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jerryking : obamacare   3

Goodbye to Barack Obama’s world
November 27, 2016 | Financial Times | by: Edward Luce

But Mr Trump will not reverse America’s relative decline. The chances are he will drastically accelerate it. The global role that Mr Obama inherited — and tried, to some degree, to uphold — is now in tatters. It would be hard to overstate the epochal significance of Mr Trump’s election. The US-led international order as we knew it for 70 years is over. The era of great power politics is back. An ebullient Russia, led by the strongman Putin, and an increasingly confident China, led by the strongman Xi Jinping, will deal with a wounded America led by strongman Trump. The long-term trajectory is towards China. But the short-term drama will focus on Mr Trump’s dealings with Mr Putin. How they play out is anybody’s guess. But it will not be pretty. Europe will be the loser. So too will American prestige.
politics  farewells  Obama  Donald_Trump  America_in_Decline?  legacies  Obamacare  climate_change  international_system  Edward_Luce  strongman  China_rising 
november 2016 by jerryking
Obamacare’s Other Surprise
May 25, 2013 | By THOMAS L. FRIEDMAN.

The combination of Obamacare regulations, incentives in the recovery act for doctors and hospitals to shift to electronic records and the releasing of mountains of data held by the Department of Health and Human Services is creating a new marketplace and platform for innovation — a health care Silicon Valley — that has the potential to create better outcomes at lower costs by changing how health data are stored, shared and mined. It’s a new industry....Obamacare is based on the notion that a main reason we pay so much more than any other industrial nation for health care, without better results, is because the incentive structure in our system is wrong. Doctors and hospitals are paid primarily for procedures and tests, not health outcomes. The goal of the health care law is to flip this fee-for-services system (which some insurance companies are emulating) to one where the government pays doctors and hospitals to keep Medicare patients healthy and the services they do render are reimbursed more for their value than volume....doctors and hospitals need instant access to data about patients — diagnoses, medications, test results, procedures and potential gaps in care that need to be addressed. As long as this information was stuffed into manila folders in doctors’ offices and hospitals, and not turned into electronic records, it was difficult to execute these kinds of analyses. That is changing.
massive_data_sets  healthcare  start_ups  Obamacare  Tom_Friedman  unstructured_data 
may 2013 by jerryking

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