What Does 2021 Hold for Virtual Care ⁠✦
At the same time, there are caveats to fulfilling the promise of virtual care, including a murky regulatory environment and a knee-jerk reaction to simply bringing a broken system online.
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At the same time, there are caveats to fulfilling the promise of virtual care, including a murky regulatory environment and a knee-jerk reaction to simply bringing a broken system online.
Even those that aren’t experiencing symptoms are desperate for clinically-sound education from a medical professional or trusted clinical resource. That’s another incredible opportunity in which telehealth can rise up. It possesses the power to both address the concerns of the “worried well” through education while providing a smarter means of triage and care navigation to those potentially infected by the virus.
When I walked into the jazz cafe, I had been walking for 25 days across the country and had never once worried about my safety. It's not that I feel especially unsafe when walking around the US, but I feel the constant hum of violence in the background. In contrast, on this walk in Japan everyone was courteous. Lovely, even. Sometimes a bit bossy, but never malicious. Did I have to sneak out of a barely functioning inn in the middle of the night because the room smelled overbearingly of urine? Sure. But what I saw around me were people who were taken care of—by their families, communities, government—a feeling which, in turn, made me feel hopeful in the biggest, most cosmic way of being hopeful.
Many of the interactions we have that are ostensibly for us are actually for other people. Once we can see who it’s for, it’s a lot easier to do it well.
...I don’t understand the most American of products: the 30-year fixed-rate fully prepayable mortgage.
Like it or not, while politicians may trumpet the finest members of their political tent to supporters, they’re also liable for the worst members, at least as perceived by their enemies. Just as Trump was pegged as at least passingly sympathetic to, if not outright supportive of, white nationalists with his failure to renounce their sordid lot during the Charlottesville tragedy, the same dynamics hit Biden with his political coalition. I’m afraid you can’t quite have the Bernie wing inside your tent without that rhetoric coming to signify your candidacy, at least partially, to those who view such tendencies with suspicion.
When the pressure mounts to be productive every minute of the day, we have much to gain from doing all we can to carve out time to play. Take away prescriptions and obligations, and we gravitate towards whatever interests us the most. Just like children and baby elephants, we can learn important lessons through play. It can also give us a new perspective on topics we take for granted—such as the way we represent numbers.
The book points out that the major value in a flying car (as with supersonic) would not be in taking the same trips you do now, only a bit faster. Instead, it would be in taking the trips you don’t take now, because they’re too inconvenient. A flying car would shrink your world, expanding the radius of what you would consider for a commute, a shopping trip, a visit to friends, a business meeting, or a weekend vacation. Indeed, Hall cites literature from travel studies finding that people in all societies travel on average about an hour a day, whether walking barefoot or driving on the highway. And he points out that increasing the effective radius for each of those trips increases the effective area open to you quadratically (doubling your travel radius means four times as many destinations).
I started to outline the idea that Trump is both a symptom and an accelerant of a trend that started as the Cold War ended. To put a tidy date on it, I chose August 17, 1992, the day Patrick Buchanan delivered his famous “Culture War” speech at the Republican National Convention. Nut graf from said speech:
In a strange way, liberals needed to believe this, too. The shock of Trump’s election provoked a crisis of self-confidence for his opponents. Humans have an innate need to believe events with profound importance must have profound causes. Trump’s success must reveal some vast and terrible secret. They — Trump’s America — must be, if not more numerous, then at least more authentic, bound together by a secret bond inaccessible to the rest of us. Trump benefitted from polling errors both in 2016 and 2020 that imbued him with a mystical aura, a wizard possessing a secret connection to the heartland that was invisible to the elite.