without a doubt, this is the most disturbing aspect of the electronic medical record. They aren't satisfied with simply making your medical information virtually public, they want your DNA so that they can apply IBM's analysis of your 'risk factors' relative to your lifestyle, DNA and medical history. Listen carefully to what Dr. Douglas Woods of the Mayo Clinic and Ginny Wagner, IBM Project Manager have to say:
National Governor's Association Meeting, 7/22/2007
Dr. Douglas Woods, Mayo
Clinic - Audio File
How might this work in reality from the perspective of prediction and prevention? With a simple buckle swab maybe even a simple blood test.. now even possible to do at home by obtaining a drop of dry blood and sending it to a laboratory, we can reconstitute it, we can create a genetic profile. By using the computerized health risk assessment, we can then combine the genetic information with an individual's behaviors to understand their proclivities for actually developing disease that may not be evident. This allows us to do a physician-patient interaction that could occur with a computer - not in an office. The only way that I'm paid now to provide care is in the office. So this represents a substantial opportunity in terms of actually moving this capability forward.
In terms of acute episodes of care at Mayo Clinic, we are now using web-based protocols for our own employees to be able to access and guide their care for simple problems - upper respiratory infections, urinary track infections and the like can be managed just that way by individuals with the right guidance. Doesn't require an office visit... doesn't require coming into the clinic. But again, I don't get paid for that as a physician. From an employer perspective, its a great advantage for us to do this because we manage to not only save the cost of the physician visit but improved the productivity of the employee - less time away from work.
BE A RESISTER !
DON'T LET THIS HAPPEN AGAIN!
'Nationalized - Shared network of Individualized medical records...
genomic medicine... knowing genetics, background, behaviors
and environmental factors which influence
disease....individualized interventions to .....collectively
improve the health of the population.
"We can create a genetic profile...By using the computerized health risk assessment, we can then combine the genetic information with an individual's behaviors to understand their proclivities for actually developing disease...
This allows us to do a physician-patient interaction that could occur with a computer - not in an office.
By using the computerized health risk assessment, we can then combine the genetic information with an individual's behaviors to understand their proclivities for actually developing disease that may not be evident. This allows us to do a physician-patient interaction that could occur with a computer - not in an office.
"The Solutions Company" helped Hitler with the 'Final
Solution' for millions of people.
Using a computer system for
'remote medicine' will provide the opportunity for the
population to be culled of "undesirables".
Populations of people can be selected for experimentation as well. Since the networked, shared medical information will be available on ALL citizens, the 'selected' population can be distributed in such a way that negative outcomes from the experimentation will be very hard - if not impossible to detect outside the research community.
Rural Health Care Pilot Programs
The four Nationwide Health Information Network Consortia consist of the following organizations:
http://www.hhs.gov/news/press/2005pres/20051110.html (PDF recovered 9/3/2010)
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