When America enacts Health Care Reform, we will change the way business is done in this marketplace. When a new concept enters a marketplace, it has evolved from what is called a Strategic Business Plan. The first essentials of a Strategic Business Plan are setting the Vision and Values. Based on the strategic plan, a roadmap is created which evaluates our successes and challenges in attaining our goals. By using a sound strategic planning process, we can create Health Care “Transformation.”
To take a page from history, if our founding forefathers were to embark on a national health care revolution, here is what a first draft of the US Health Care Bill of Rights might look like:
1. Access: The crux of the health care crisis in the US is some people cannot access medical care at all or their access is limited because of lack of availability and affordability.
2. Affordability: Until everyone can see a doctor, we will not be able to control the high costs of urgent-based care. Until everyone is able to access care, and we no longer have people who must choose between filling a prescription and affording food, we cannot begin to control the extraordinary costs of chronic illness.
3. Fraud, Waste and Abuse: As we embark on health care transformation, aggressively addressing fraud, abuse, and waste must be a high priority.
4. Liability: In “The Practice of Medicine,” we are tuning up bodies that are individual and therefore different. Mistakes occur. These are devastating to the person who has been affected, their family and friends. It is also devastating to the doctor. If we are to address the affordability of health care, tort reform must be a part of that equation.
5. Personal responsibility: In the United States, we have a “disease care system” rather than a “health care system.” Each and every one of us as beautiful individuals can greatly affect our own health through personal responsibility. Did you know 74% of disease states are preventable? We all have a part to play in taking charge of our health - eating better, exercising, and leading healthier lives.
6. Alignment of incentives: A successful health care system requires an alignment of incentives between each of us a “clients-patients” and each of us a “tax payers-health care system owners.” Our reformed system must reward healthy behaviors.
7. Portable Health Information Technology: Electronic records allow medical teams to work together and share information. This reduces errors, improves quality, and reduces cost. At a minimum, we must create a uniform standard for sharing information between systems. It saves lives.
8. Quality: Quality is a top issue on the mind of the consumer - especially when it comes to health care.
9. Consumer Information: In this Age of Information, we have access to an incredible amount of health care information. We also have access to a tremendous amount of misinformation. As we advocate for personal accountability and alignment of incentives, we must have a repertoire of accurate information to become educated consumers. We also need more information on “Health Care Price Tags”. Most people wouldn’t dream of purchasing food from the grocery store or clothes without reviewing the price tag. So why do we agree to hidden prices in health care?
10. Choice: We are all individuals so our health care preferences are personal.
By developing a draft of an American Health Care Bill of Rights, we can take an inventory of what our shareholders (fellow Americans) want in the Health Care System. In order to commit to developing a Strategic Health Care Business Plan based on our Vision and Values of a US Health Care Bill of Rights, we will need to reach beyond politics. We will need to reach into our hearts.
If we outline our Vision and Values of Health Care in America, we can then be supportive of our leaders as they make decisions based on this Health Care Bill of Rights. This paradigm shift leads to Health Care Transformation.
Friday, November 6, 2009
Tuesday, May 5, 2009
H1N1 Flu Update
May 5, 2009
As of this morning, 21 countries have officially reported 1124 cases of influenza A (H1N1) infection (aka Swine Flu). Among the hundreds of confirmed cases as of 06:00 GMT, 26 individuals have died, 26 in Mexico and 2 in Texas. There are confirmed cases in 40 states within the US.
According to the World Health Organization (WHO) mapping of countries reporting infections (http://whoterrance.vo.msecnd.net/mediacentre/swine_flu/GlobalSubnationalMaster_20090505_0800.jpg ), this is a multi-continent pandemic staged at phase 5 – 6. Phases 5 – 6 indicate the “pandemic phase of an influenza outbreak which indicates the need for response. Phase 5 is characterized by human-to-human spread of the virus within a WHO region while phase 6, the pandemic phase, is characterized as the spread of the virus outside of WHO regions. With the current multi-continental spread of H1N1, we are in a pandemic scenario with H1N1.
Officials are closely watching the effect the five-day moratorium on work and school in Mexico has on the spread of the virus. Questions emerge on whether five days is enough time to let the virus die out or go dormant, and whether the moratorium, estimated at a cost to Mexico of $150 million per day will be effective.
