It is time to shed historical illiteracy and Che Guevara lunacy.
Exodus Chapter six verse nine:
Moses spoke thus to the people of Israel, but they did not listen to Moses, because of their broken spirit and harsh slavery.
Scottish historian Alexander Fraser Tytler developed this model to describe his cynical view of democracy: “a pure democracy is a chimera” and that the nature of all government is that of a monarchy that inevitably turns into a despot.
The Israelites had little capacity for the dream of freedom. Limited by their “broken spirit” caused by the constant pain of their conditions as slaves they rejected Moses’ message of freedom endowed to them by their Creator. It suggests that the transition from Bondage to Faith in Tytler’s cycle is a tough one; faith, when preexisted by bondage must emerge in a vacuum.
How did they get into this mess? Hard times had caused them to run into the arms of a benevolent government. There is verse about this too:
Isaiah 31:1 Woe to those who go down to Egypt for help and rely on horses, who trust in chariots because they are many and in horsemen because they are very strong, but do not look to the Holy One of Israel or consult the LORD!
The famine only lasted seven years yet the Israelites spent the next 400 in Egypt. The supposed “benevolence” of any government is always malevolent in reality. The handouts they received were a barbed hook designed to maintain the Israelites as a permanent underclass to serve the elite class of Egyptians.
Now we have the popular idea in the USSA that freedom is an overrated experience and that we should embrace our benevolent government and become Venezuela. No thank you.
Many states are having critical primary elections tomorrow with the general November elections not far behind. It is time to shed historical illiteracy and Che Guevara lunacy. Freedom isn’t even cheap let alone free. Want to spend a lifetime learning to appreciate it the hard way? Just keep pretending that what’s happening isn’t happening. I’m sure the Israelites rationalized aplenty too.
In these United States the public sector is consuming the private sector. The only thing that can follow is collapse. And we voted for it. Thank you Saul Alinsky and John Dewey. What a team.
A Health Information Exchange (HIE) is defined on Wikipedia as: “..the mobilization of healthcare information electronically across organizations within a region, community or hospital system.” States have been awarded more than half a billion dollars by HHS to build these statewide health information exchanges.
But here are some of the issues:
- Many states have spent all of the money they were given by the federal governmentto build the HIE, leaving the only path to sustainability to charge large subscription fees to hospitals for the privilege of connecting to the HIE. Consider this example: According to an internal study by the Sushoo Health Information Exchange, single-provider clinics are spending about $17,000 annually to share records the old-fashioned way. This sounds high, but let’s take their word for it for now. According to the current monthly pricing for “large” hospitals to connect to Arkansas’ SHARE HIE, for example, hospitals would exceed this spend per MONTH. So at 100% efficiency, a “large” (250+ beds) hospital, the HIE would offset this spend for only twelve clinics. For the state run HIE to fall much below 100% efficiency leaves a negative progression looming.
- Connecting to an HIE often involves a hospital or provider to indiscriminately dump all of their data (translation: your health information) into a government-run repository exposing healthcare organizations to unnecessary audit risk.
- The tracks may not meet – Many state HIEs are built on the assumption that entire greenfield networks must be plumbed to support the massive data load that sharing medical records will require. Does this match the thinking of the National Health Information Network? According to this 2 1/2 year old article, the handwriting has been on the wall for some time.
A possible solution? The NHIN, riding on top of Direct Project, is poised to provide point-to-point sharing of medical records as an economical thin layer of services competing directly with state HIEs. The irony? One government agency obsoleting the other by doing something efficiently. Watch this video to learn more.