See our latest report on Startups in America: Beware of Geeks Bearing Gifts
Whether you are thinking of starting up your own company, are in the middle of starting a new company, are contemplating investing or have already invested in a startup, you should read this new report.
In this paper we try to give an overview of where the current characters in the startup industry came from, what benefits they can bring and the kind of harm they can render if you are not careful. We also try to track some of the changes that have happened over the past few years and show how they have built the current dynamic environment that we face today. We also ask some questions for you, the reader, to think about.
This paper reflects on Tom's historical perspective working with startups and investors, what he has observed that worked, and what he's learned that does not. We have condensed a number of very good research papers as to both the evolution and current state of capital access from VCs, angel investors and other sources as well as some excellent reports on why startups succeed and why they fail.
While we believe that starting a company remains a daunting task and entrepreneurs and investors face significan obstacles, we also think there are some things we can easily do to improve the chances fof success for startups today. Read this free report and find out what you can do.
Why Ebola petrifies us: One reason is healthcare’s unobtainable expectations. 10/22/2014
We are petrified of Ebola. It is a deadly disease, but we are much more scared of this today than we were of Polio, and Tuberculosis years ago. Why?
In the 1940s and 50s, modern medicine was a bit less advanced than we are today. We had many more diseases to be afraid of. Polio was an epidemic. Outcomes from Polio were not particularly good. Tuberculosis (TB) was a significant issue as well. People with TB were quarantined.
Today, we no longer recognize that much of what happens is not really preventable. We do not recognize that fate still has a lot to do with our outcome from an illness. Somehow we have come to a place where we feel that HealthCare can shelter us and protect us from every microbe, every disease, and every potentially negative health issue. When it fails to do so, we then become angry and recriminating of government, doctors, healthcare and medicine as having failed us. I believe this is one reason we are so anxious about the Ebola issue we face today.
How did we get to this place? And, is it a fair expectation to think that government should be able to protect us from disease, that doctors should be able to cure us of anything that happens, and that healthcare should be able to provide these services easily for everyone with little cost to us as individuals?
New WhitePaper Available 2/25/2014
We have evolved a belief that we have a system for the delivery of healthcare but, it’s not a system at all. It is a collection of self-predatory practices and methods that promulgate massive increases in costs, erosion of effective checks and balances and exponential unintended consequences.
Click here to view a draft of the whitepaper outlining a pragmatic and effective solution to address the fundamental problems that have plagued our health system and are the reason that no prior "fixes" have actually worked.
One Possible Dream of a Fair, Effective, & Economical HealthCare Future
In my recent book, The History and Evolution of Healthcare in America: The untold backstory of where we’ve been, where we are, and why healthcare needs more reform, I take the reader on a journey of how we got to where we are today in America’s healthcare system. I show the critical decisions we have made throughout our history as a nation and illustrate both the needs at the time they were made and why they often are providing a negative impact on our system today. I discuss the Affordable Care Act, what it attempted to do, where it succeeded and where it has fallen short. In the Epilog I try to paint a picture, a vignette of the future, a dream if you will, a small look at what kind of system we might consider and how it could work in my own son’s life in the not so distant future. The following is a revised version of the Imagine section of the Epilog. I have added a bit more detail that was edited from the book to keep the length down. I hope it will give us all something to wish for and outline some of the items we should consider required in any system we dream for.
President Trumpets ObamaCare Rebates as Deadline Approches: Beware of Greeks Bearing Gifts!
The article digs into how come the math as toubted by this administration doesn't work. Why these rebates are in fact NOT a great deal for America or even individual Americans. Why the historical application of rebates in healthcare has led to a false healthcare economy, and why the application of the concept of rebates needs to be rethought....
President Obama describes his role for the middle class.
On July 24, 2012, the San Jose Mercury News ran an article by Josh Richman and Matthew Artz, “Obama’s campaign hits Oakland. “Obama campaign hits Oakland.”
The article covers the typical campaign rhetoric. It has its requisite Romney and republican bashing, has the required promises that he will give us all everything we want if we just give him one more chance, how everything would be better already if it was not for those other guys, and of course it was all wrapped up with a large dose of scare tactics to convince those present in Oakland that the bogymen conservatives were about to take away their babies, force them into slavery to corporations and do away with fair labor practices...
Supreme Court to hear arguments on Obamacare: An enigma, based on a canard, wrapped in a conundrum.
March 26, 27, and 28 2012, become the next significant dates in the future of the Affordable Care Act (ACA or Obamacare). It is on these dates a little over two weeks from now that the Supreme Court will hear arguments both challenging the constitutionality of part of the legislation and arguments as to why the court should uphold the legislation. For most of us on both sides of the aisle, involved in the debate over healthcare reform, we see this as an enigma, for widely opposite reasons, as to how we have arrived today at this point ...