Influenza H1N1 cause a wide range of symptoms, including fever, cough, sore throat, body aches, headache, chills and fatigue. People with this strain may also have vomiting and diarrhea. Like seasonal flu, H1N1 in humans varies in severity from mild to severe. Severe disease with pneumonia, respiratory failure and even death is possible with H1N1 flu infection. Sometimes bacterial infections may occur at the same time as or after infection with influenza viruses and lead to pneumonias, ear infections, sinus infections or blood infections.
So, what can you do today to help protect yourself and your family? Wash your hands, cover your mouth when coughing, wash your hands some more! In addition:
May 5, 2009
As of this morning, 21 countries have officially reported 1124 cases of influenza A (H1N1) infection (aka Swine Flu). Among the hundreds of confirmed cases as of 06:00 GMT, 26 individuals have died, 26 in Mexico and 2 in Texas. There are confirmed cases in 40 states within the US.
According to the World Health Organization (WHO) mapping of countries reporting infections (http://whoterrance.vo.msecnd.net/mediacentre/swine_flu/GlobalSubnationalMaster_20090505_0800.jpg ), this is a multi-continent pandemic staged at phase 5 – 6. Phases 5 – 6 indicate the “pandemic phase of an influenza outbreak which indicates the need for response. Phase 5 is characterized by human-to-human spread of the virus within a WHO region while phase 6, the pandemic phase, is characterized as the spread of the virus outside of WHO regions. With the current multi-continental spread of H1N1, we are in a pandemic scenario with H1N1.
Officials are closely watching the effect the five-day moratorium on work and school in Mexico has on the spread of the virus. Questions emerge on whether five days is enough time to let the virus die out or go dormant, and whether the moratorium, estimated at a cost to Mexico of $150 million per day will be effective.
Influenza H1N1 cause a wide range of symptoms, including fever, cough, sore throat, body aches, headache, chills and fatigue. People with this strain may also have vomiting and diarrhea. Like seasonal flu, H1N1 in humans varies in severity from mild to severe. Severe disease with pneumonia, respiratory failure and even death is possible with H1N1 flu infection. Sometimes bacterial infections may occur at the same time as or after infection with influenza viruses and lead to pneumonias, ear infections, sinus infections or blood infections.
So, what can you do today to help protect yourself and your family? Wash your hands, cover your mouth when coughing, wash your hands some more! In addition:
- Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
- Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol based hand cleansers are also effective. This lessens the spread of disease.
- Avoid touching your eyes, nose and mouth to avoid spreading germs.
- Avoid close contact with people who are sick.
- Reduce unnecessary social contacts and crowded settings when possible
People with respiratory illness or fever should stay home from work or school to avoid spreading infections, including influenza, to others in the community. If you think you have the flu, please call your health care provider and discuss whether you need to be seen in their office or an emergency department, or stay home. Oftentimes, if you have mild to moderate symptoms, the best choice for yourself and your community is to stay home. Persons with influenza A (H1N1) virus infection should be considered potentially contagious for up to 7 days following the onset of the illness. Persons who continue to be ill longer than 7 days after illness onset should be considered potentially contagious until symptoms have resolved, and should not return to work until one to two days after the symptoms end.
As with all influenza viruses, treatment for H1N1 virus will generally be focused on symptoms such as fever, cough, and nausea. There are also antiviral medications available by prescription. If you get sick, antiviral drugs may make your illness milder and may make you feel better. They may also prevent serious influenza complications. The effective use of these agents is within 48 hours of the onset of symptoms – the sooner, the better chance of symptom worsening. These medications are often reserved for those individuals that are more likely to progress into secondary infections with a greater chance of worsening condition.
H1N1 flu is not transmitted by food and you cannot get it from eating pork products.
Thursday, February 12, 2009
Just Because You Can – Doesn’t Mean You Should – Article 5
People are drawn to the story of the California Octuplets and their mother, Nadya Suleman. The responses range from joy at the miracle of this birth to outrage about the costs and questions about Ms. Suleman’s ability to care for fourteen children.
This story touches us all – whether you have experienced the heartbreak of infertility, the joy of being a parent, or the challenges of trying to live without a paycheck.
So why does this story matter so much? Because it is a symbol of a larger problem in our healthcare system. We have so many incredible tools and tests. The things that doctors can do expand with each new process, each new discovery. Yet, just because we can do something, does not necessarily mean we should do it. This is a societal dilemma.
