Fortress and Frontier in American Health Care

Fortress and Frontier in American Health Care PDF Author: Robert F. Graboyes
Publisher:
ISBN:
Category :
Languages : en
Pages : 72

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Book Description
America's health care policy debate has long been framed as Left versus Right, Democrat versus Republican, federal versus state, and public versus private. This paper offers an alternative demarcation: Fortress versus Frontier. Health care is mostly in the Fortress, meaning that public policy focuses on protecting patients from risks and providers from competitors. Information technology (IT) is mostly on the Frontier, meaning that all Americans?even industry outsiders like Steve Jobs and Mark Zuckerberg?have been free to experiment and innovate with computers, telecommunications, and the Internet despite enormous risks to personal finances, privacy, safety, health, and well-being. The Fortress discourages creative destruction and disruptive innovation, and the Frontier tolerates both. Health care provision and innovation generally require official sanction; meanwhile, costs have risen. IT innovators have not needed permission to create and have thus been able to tap into serendipitous genius; the result has been plummeting costs. This paper suggests some potential policy actions to shift health care from Fortress to Frontier, and toward a goal of producing better health for more people at lower cost on a continuous basis.

Fortress and Frontier in American Health Care

Fortress and Frontier in American Health Care PDF Author: Robert F. Graboyes
Publisher:
ISBN:
Category :
Languages : en
Pages : 72

Get Book Here

Book Description
America's health care policy debate has long been framed as Left versus Right, Democrat versus Republican, federal versus state, and public versus private. This paper offers an alternative demarcation: Fortress versus Frontier. Health care is mostly in the Fortress, meaning that public policy focuses on protecting patients from risks and providers from competitors. Information technology (IT) is mostly on the Frontier, meaning that all Americans?even industry outsiders like Steve Jobs and Mark Zuckerberg?have been free to experiment and innovate with computers, telecommunications, and the Internet despite enormous risks to personal finances, privacy, safety, health, and well-being. The Fortress discourages creative destruction and disruptive innovation, and the Frontier tolerates both. Health care provision and innovation generally require official sanction; meanwhile, costs have risen. IT innovators have not needed permission to create and have thus been able to tap into serendipitous genius; the result has been plummeting costs. This paper suggests some potential policy actions to shift health care from Fortress to Frontier, and toward a goal of producing better health for more people at lower cost on a continuous basis.

Permissionless Innovation: The Continuing Case for Comprehensive Technological Freedom

Permissionless Innovation: The Continuing Case for Comprehensive Technological Freedom PDF Author: Adam Thierer
Publisher: Mercatus Center at George Mason University
ISBN: 1942951248
Category : Technology & Engineering
Languages : en
Pages : 236

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Book Description
Will innovators be forced to seek the blessing of public officials before they develop and deploy new devices and services, or will they be generally left free to experiment with new technologies and business models? In this book, Adam Thierer argues that if the former disposition, “the precautionary principle,” trumps the latter, “permissionless innovation,” the result will be fewer services, lower-quality goods, higher prices, diminished economic growth, and a decline in the overall standard of living. When public policy is shaped by “precautionary principle” reasoning, it poses a serious threat to technological progress, economic entrepreneurialism, and long-run prosperity. By contrast, permissionless innovation has fueled the success of the Internet and much of the modern tech economy in recent years, and it is set to power the next great industrial revolution—if we let it.

Nudge Theory in Action

Nudge Theory in Action PDF Author: Sherzod Abdukadirov
Publisher: Springer
ISBN: 3319313193
Category : Business & Economics
Languages : en
Pages : 362

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Book Description
This collection challenges the popular but abstract concept of nudging, demonstrating the real-world application of behavioral economics in policy-making and technology. Groundbreaking and practical, it considers the existing political incentives and regulatory institutions that shape the environment in which behavioral policy-making occurs, as well as alternatives to government nudges already provided by the market. The contributions discuss the use of regulations and technology to help consumers overcome their behavioral biases and make better choices, considering the ethical questions of government and market nudges and the uncertainty inherent in designing effective nudges. Four case studies - on weight loss, energy efficiency, consumer finance, and health care - put the discussion of the efficiency of nudges into concrete, recognizable terms. A must-read for researchers studying the public policy applications of behavioral economics, this book will also appeal to practicing lawmakers and regulators.

