WHCB: “Strengthening Consumer Empowerment in Health Care”

“Just a note on two reported items appearing on my desk this morning that may have a significant positive impact on empowering health care consumers in the coming months. The first item is on a court case reported in today’s Los Angeles Times by Ricardo Alonso-Zaldivar. It seems a Washington D.C. federal judge ruled in favor of a consumer group that sued the Department of Health and Human Services (DHHS)to allow disclosure of specific data about doctors from the Medicare Claims database.”

See my entire post over at World Health Care Blog.

China to Ban All Smoking Promotion — By 2011?

China’s Tobacco Control Association announced that the country is committed to fulfill its obligations to the World Health Organization (WHO) Framework Convention on Tobacco Control. China formally became a member of the convention last January. Yet a senior official from China’s State Tobacco Monopoly, who did not want to be named, was reported to say that despite a willingness to cooperate, tobacco producers were lawful enterprises, and it was not fair to ‘butcher’ the industry. “There is market demand for tobacco, people can choose if they smoke or not. . . (Tobacco) firms are using scientific and technological improvements in tobacco products to ‘lower’ the harmful effects of smoking.”

Sound familiar? Maybe that’s why China’s efforts to ban smoking promotion won’t go into effect until 2011. Explain that to the kids. (See my previous posts here , here and here on this uphill battle.)

Studying Plague in the Virtual World

Following up on my, ah, ‘experience’ with Second Life, an alert reader (ok, my techie son) sent me this Economist story about the owners of “World of Warcraft” accidentally introducing a plague into this “cod-medieval” online game. Unfortunately the plague was more virulent than they expected — as is often the case in medieval times — and it moved from a sparsely inhabited area to the cities, where it “wreaked havoc”.

This little virtual catastrophe caught the attention of Lofgren and Nina Fefferman, two epidemiologists at Rutgers University in New Jersey, who studied the players reactions and wrote about it in Lancet: Infectious Diseases. According to the Economist story, the authors were also taken a little aback.

“One surprise was that players put themselves into risky situations more often than epidemiologists allow for in their models. An unexpectedly large fraction of players acted altruistically to protect their weaker friends. On the other hand, a significant number seemed intent on infecting as many other characters as possible — behavior reminiscent of a small minority of people with AIDS. There was also a lot of dangerous curiosity, as players who were off-line when the plague began started logging on only in order to find out what was happening, and thus risked the deaths of their characters.”

In their Lancet abstract the authors said “the accidental inclusion of a disease-like phenomenon showed how such systems could be used to incorporate important human behaviors into epidemiological models.”

But for those of you worried about those virtual malcontents intent on infecting other characters, have no fear, China’s new virtual police are here. I am not kidding. Starting September 1st, these virtual cartoon cops will begin patrolling “all thirteen Internet portals in Beijing. Every half hour, these male or female cyber cops will show up on the websites and readers can click on them to report any ‘illegal information’ they see.”

So problem solved. Right.

What we see here is a strange virtual/real mash up that is better than fiction. You just can’t make this stuff up.

In China, People are Not What they Used to Be

I was reminded recently of a quote by David Levi Strauss in his book, Between the Eyes, that went,

People are not what they used to be, but then, they never were.

He argues that “any image of democracy must begin with an image of ‘the people’.” This notion has been highly contested throughout history as new groups struggle politically — women, ethnic minorities etc. — to become part of “the people.”

In China, there’s a different problem as we see here in this bridge post by Oiwan Lam thanks to Global Voices Online.

Lao Tuzaizi said he is a “citizen” not “people” because the meaning of “people” is very confusing in China. All government bodies claim to be People’s institutes, however, no individual can represent “people”, in the end the definition of “people” is up to the authority, while the concept of citizen is based on individual’s right.

Well Lao is right about one thing, the definition of “the people” has always been up to one authority or another, but the official appropriation of the term presents unique challenges for the democratic practice.

Top Ten Posts on China, Health Care and Globalization

Time once again for another blog retrospective — My Top Ten Posts — on what we have been talking out about on global health care developments and those in China over the last several months both here and on the World Health Care Blog — just in case you may have missed a few.

  1. Red Package Health Care in China
  2. Cacophony, Change and China
  3. China’s Cyber Civil Society
  4. Blogs and the News from China
  5. Health Care and China’s Grassroots
  6. Cell Phones, Laptops and China’s Rural Health Care
  7. Global Health Care Standards and China
  8. China’s Internet Use and Rural Health Care Reform
  9. Soft Power and US Health Care Revisited
  10. Thinking Global in Health Care

WHCB: “Slowing Down the Health Care Debate”

Where are we? What are we living through? Where are we being taken? What have we lost? How to continue without a plausible vision of the future?
– John Berger

“The volume of the national health care debate is rising. The tone is sounding accusatory. Old polarities are starting to peak through the veneer of common ground. The speed with which the media dispatches every nuance, and every superficiality – and explains nothing — is mind numbing. The collective din is making it more and more difficult for thoughtful voices to be heard.”