Ms. Suleman’s fertility doctor had the skill to implant six embryos (which split to 8). Her medical team at Kaiser consisted of 46 physicians and staff. The estimated cost for this process according to “NBC chief medical editor Dr. Nancy Snyderman, …….the estimated cost of delivering the infants and caring for them until they are healthy enough to leave the hospital at $1.5 million to $3 million.” I believe it will cost much more.
The Los Angeles Times is reporting, “Three sources told The Times that Kaiser Permanente has requested Medi-Cal reimbursement for care of the octuplets.”
Now, a private medical issue has become a taxpayer burden. At a time when our country is grappling with an economic crisis and crucial Medicaid programs are slashed, our dilemma becomes what health related activities are Americans willing to, or should, pay. While a proponent for health care access for all Americans, I wonder out loud at what point do we say we have gone too far. As a country, we need to get smarter about the choices we make with our care.
While many question Dr. Kamrava’s motives as this story unwinds. Doctors must make ethical decisions on a daily basis. Doctors need to be less afraid and supported when they say no. Saying no is just as important as saying yes.
As a nation, we owe it to ourselves to figure out the right thing to do, rather than the fastest or the most gratifying. We need to think not just about ourselves, but the ramifications our behaviors and actions have on our fellow Americans.
Get Smart about Health Care, America!
This story touches us all – whether you have experienced the heartbreak of infertility, the joy of being a parent, or the challenges of trying to live without a paycheck.
So why does this story matter so much? Because it is a symbol of a larger problem in our healthcare system. We have so many incredible tools and tests. The things that doctors can do expand with each new process, each new discovery. Yet, just because we can do something, does not necessarily mean we should do it. This is a societal dilemma.
Ms. Suleman’s fertility doctor had the skill to implant six embryos (which split to 8). Her medical team at Kaiser consisted of 46 physicians and staff. The estimated cost for this process according to “NBC chief medical editor Dr. Nancy Snyderman, …….the estimated cost of delivering the infants and caring for them until they are healthy enough to leave the hospital at $1.5 million to $3 million.” I believe it will cost much more.
The Los Angeles Times is reporting, “Three sources told The Times that Kaiser Permanente has requested Medi-Cal reimbursement for care of the octuplets.”
Now, a private medical issue has become a taxpayer burden. At a time when our country is grappling with an economic crisis and crucial Medicaid programs are slashed, our dilemma becomes what health related activities are Americans willing to, or should, pay. While a proponent for health care access for all Americans, I wonder out loud at what point do we say we have gone too far. As a country, we need to get smarter about the choices we make with our care.
While many question Dr. Kamrava’s motives as this story unwinds. Doctors must make ethical decisions on a daily basis. Doctors need to be less afraid and supported when they say no. Saying no is just as important as saying yes.
As a nation, we owe it to ourselves to figure out the right thing to do, rather than the fastest or the most gratifying. We need to think not just about ourselves, but the ramifications our behaviors and actions have on our fellow Americans.
Get Smart about Health Care, America!
Entitlement vs. Access to Care - Article 4
Something to Think About
Americans like to be independent. We believe each person should be judged on their merits and rewarded for working hard. Somehow, along the way we have lost this view when it comes to our approach to healthcare.
Today there are three basic classes of healthcare access:
1. Americans working full time for an employer large enough to offer medical coverage;
2. Americans who have qualified for public assistance (Medicaid or Medicare).
3. Everyone else, without coverage, only one illness or injury away from catastrophic medical expenses and bankruptcy.
Many people will say healthcare is a privilege, that it is too expensive to offer coverage to everyone. I say it is too expensive not to. Under our current model, we all pay – we pay through cost shifting. We pay increasingly higher premiums and co-pays if we are working for an employer who offers coverage. We pay in our state taxes, as governments slash spending on roads and education in order to meet the rising demands for Medicaid. Because health care is not available for tens of millions of Americans, we must gamble with our health. When one finally presents for care out to desperation, the diagnosis is generally “train wreck” and the cost of care has increased exponentially with higher morbidity and mortality. Because one cannot afford to see a doctor for preventative and primary care, in the end, we all lose.
