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Sallie Mae - Consolidation Department = screwed.

idlaurenn:

Ed is in his last year of Residency. I just graduated Design school. This is pretty much how the conversation went…

His debt > My debt

Ed: Wait. You said Sallie Mae is the one you were talking about earlier?
Me: Yep. They eliminated their entire consolidation program.
Ed: That sucks, because half my loans are private from Sallie Mae.
Me: Well. At least I know that we will suffer together.
Ed: I’m thinking about going into Family Medicine.
Me: Good for you!
Ed: That just means I will be suffering for longer than I expected.
Me: Well see….welllll see.

This happened to me as well. They’ve eliminated their loan consolidation programs as well as refinancing programs. I’m stuck paying literally $4900 a month for my med school loans for the foreseeable future. I skipped a month last month and had an $10,000 bill…

And the federal government wants to cut physician revenue by 30% if they could get away with it. It’s only going to hurt primary care docs currently starting at $110K per year in NYC. If you’re an interventional radiologist, cutting 30% out of a $600K salary doesn’t hurt much more than your inflated ego.

1 week ago

23/6/09

reblogged via idlaurenn
link Doctor Innovation: Shaking up the health system

Asked to picture healthcare in the twenty-first century, readers might imagine scientists applying the latest breakthrough in biotechnology as a radical cure for disease. But equally, they might also think of lengthy waiting lists, shabby wards and lumberingly bureaucratic administrative systems. This dichotomy is one of the biggest problems confronting policymakers and managers when they look at today’s health sector. Advances in medical science and technology have not been matched by innovation in healthcare management and processes. It is a failure that costs taxpayers and patients dearly.

The problem is not a lack of ideas, as cutting-edge medical research continues apace. Nor is it unwillingness to put money into healthcare, which consumes vast budgets. Rather, the difficulties lie in the diverse obstacles to new ideas finding their way into widespread and transformative change. But new approaches exist which demonstrate how healthcare systems could be improved.

1 week ago

23/6/09

link DeThinking Service, ReThinking Design

I’ll be speaking about Hello Health at this conference in November in Oslo.

There are some amazing speakers so far that have yet to be officially announced. I’m honored to be a part of such an accomplished group. Stay tuned…

1 week ago

23/6/09

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From the comments...a medical student says:

With regards to career choice, you are unfortunately right. Most of my classmates will be choosing specialties and subspecialties. In 2005, the graduating class of around 130 from my school graduated TWO (2) students heading into family medicine! TWO! This year, it was 17. In the mid 90s, the school peaked at ~30 graduates heading into family medicine. This is still a lot lower than schools north of the border that graduate 40% family docs.

However, I am also happy to report that I myself have decided to go into family medicine. I like working with a wide variety of patients and I enjoy the broader outlook on a patient’s health. But my choice is also about lifestyle. There are other things besides medicine that I am interested in, and things outside of clinical medicine that I am interested in – like informatics. I think family medicine gives me that flexibility that I need to explore those things.

Yet, your point about the poor economic sense of primary care as a career still strikes fear into my decision. I go to the third most expensive medical school in the US. I am an only child who will have to care for two baby boomer parents. Some of my classmates from combined 8 year programs will graduate with $400,000 of debt. The large economic disadvantage of primary care is too much of a barrier for most sane people. I believe that people who would have been great primary care docs shuffle off into an internal medicine subspecialty or ER because of the pay differences.

The most important thing is that after 3rd year, I’ve found something that I will be very happy doing. But I would be lying if I said money does not more than occasionally cross my mind.

1 week ago

23/6/09

link The West enables Iran Nokia and Siemens sold Iran advanced monitoring technology so the government can manipulate web information and gather data on individuals.

1 week ago

22/6/09

link New York City Homicides Map The Times is nailing it with the infographics…

1 week ago

21/6/09

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If It’s Too Big to Fail, Is It Too Big to Exist?

ambivalence:

[via The Nation - If It’s Too Big to Fail, Is It Too Big to Exist? - NYTimes.com by Eric Dash]

“But how big is too big to fail? And how would you measure it anyway? In the case of banks and giants like A.I.G. and Fannie Mae, policy makers argue that the interconnectedness of modern finance, as much as the size of the players, is the real issue. The collapse of one big financial company could cascade through the industry. In the case of General Motors and Chrysler, a failure could mean that thousands of jobs — not only at those companies, but at their suppliers as well — could evaporate.

The too-big-to-fail doctrine, sometimes called T.B.T.F., goes back at least as far as Brandeis’ time, when, in 1914, the Treasury stepped in to provide financial aid to New York City. In the 1980s, when the government rescued Continental Illinois Bank, Stewart B. McKinney, a Connecticut Congressman, declared that the government had created a new class of banks, those too big to fail. The phrase returned and stuck.”

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Yes, we should find companies too big to fail, and force them to rescale: break them into smaller pieces. Enact laws to limit the size of companies.

1 week ago

21/6/09

reblogged via ambivalence
video
Awesome video of The High Line. I visited it for the first time today. I used to live right around the corner from it and am now kicking myself that I never went up there prior to it being developed.