See my complete post over at the World Health Care Blog.

Health Care’s Blogging Manifesto

Why do we blog? What is the purpose of blogging about health care? Why should we care? Is there a point to it all? The Seven Tasks Blogging Manifesto was written to help build a unity of purpose among health care bloggers who desire to be of service to the public. The Seven Tasks are:

  1. Be Cautious in Debate– The first principle here is to “do no harm.” Health care is a serious business and we should speak about it as if our opinions mattered. In this business, people are sick, injured and dying. There is no space for the self serving, the opportunist or the extremist.
  2. Seek Clarity –The terms of the debate that we use must be understandable to each other. Politically ambiguous or unexamined language that smothers the real meaning of things should be avoided.
  3. Build Comprehension — The use of private vocabularies, cryptic technical terminologies and impenetrable statistics just muddy up the waters and divide us into the haves and have-nots. Perplexing or indecipherable arguments that go nowhere, increase nobody’s understanding or simply rant on should be trashed. Proposals within the health care debate must be comprehensible to the rest of us.
  4. Promote Compassion — People must assume more individual responsibility for their health and to a certain extent, be incentivised or otherwise socially pressured, to do so. But there comes a point when all the psychological gamesmanship must end, and human compassion must enter. To speak ‘truth to power’, bloggers must connect to the reality of human suffering in some personal way if they want others to take a meaningful interest in what they say.
  5. Identify Conflicts of Interest – Commercialism has insinuated itself so covertly in the health care debate, that it is quite often impossible to separate private interest from the public interest. The debate should not be deprived of the many intelligent voices that the health-industrial-complex has to offer. But the voice of self-interest should not embed itself so deeply in the debate that it mistakes itself for the people’s voice.
  6. Make Contact with the Real — Globalization threatens health care that is local, indigenous and personal. Health care bloggers should root themselves in healing’s real world, making contact one-on-one, and speak from that experience.
  7. Find Consensus — Democracy is not about elections but about collective decision making. Health care impacts everyone. Everyone has a stake in health care development and public health policy. No consensus means no progress, no action. Building consensus, finding the common ground, is the priority task for the health care blogger.

Blogging Goes to the Chinese Country-Side

See this fascinating  account of “reporter for the citizenry“, Zhang Shihe, who set off earlier this month on a “bicycle blogging tour” that will take him through through four impoverished provinces in north central China’s country-side (Shanxi, Shaanxi, Inner Mongolia and Ningxia). He’s looking for news — and finds some — posting photos, video and reports of who and what he encounters along the way.” Thanks to Global Voices Online for this heads up.

Second Life: “For Me, Thanks, but No Thanks”

It was a good idea, really, that is, my grand aspirations (here and here) to explore the health care angle of Second Life (SL). But here and now I want to admit defeat so I can move on. Maybe its me, maybe its the technology with its bugs, delays, navigational challenges and who knows what that made the experience more frustrating than it ought to be. Maybe the value I was getting for the effort simply wasn’t there. Or my First World time constraints made it a fool’s errand anyway.

The graphic attractions were fun and often really beautiful, but they added somehow to my irritation at not finding the substance I was looking for. Also, I guess I’m a little impatient at times. Despite my bailing on this quest, I still do think younger and sharper minds will probably find a lot to this faux world-in-a-box — if they have the considerable time to spend with it. And that is a point, to consider: how much time do you want to spend “in-world” at SL versus being in the “real world” with the rest of us. Well. . . when you look at what’s going on around us, you can’t really blame people for wanting to digitally opt out.

So yes, I’ll keep going back to SL from time to time, more as a virtual tourist than as a health care blogger. It’s a lot more fun that way. But for now I’ll be “afk” (SL Speak for “away from the keyboard”).

My Travels in Second Life Health Care

Well I don’t want this to be a virtual travelogue, but . . .

‘I’ve spent a lot more time than I should have with this look into Second Life (SL) just trying to get up to speed — learning to walk, ‘teleport’ and basically figure things out and where to go. This is all before I even get to answer some of my original questions!

But, I’ve already learned a few things like, there’s no “injury” and at least no inadvertent virtual death in the kingdom because if that was so, my travels so far have taken me over a few cliffs and through a few failed flying experiments without any consequences. Yet trials and tribulations are expected as you get your feet wet (digitally speaking of course). You got to make a commitment here if you are going to find out what’s going on.

As I searched through what medical stuff was available, I found a heady list of offerings including the National Institutes for Health. Trying to get into the content behind these “institutions” will be another matter, however. You do get the feeling that a lot is happening behind the scenes but the challenge will be to access it in an understandable way.

By the end of a long and wandering evening, I finally found my first SL medical library (see picture above). More to come.