As a country, we need to return to our core values. We need to allow all Americans access to care. This means everyone is covered, no one is exempt, or excluded. Everyone is accountable, for eating right and exercising, for controlling his or her weight, for presenting for primary care for preventable diseases, and regular care for chronic disease. Until everyone can see a primary care physician, we will not be able to control the high costs of emergency based care. Until everyone is able to access care, and we no longer have people who must choose between filling a prescription or affording food, we cannot begin to control the extraordinary costs of chronic illness.
I am not proposing new government subsidies. I am proposing we take the dollars we spend today, for insurance premiums, for emergency room care, for prescription drugs, Medicaid, and Medicare. Let us redistribute this money, finding new ways of funding the primary care physician to assure access to all. Allow and support each American to take control of their health and reward those who work hard to manage a healthy lifestyle and proactively manage chronic disease. In these tight economic times, we need each dollar to do more, to go farther. Our healthcare dollars must be used wisely. We all have a stake, and we all need to contribute to paying for care. Life, liberty, and the pursuit of happiness – these are our ideals. When one is ill, it is difficult to pursue these ideals. Hence, shouldn’t access to medical care be part of this picture? The cost is too high to withhold health care in America.
Get Smart about Health Care, America!
Americans like to be independent. We believe each person should be judged on their merits and rewarded for working hard. Somehow, along the way we have lost this view when it comes to our approach to healthcare.
Today there are three basic classes of healthcare access:
1. Americans working full time for an employer large enough to offer medical coverage;
2. Americans who have qualified for public assistance (Medicaid or Medicare).
3. Everyone else, without coverage, only one illness or injury away from catastrophic medical expenses and bankruptcy.
Many people will say healthcare is a privilege, that it is too expensive to offer coverage to everyone. I say it is too expensive not to. Under our current model, we all pay – we pay through cost shifting. We pay increasingly higher premiums and co-pays if we are working for an employer who offers coverage. We pay in our state taxes, as governments slash spending on roads and education in order to meet the rising demands for Medicaid. Because health care is not available for tens of millions of Americans, we must gamble with our health. When one finally presents for care out to desperation, the diagnosis is generally “train wreck” and the cost of care has increased exponentially with higher morbidity and mortality. Because one cannot afford to see a doctor for preventative and primary care, in the end, we all lose.
As a country, we need to return to our core values. We need to allow all Americans access to care. This means everyone is covered, no one is exempt, or excluded. Everyone is accountable, for eating right and exercising, for controlling his or her weight, for presenting for primary care for preventable diseases, and regular care for chronic disease. Until everyone can see a primary care physician, we will not be able to control the high costs of emergency based care. Until everyone is able to access care, and we no longer have people who must choose between filling a prescription or affording food, we cannot begin to control the extraordinary costs of chronic illness.
I am not proposing new government subsidies. I am proposing we take the dollars we spend today, for insurance premiums, for emergency room care, for prescription drugs, Medicaid, and Medicare. Let us redistribute this money, finding new ways of funding the primary care physician to assure access to all. Allow and support each American to take control of their health and reward those who work hard to manage a healthy lifestyle and proactively manage chronic disease. In these tight economic times, we need each dollar to do more, to go farther. Our healthcare dollars must be used wisely. We all have a stake, and we all need to contribute to paying for care. Life, liberty, and the pursuit of happiness – these are our ideals. When one is ill, it is difficult to pursue these ideals. Hence, shouldn’t access to medical care be part of this picture? The cost is too high to withhold health care in America.
Get Smart about Health Care, America!
Monday, February 9, 2009
Personal Electronic Health Records - Article 3
We had a great response to our last posting, a summary of President Obama’s Healthcare plan. This week we want to dive into the detail on the proposed $50 billion ($10B a year for five years) investment to move from paper to electronic health records.
Electronic records allow medical teams to work together and share information. This reduces errors, improves quality, and reduces cost. President Obama’s plan calls for uniform standards for sharing information between systems. The money will create the tools to allow all health workers to access information electronically.
I have supported electronic health records for over a decade. I know firsthand how it improves office visits. Electronic records help make sure clients receive the right tests, the right medications, and the right referrals for specialty care. In the emergency room, I have seen how the lack of a complete patient record causes mistakes. These mistakes, such as giving a medication the patient is allergic to happens every day. A national electronic record would immediately help prevent these issues.