1 week ago

21/6/09

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22% tuition increase

marcolo:

The strong us dollar means my tuition has hiked by more than 22% over the last month. It feels like someone just kicked me in the face, stomach, and groin - all at the same time.

This is the reality of a medical student. If this student is like the other 94% of medical students this year who will choose a career in some specialty that pays double to eight times as much as a primary care physician, it’s no surprise why.

Our healthcare system is 75% specialists, and 25% primary care docs. That ratio only gets worse and worse with every graduating class. And mandated insurance (“coverage for all!”) will depend heavily on primary care doctors who are already working their asses off seeing 40 patients a day.

Isn’t it quite obvious that mandating insurance will simply be a handout to the insurance industry? They’re salivating at this opportunity to profit off a system that, at its core, is structured for failure. Hence, the reason why the insurance industry donated all of their money to Obama rather than McCain.

If you’re not angry, you’re not paying attention.

1 week ago

21/6/09

reblogged via marcolo
link Hello Health clinics would offer medical care online - The Boston Globe

Nice article written about us in this weekend’s Boston Globe.

I need to clarify one thing though. When we launch Hello Health this summer as a platform to other doctors all over the US, we’re giving the doctors total freedom to charge whatever they want. It will be free for patients to create accounts on Hello Health. Doctors have choices in their profile settings:

  • How much do I charge per hour?
  • How much do I charge per month to be a member of my practice?

Therefore, it’s total scalability and total freedom for doctors.

Also, we’re not franchising at this point. Most of the 2300 docs who have contacted us already have a practice or want to start their own from scratch. We’re providing some guidelines about how to make your office pretty and consumer friendly, but that’s about it. It’s about the platform. Not about the space.

1 week ago

21/6/09

link Primary-Care Doctor Shortage May Undermine Health Reform Efforts

This is actually one of the most important points to understand about healthcare reform. For those advocating for reform that “provides healthcare” to the 50 million uninsured, it’s simple economics.

Increase demand. Add 50 million new confused people who recently purchased a government plan to the demand for doctor visits.

Decrease supply. There are only so many primary care doctor visits in America. And with only 6% of doctors choosing primary care every year nowadays, the supply is getting lower and lower.

Equals:

Increased demand - dwindling supply = mandated insurance 50 million people can’t use.

I wish Washington would understand that health insurance does not equal health access. I wish they’d start speaking this way about reform efforts. I wish they’d face the hard truths that they’ve done nothing to curb policy to build a strong primary care base of physicians.

Chief Justice Beverly McLachlin of the Supreme Court of Canada says it best: “access to a waiting list is not access to health care.”

2 weeks ago

20/6/09

quote
For WordPress we’re trying to set up a community that will be around 10 to 30 years from now, one that’s independent from the whims of the market. My role is somewhat like Linus for Linux or Shuttleworth for Ubuntu, affectionately referred to as BDFL, and it’s my responsibility to meet as many users as possible and direct the software in a way that reflects their interest. Last year I probably met 5,000 or 6,000 WordPress users, about half of them who make their living from it. We want to be like Google, eBay, Amazon — they all enable other people to make far more money than the company captures. That’s ultimately what we’re trying to do, we’re trying to create a movement.

2 weeks ago

20/6/09

reblogged via betaworks
link I will be speaking at The Guardian Activate Summit in London on July 1

Here is a little pre-interview with The Guardian:

How, in your experience, have internet technologies been employed to make the world a better place?
The internet has changed what it means to be a human. We’re social creatures that thrive off communicating and connecting. And now, we can connect with anyone, anywhere in the world. Now it’s just so easy to stay on top of your relationships and keep in touch. Our connections are getting deeper and more expansive. Because of this, we’re becoming more human.

And where for you are the real problem areas that remain that you think web technologies can help to tackle?
The web still has yet to meaningfully organize your street and connect you with the neighbors you don’t know. There is so much potential in simply connecting you with your local environment. With the rise of mobile technologies, this will change for the better.

So what projects are you currently engaged in on a day to day basis and how does the internet fit into this?
My main project, Hello Health, is a web platform that augments your relationship with your doctors enabling you to meet up with your doctors in person and online via email or IM and video visits.

Who do you admire in this space? Who’s inspiring you? Who’s pushing the boundaries and how?

e-Patient Dave. He’s a cancer survivor empowering people to connect with one another, learn from one another, and take more responsibility for their own health. Often times, when someone is faced with a life-threatening illness, a passion for learning and connecting with other people in the same situation can help you become even more knowledgeable than your doctor. Communities form around diseases and these are an invaluable resource for both patients and doctors — all enabled by the internet.

And what can we expect from your presentation at Activate 09?
You’ll see how we use Hello Health to connect with our patients and redefine what it means to visit with your doctor. This is a whole new paradigm that raises a slew of questions and concerns. Forums like Activate 09 are vital to intelligent discussion as we face a whole new world of opportunities.

2 weeks ago

19/6/09