A thoughtful interview with Esther Dyson, and the need for focus on prevention (health, not healthcare). Well worth reading. Two of my favourite quotes:
Then there’s the market for bad health, which people don’t talk about a lot, at least not in those terms, but it’s huge. It’s the products and all of the advertising around everything from sugared soft drinks to cigarettes to recreational drugs to things that keep you from going to bed, going to sleep, keep you on the couch, and keep you immobile. I mentioned cigarettes and alcohol, I think. That’s a huge market. People are being encouraged to engage in unhealthy behaviors, whether it’s stuff that might be healthy in moderation or stuff that just isn’t healthy at all…..
The biggest myth is that any single thing is the solution. The biggest need is for long-term thinking, which is everything from an individual thinking long-term about the impact of behavior to a financial institution thinking long-term and having the incentive to think long-term.
Individuals need to be influenced by psychology. Institutions, and the individuals in them, are employees that can be motivated or not. As an institution, they need financial incentives that are aligned with the long-term rather than the short-term.
That, again, goes back to having a vested interest in the health of people rather than in the cost of care.