The benefit of moving to electronic records is great. So is the danger. These records contain private, personal information. Today a small number of people have access to our paper documents. Once the information becomes electronic, the numbers of people with access increase. The most important issue is control of this information. We should be able to access our own information. We should be able to see our conditions, our medications, and our test results. We should be able to define who we want to have access to this information. We want our doctors to have access. We want our nurses and our medical caregivers to have access.
However, there are other risks. For example, drug companies might use this information to identify people with a certain issue (like high blood pressure). Using this data, the drug company could try to sell their drugs to targeted patients. The electronic health record must be protected against any attempts to market, or profit, or use our personal information in any way not directly tied to delivering healthcare.
We must demand control of our information. We must own the information and the ability to give others access to it. There are many great companies working on the electronic medical record. We need a seat at the table, to make sure our voice is heard and that we own our own data.
Your comments are important to us! Please post your comments.
Get Smart about Health Care, America!
Electronic records allow medical teams to work together and share information. This reduces errors, improves quality, and reduces cost. President Obama’s plan calls for uniform standards for sharing information between systems. The money will create the tools to allow all health workers to access information electronically.
I have supported electronic health records for over a decade. I know firsthand how it improves office visits. Electronic records help make sure clients receive the right tests, the right medications, and the right referrals for specialty care. In the emergency room, I have seen how the lack of a complete patient record causes mistakes. These mistakes, such as giving a medication the patient is allergic to happens every day. A national electronic record would immediately help prevent these issues.
The benefit of moving to electronic records is great. So is the danger. These records contain private, personal information. Today a small number of people have access to our paper documents. Once the information becomes electronic, the numbers of people with access increase. The most important issue is control of this information. We should be able to access our own information. We should be able to see our conditions, our medications, and our test results. We should be able to define who we want to have access to this information. We want our doctors to have access. We want our nurses and our medical caregivers to have access.
However, there are other risks. For example, drug companies might use this information to identify people with a certain issue (like high blood pressure). Using this data, the drug company could try to sell their drugs to targeted patients. The electronic health record must be protected against any attempts to market, or profit, or use our personal information in any way not directly tied to delivering healthcare.
We must demand control of our information. We must own the information and the ability to give others access to it. There are many great companies working on the electronic medical record. We need a seat at the table, to make sure our voice is heard and that we own our own data.
Your comments are important to us! Please post your comments.
Get Smart about Health Care, America!
Tuesday, January 27, 2009
President Obama’s Health Care Agenda - Article 2
President Obama’s healthcare policy is a plan to lower health care costs and expand coverage for all Americans. Here is what he proposes:
1. Use technology – President Obama will invest $10 Billion a year to move our healthcare from paper to electronic records. Privacy will be protected and doctors and hospitals will have the money to pay for new systems.
2. Ensure quality care– Quality care means giving people access to programs that help with chronic conditions like diabetes, heart disease, and high blood pressure. It means paying doctors on the quality of the care they deliver. It means making sure that everyone gets the same type of care, whether you are rich or poor, employed or not – we all deserve the same level of healthcare.
3. Take on the drug and insurance companies – they need to move from being part of the problem to part of the solution. President Obama will focus on the waste and high profits in the industry today, he will allow us to import safe drugs from other countries, and improve access to cheaper generic drugs.
4. Reduce costs of major illness – sometimes people get really sick, and long hospital stays are very expensive. President Obama will help cover these huge costs for employers and small insurers. This will make health insurance more affordable for all of us.
5. Affordable coverage for everyone – President Obama will guarantee all of us will be able to have health care. Medicare will remain the same as it is now. Under the new plan, all Americans will be able to buy health care coverage. All children will have coverage. No one can be denied because of a preexisting condition. If your employer doesn’t offer insurance, you will be able to buy it through a national plan.
6. Promoting health and wellness – we all have a part to play in taking charge of our health. We all have a role in eating better, exercising, and leading healthier lives.
Get Smart about Health Care, America!
1. Use technology – President Obama will invest $10 Billion a year to move our healthcare from paper to electronic records. Privacy will be protected and doctors and hospitals will have the money to pay for new systems.
2. Ensure quality care– Quality care means giving people access to programs that help with chronic conditions like diabetes, heart disease, and high blood pressure. It means paying doctors on the quality of the care they deliver. It means making sure that everyone gets the same type of care, whether you are rich or poor, employed or not – we all deserve the same level of healthcare.