Health Care Mandate and the Commerce Clause Articles
Tom Published a four part series on the relation and effects of the Commerce Clause to Health Care reform. A good primer for the upcoming debate ...
Tom Was a panelist at the Oregon Bioscience Association annual conference: An Industry inflection Point.
The Annual conference highlighted Oregon's increasing national role as a hub for biotechnology and bio science research and development. Oregon has long been a strong regional center of life science activity. The momentum and international attention of the $1 Billion OHSU Knight Cancer Challenge has created a “transformative moment” that will dramatically impact bioscience in the state–potentially enhancing commercialization opportunities, increasing resources available for research activity and elevating the visibility of all stakeholders working to solidify Oregon’s growing reputation as a hub for advanced medical research and commercialization.
Tom joined a number of industry experts including: William Goldstein, Ph.D. Director of Lawrence Livermore Nationa Labs, Jeffrey Trent, Ph.D., President and Research Director, Translational Genomics Research Inst., Thomas Fogarty, M.D., Chair/Dir./Founder, Fogarty Institute for Innovation, Ted Goldstein, Ph.D., Center for Biomolecular Science and Engineering, Univ. of CA at Santa Cruz, Jill Hagenkord, M.D., FCAP, Chief Medical Officer, 23andMe and Raymond DuBois, M.D., Executive Director, BioDesign Institute ASU.
Tom and Jill Rissi, Ph.D., Assistant Professor, Portland State University led the Breakout Session II: Innovation in Redefining Healthcare. They discussed that while the debate over the Affordable Care Act continues, Tom and Dr. Rissi showed how the US could best allocate resources, improve access, quality and affordability, and provide appropriate oversight accountability and responsibility. Mr. Loker presented an original and innovative vision of what the current form of America’s “non-‐system” of health care might evolve toward. He stated that he believe that, if we are not already at an inflection point, we soon may be and perhaps should be. His vision of a truly “patient-‐centric” realignment of the activities, roles, and responsibilities seemed necessary to the attendees. In fact many remarked aftehr the presentation they felf the plan was practical, desirable and essential.
The conclusion of the attendees was that research innovation and successful entrepreneurial initiative all depend, ultimately, on adoption and implementation by the providers of America’s health care services. The business, professional and regulatory environment that providers face must undergo further evolution,. This remains a subject of vital interest to Oregon’s Life Science community.
The panel discussed how the Affordable Care Act "Obamacare" in combination with the HITECH Act is shifting the dynamic of the status-quo market place in healthcare delivery and payment structure. They presented how wuch of the projected cost savings associated with the ACA and HITECH is hinged on the ability for the industry to create interoperability and secure exchange of Patient Health Information (PHI). They showed those in attendence how this shifting healthcare ecosystem will create opportunities for middle market companies as the industry adjusts and works to maintain sustainability. Technology, finance and professional services will be required to endure this shift as healthcare is facing mandated projects with a diminished resource pool. The panel of experts brought a variety of perspectives to this emerging market and offered the audience key insights to the opportunities arising from this historic shift in the healthcare industry.
Doug Patterson, partner with C&C Ventures and CFounder and CEO of Catalyst Health & Benefits, Inc. with over 20 years in the employee benefits and health management space and a well known leader, strategist and entrepreneur. Doug was the moderator.
Shawn McKenzie is the Founder, President, and CEO of Ascendian Healthcare Consulting. He is known as a dynamic and accomplished professional with 33 years of progressive contributions in healthcare operations management and implementation of business and clinical information systems.
JIM GREENE, MD MS
Dr. Greene encompasses a variety of skills and experiences in the healthcare market by his engagement in delivery, business and technology. His level set results from his years of practice as a board certified family physician for twenty-seven years in multiple delivery system settings.
Todd May, MD FAAFP
Dr. Todd May is Chief Medical Officer at San Francisco General Hospital and Trauma Center and a Professor of Family and Community Medicine at the UCSF. He has been a core faculty member in the Family Medicine residency program at SFGH for nearly 15 years. He has dedicated his professional life to the service of vulnerable populations as a primary care physician, a hospitalist, and as a role model and teacher of students and residents who share this commitment. As Chief Medical Officer, Dr. May strives to promote professionalism in medicine and to be an advocate for advancing safety and quality of care for underserved and vulnerable populations. Dr. May is a graduate of the University of California, Berkeley and the UCSF School of Medicine. He completed a faculty development fellowship at UCSF, a medical leadership fellowship with the National Association of Public Hospitals, and currently is a Fellow in the California Health Care Foundation Medical Leadership program.
This book is a compilation of articles from my blog, “The History and Evolution of Health Care Reform in America.” Since the current issues of what we perceive as our health care system have their roots in the history of America, our political decisions ...