We sat down today with one of the leading voices in American health care, George Halvorson, Chairman and CEO of Kaiser Permanente. In some critical respects, Halvorson's perspective may be singular in its relevance to the ongoing debate because, with 8.6 million members, 14,600 physicians, 35 medical centers, and 431 medical offices, Kaiser is the largest managed health plan in the U.S. More importantly, it is also profitable and controling its costs while delivering a high level of care to a satisfied customer base. In short, it is achieving much of what American health care isn't right now.
In his new book, "Health Care Will Not Reform Itself", Halvorson explains the "vertically integrated" approach to delivering care that sets Kaiser apart. By bringing more of the functions of health care delivery under a single, umbrella -- from pooling risk through insurance to delivering and optimizing care by managing doctors -- Kaiser better aligns the costs of health care with their ultimate outcomes. And, while he thinks the Kaiser model per se is politically infeasible in our current climate, an approximation of it, he calls "virtual integration" very well may offer the way forward. Stay tuned for his interview to get a peak at what the future of American health care should be, if not will be.
Research in plant neurobiology shows that plants have senses, intelligence and emotions.
- The field of plant neurobiology studies the complex behavior of plants.
- Plants were found to have 15-20 senses, including many like humans.
- Some argue that plants may have awareness and intelligence, while detractors persist.
Most people think human extinction would be bad. These people aren't philosophers.
- A new opinion piece in The New York Times argues that humanity is so horrible to other forms of life that our extinction wouldn't be all that bad, morally speaking.
- The author, Dr. Todd May, is a philosopher who is known for advising the writers of The Good Place.
- The idea of human extinction is a big one, with lots of disagreement on its moral value.
Since the idea of locality is dead, space itself may not be an aloof vacuum: Something welds things together, even at great distances.
- Realists believe that there is an exactly understandable way the world is — one that describes processes independent of our intervention. Anti-realists, however, believe realism is too ambitious — too hard. They believe we pragmatically describe our interactions with nature — not truths that are independent of us.
- In nature, properties of Particle B may depend on what we choose to measure or manipulate with Particle A, even at great distances.
- In quantum mechanics, there is no explanation for this. "It just comes out that way," says Smolin. Realists struggle with this because it would imply certain things can travel faster than light, which still seems improbable.