3. Take on the drug and insurance companies – they need to move from being part of the problem to part of the solution. President Obama will focus on the waste and high profits in the industry today, he will allow us to import safe drugs from other countries, and improve access to cheaper generic drugs.
4. Reduce costs of major illness – sometimes people get really sick, and long hospital stays are very expensive. President Obama will help cover these huge costs for employers and small insurers. This will make health insurance more affordable for all of us.
5. Affordable coverage for everyone – President Obama will guarantee all of us will be able to have health care. Medicare will remain the same as it is now. Under the new plan, all Americans will be able to buy health care coverage. All children will have coverage. No one can be denied because of a preexisting condition. If your employer doesn’t offer insurance, you will be able to buy it through a national plan.
6. Promoting health and wellness – we all have a part to play in taking charge of our health. We all have a role in eating better, exercising, and leading healthier lives.
Get Smart about Health Care, America!
Get Smart about Health Care, America - Article 1
Today marks our new President’s second week on the job. Hope is rising across American and abroad. Do you feel empowered?
Barack Obama encourages each of us have a role in changing America. I am going to take President Obama up on this invitation. My focus is health care issues. I commit to empowering Americans about healthcare issues, one person at a time.
Who am I? Dr. Summer Knight. I come from a poor neighborhood in Illinois. I found my passion for medicine working as a volunteer firefighter/ paramedic. I decided to become doctor and started practice in 1997. Practicing in family medicine, Urgent Care, and Emergency settings, I treated everyone (both rich and poor). In practice, I saw we all face the same issues and challenges. In 2003 I decided to move from direct patient care (where I could only help a limited number of people at a time) to create new businesses that would support thousands of people, allowing them to stay in their homes and live with dignity. My passion: to deliver information about complex health care issues in a way everyone can understand.
As I read President Obama’s Public Liaison Policy http://www.whitehouse.gov/administration/eop/opl/ was thrilled at his invitation to “…bring new voices to the table, build relationships with constituents and seek(s) to embody the essence of the President's movement for change through the meaningful engagement of citizens and their elected officials…”
I consider this a personal invitation to have a discussion with Mr. Obama and his team about health care issues, and I encourage each of you to join in the conversation. In order to do this, we need to understand the major health care issues facing our country today. Let’s do this together. You do not know all the answers; neither do I. As a family doctor, I often needed to reach out to specialists for help with complex issues. I know how to bring people together in a team to address medical challenges. And, I know how to break through all the jargon to get to the “straight answer.”
My mission is to break out information in a way so each one of us can make decisions, find our voice, and share our opinions on health care with our national leaders. Working together, we are going to change health care one person at a time.
Get Smart about Health Care, America!
Barack Obama encourages each of us have a role in changing America. I am going to take President Obama up on this invitation. My focus is health care issues. I commit to empowering Americans about healthcare issues, one person at a time.
Who am I? Dr. Summer Knight. I come from a poor neighborhood in Illinois. I found my passion for medicine working as a volunteer firefighter/ paramedic. I decided to become doctor and started practice in 1997. Practicing in family medicine, Urgent Care, and Emergency settings, I treated everyone (both rich and poor). In practice, I saw we all face the same issues and challenges. In 2003 I decided to move from direct patient care (where I could only help a limited number of people at a time) to create new businesses that would support thousands of people, allowing them to stay in their homes and live with dignity. My passion: to deliver information about complex health care issues in a way everyone can understand.
As I read President Obama’s Public Liaison Policy http://www.whitehouse.gov/administration/eop/opl/ was thrilled at his invitation to “…bring new voices to the table, build relationships with constituents and seek(s) to embody the essence of the President's movement for change through the meaningful engagement of citizens and their elected officials…”
I consider this a personal invitation to have a discussion with Mr. Obama and his team about health care issues, and I encourage each of you to join in the conversation. In order to do this, we need to understand the major health care issues facing our country today. Let’s do this together. You do not know all the answers; neither do I. As a family doctor, I often needed to reach out to specialists for help with complex issues. I know how to bring people together in a team to address medical challenges. And, I know how to break through all the jargon to get to the “straight answer.”
My mission is to break out information in a way so each one of us can make decisions, find our voice, and share our opinions on health care with our national leaders. Working together, we are going to change health care one person at a time.
Get Smart about Health Care, America!
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