My talk at BIL:PIL 2009 -- typifying the two different tracks of change in the healthcare system.

1. Capitalism + Activism Typifying two current approaches to solving the healthcare system.

2. How did this start?

3. Who Am I? 23 Overweight Joint Pain Social Smoker Increased Risk Male from San Francisco European Decent Concierge Patient

4. I’ve identified some increased risks and I’d like to solve them. I’m engaged.

5. what’s missing?

6. a framework

7. Advancement in technology should empower amateurs to take control for themselves. The system today does a poor job of encouraging amateurs. It creates obfuscation around costs, methods, and opportunities. This is a recipe for change.

8. Can we reform the system?

9. No, We Won’t vs.

11. Activists Capitalists

12. Private market-based solution Government reform

13. Private market-based solution Government reform Serves the early adopters and amateurs Would affect the greatest number of people

14. Private market-based solution Government reform Serves the early adopters and amateurs Would affect the greatest number of people Will face problems with adoption, getting people to care Needs to get through congress and lobbyists in a form that remains effective.

15. Private market-based solution Government reform Serves the early adopters and amateurs Would affect the greatest number of people Will face problems with adoption, getting people to care Needs to get through congress and lobbyists in a form that remains effective.

16. Private market-based solution Government reform Serves the early adopters and amateurs Would affect the greatest number of people Apathy

17. Alright, now we’re getting somewhere!the common issue is:Apathy

19. The solution to apathy Empowerment + Responsibility

20. empowerment responsibility

21. empowerment responsibility Tools to serve the engaged and passionate patients (me!) Lobby to raise outrage and suggest a more hopeful future

22. empowerment responsibility Tools to serve the engaged and passionate patients (me!) Lobby to raise outrage and suggest a more hopeful future

23. Who is fighting for each side?

24. empowerment responsibility Scientist Technologist Entrepreneur Inventor Innovator Politician Activist Journalist Academic Speaker

25. empowerment responsibility Success is motivated by a desire to build a personal legacy while maintaining social cohesion. Success is motivated by a desire to get rich by positively changing the world.

26. empowerment responsibility Success creates a social movement of people who start caring about achieving good health. Success creates case studies proving that better healthcare is possible, and helps the company gain profitable market share.

27. empowerment responsibility Gives activists proof-points to support their arguments. Success creates case studies of better health, and gives the company profitable market share. Success creates a social movement of people who start caring about achieving good health. Gives the capitalists a broader audience, growing their market.

28. empowerment responsibility The two sides will work together,because they share common goals

29. empowerment responsibility They already are.

30. empowerment responsibility

31. Discussion! 23 Tyler Willis www.tylerwillis.net tyler@involver.com Male from San Francisco European Decent Concierge Patient Disclaimer: I am a Libertarian-Progressive. I generally trust markets more than I trust government, primarily because I think it’s easier to inspire real change and harder to make massive mistakes in the free market — however I think government must harness the power of markets and put bumper-rails in to protect the masses from greed overdoses. I supported Barack Obama in the 2008 election and continue to do so. http://tylerwillis.net/blog/a-plausible-future-of-health/

32. A plausible future of health Today, doctors are manipulated by the fear of malpractice into recommending unnecessary procedures that individuals accept because of an information disadvantage. We have little compulsion to overcome this disadvantage because we are not the primary buyers of our own health care. The current position is untenable, and it’s in our interest to influence change with the free market. There are models we can build off, and in the future, it seems likely that patient-advocates will possess the medical knowledge and fiduciary responsibility to allow their clients to decrease their personal costs and increase their quality of life despite a broken system, beating the path down good health reform. I’ve called this new industry “FutureHealth” in my own thinking, but I don’t like the way that sounds. Can you suggest a better name in the comments?