Forts of the American Frontier 1776–1891

Forts of the American Frontier 1776–1891 PDF Author: Ron Field
Publisher: Bloomsbury Publishing
ISBN: 1849088837
Category : History
Languages : en
Pages : 137

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Book Description
With the violent separation between the United States and Britain which began in 1776, the new 'Americans' set off to fulfill their manifest destiny and rule their new land from coast to coast. As they pushed westward, they came into conflict with both natives and other European settlers, and began to build fortresses to defend their newly claimed land. This book charts the development and variation of the fortresses of the American Frontier, covering both American defenses and those of the Spanish in the west. It also examines the little-known forts of early Russian settlers on the Pacific coast.

Forts of the American Frontier 1776–1891

Forts of the American Frontier 1776–1891 PDF Author: Ron Field
Publisher: Bloomsbury Publishing
ISBN: 1849083169
Category : History
Languages : en
Pages : 65

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Book Description
With the violent separation between the United States and Britain which began in 1776, the new 'Americans' set off to fulfill their manifest destiny and rule their new land from coast to coast. As they pushed westward, they came into conflict with both natives and other European settlers, and began to build fortresses to defend their newly claimed land. This book charts the development and variation of the fortresses of the American Frontier, covering both American defenses and those of the Spanish in the west. It also examines the little-known forts of early Russian settlers on the Pacific coast.

Frontier Medicine at Fort Davis and Other Army Posts

Frontier Medicine at Fort Davis and Other Army Posts PDF Author: Donna Gerstle Smith
Publisher: Arcadia Publishing
ISBN: 1439676534
Category : History
Languages : en
Pages : 192

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Book Description
From a headless burial to cocaine toothache drops, the true stories hidden in the Wild West's medical records are a match for its tallest tales. In the 19th century, when dying young was a fact of life, a routine bout of diarrhea could be fatal. No one had heard of viruses or bacteria, but they killed more soldiers on the frontier than hostile raiding parties. Physicians dispensed whiskey for TB, mercury for VD and arsenic for indigestion. Baseball injuries were considered to be in the line of duty and twice resulted in amputations at Fort Davis. Donna Gerstle Smith explains how an industrious laundress could earn more than a private, how a female army surgeon won the Medal of Honor and how a garrison illegally hung the local bartender.

A Saw, Pocket Instruments, and Two Ounces of Whiskey

A Saw, Pocket Instruments, and Two Ounces of Whiskey PDF Author: Anton Paul Sohn
Publisher:
ISBN:
Category : History
Languages : en
Pages : 250

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Book Description
For more than a century the history of the American Frontier, particularly the West, has been the speciality of the Arthur H. Clark Company. We publish new books, both interpretive and documentary, in small, high-quality editions for the collector, researcher, and library.

Don't Wait for Washington

Don't Wait for Washington PDF Author: Brian Blase
Publisher:
ISBN:
Category :
Languages : en
Pages :

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Book Description


Forts of the American Frontier 1820–91

Forts of the American Frontier 1820–91 PDF Author: Ron Field
Publisher: Osprey Publishing
ISBN: 9781841767758
Category : History
Languages : en
Pages : 0

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Book Description
A major period of westward expansion took place in the United States during the first half of the 19th century. Fur trading, the coast-to-coast railroad, the California gold rush and the removal of Native American tribes both facilitated and encouraged America's "manifest destiny" to become a transcontinental nation. The task of protecting the settlers from the tribes that inhabited the Great Plains fell to the US Army, and to do this an extensive network of permanent forts was created via construction and acquisition. This title examines why the forts were built, as well as their design, defensive features and the role they played in the settlement of the American West. The daily lives of the garrison soldiers and fort inhabitants are also covered, together with the fighting witnessed at key sites.

Fortress America

Fortress America PDF Author: J.E. Kaufmann
Publisher: Da Capo Press, Incorporated
ISBN: 9780306812941
Category : Art
Languages : en
Pages : 480

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Book Description
"A comprehensive account of North American fortifications and defense structures from colonial times to the twentieth century, supplemented by scores of remarkable photographs, technical drawings, maps, and diagrams." -- book jacket.