Many organizations have asked me to comment on the impact of the Trump Presidency on Healthcare and Healthcare IT. I served the Bush administration for 4 years and the Obama administration for 6 years. I know that change in Washington happens incrementally. There is always an evolution, not a revolution, regardless of speechmaking hyperbole. What am I doing in Massachusetts? I’m staying the course, continuing my focus on social networking for healthcare, mobile, care management analytics, cloud, and security while leaving the strategic plan/budget as is...
George W. Bush
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A Refresher: Warrantless Spying Was Blatantly Illegal
Frontline's new documentary about NSA spying is an important reminder of how Bush officials violated the Constitution...
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Doomsday Prep for the Super-Rich
Steve Huffman, the thirty-three-year-old co-founder and C.E.O. of Reddit, which is valued at six hundred million dollars, was nearsighted until November, 2015, when he arranged to have laser eye surgery. He underwent the procedure not for the sake of convenience or appearance but, rather, for a reason he doesn’t usually talk much about: he hopes that it will improve his odds of surviving a disaster, whether natural or man-made. “If the world ends—and not even if the world ends, but if we have trouble—getting contacts or glasses is going to be a huge pain in the ass,” he told me recently...
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Epic Systems Feeling Heat Over Interoperability
Epic Systems' August decision to retain a Washington lobbyist was widely seen as a sign that the leading electronic health-record system vendor is feeling political heat based on the perceived lack of interoperability between its EHR systems and other systems.
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Health Information Exchanges vendors prove tech fitness but only a fraction of initiatives will cross siloes to achieve real interoperability by 2017, reveals Black Book
Health Information Exchanges vendors prove tech fitness but only a fraction of initiatives will cross siloes to achieve real interoperability by 2017, reveals Black Book In 2004, President George W. Bush decreed that within ten years, the US would achieve an environment of shared, private and authorized electronic health records, but as the ten year mark came and passed, Black Book’s latest HIE stakeholder survey discovered such a secure, robust exchange of US patient records is undeniably at least another ten years out. New federal grants aim to resuscitate failing state and regional public HIEs, but a growing number of IT vendors are drastically cutting further interoperability research and development funding. Read More »
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How A Massive Nuclear Nonproliferation Effort Led To More Proliferation
More than a decade of negotiations with Russia produced a clear winner, and it was not the United States. Read More »
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In Secret, Court Vastly Broadens Powers Of N.S.A.
In more than a dozen classified rulings, the nation’s surveillance court has created a secret body of law giving the National Security Agency the power to amass vast collections of data on Americans while pursuing not only terrorism suspects, but also people possibly involved in nuclear proliferation, espionage and cyberattacks [...]. Read More »
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Mosquitoes and Malaria: Taking a Big Step Against a Small but Deadly Foe
If you’ve ever swatted away a mosquito on a muggy summer night, then you know how annoying these winged pests can be. But in many parts of the world, mosquitos are not just irritating—they’re deadly. Malaria, which is transmitted by mosquitos, took the lives of 438,000 people worldwide last year. More than 3 billion people remain at risk of contracting this horrific disease, which is especially dangerous for pregnant mothers and young people...
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Surprise: Every American Will Not Have An Electronic Health Record This Year
In 2004, President George W. Bush kicked off a project designed to provide most Americans with an electronic health record in 2014. That was followed by a similar goal set by President Barack Obama in 2009. But as the end of 2014 comes nearer, these ambitious goals still have not been met...
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The Republican Case For Waste In Health Care
Conservatives love to apply “cost-benefit analysis” to government programs—except in health care. In fact, working with drug companies and warning of “death panels,” they slipped language into Obamacare banning cost-effectiveness research. Here’s how that happened, and why it can’t stand. Read More »
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U.S. Missile Defense Strategy Is Flawed, Expert Panel Finds
After two years of study, a panel of top scientists and military experts working for the National Research Council has concluded that the nation’s protections against missile attacks suffer from major shortcomings, leaving the United States vulnerable to some kinds of long-range strikes. Read More »
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What Does the Trump Presidency Imply for Healthcare and Healthcare IT?
Why Wars Always End Up Hurting The Most Vulnerable Americans
The impending anniversary of the start of World War I has given historians and pundits the chance to speculate about whether we’re heading for another era of mass war and redrawing of borders...But as we prepare to dwell on the ghastliness that occurred overseas between 1914 and 1918, it’s worth pausing to reflect on the ghastliness that occurred over here...
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WikiLeaks Publication of Complete, Final TPP Intellectual Property Text Confirms Pact Would Raise Costs, Put Medicines Out of Reach
WikiLeaks’ publication today of the final Trans-Pacific Partnership (TPP) Intellectual Property chapter text verifies that the pact would harm public health by blocking patient access to lifesaving medicines, Public Citizen said today. The latest leak of a secret TPP text reveals how the TPP would roll back the “May 10 Agreement” reforms brokered in 2007 between Democratic congressional leaders and the George W. Bush administration. It also reveals the contentious “death sentence” clause on biologics, or biotech drugs, which roiled TPP talks in Maui and Atlanta.
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