It's a Menage a Trois, or is it?

I am sitting on my couch in the living room with Napoleon looking over my shoulder. He is on the white horse. Obama is playing golf. The economy is spiraling downward at a pace that, in the short run, is hardly noticeable. The significantly important economists as you may know, from around the world, are at the annual Aspen, Colorado get together, no doubt at taxpayer expense. There are about 120 in attendance.

These intellectually obscure economists still cling to the mistaken dogma that manufacturing products in the country with the lowest labor cost is beneficial because this policy enables Americans to purchase goods at a cheaper price. Detroit files bankruptcy. The cheapest price is not relevant if you have no job and no money.These are the same economists that according to Noam Chomsky still naively believe that America practices genuine capitalism, instead of a military/industrial/government menage a trois, which describes the real situation of the American economy. I am not suggesting this three-some is bad just that it exists and that is why traditional economic computer models do not work, except in hindsight, at least that is what I understand from the experts that I follow.

Meanwhile, Obama care  slides forward with executive order modifications that grease a downward spiraling slope. It is too complex for anyone to truly understand its implications. The health care industry is still dominated by wasteful paperwork and inadequate electronic record keeping. I am in the midst of obtaining a patient's medical records and I am appalled at the record keeping procedures at one of the largest hospitals in the Midwest. There is no structure, no guidelines and no trail of data.

It would rightfully shame any management consultant examining hospital information flow and analysis for better medical decision-making. It would be a waste of time. In my estimation, there has been excessive reliance on individual doctor decision-making rather than accumulating data from across many doctors to determine genuine best practices to create best results. The medical industry seems to be stuck in a past belief that one person's experience is better than the experience of several people. Physicians are not all created equal and neither are hospitals.

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