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23andMe Anne Wojcicki Berates Stanford and Valley Med on Behalf of Sick Friend

42 点作者 hhhust大约 7 年前

6 条评论

darawk大约 7 年前
Um, you&#x27;re a millionaire. Why don&#x27;t you put up the money? <i>Someone</i> is paying for it. This is literally an ultra-wealthy person complaining that someone else won&#x27;t pay for her friend&#x27;s million dollar medical treatment.<p>It&#x27;s fine if you want to argue for single payer healthcare. But where do you get off berating a non-charitable institution about covering their costs? They have their longevity to think about. If they simply gave everyone infinite treatment for free they wouldn&#x27;t exist anymore.
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cncrnd大约 7 年前
The larger point of this article is about the need to advocate for your own medical care. It really hit me hard, due to my own and family experiences with hospitals and doctors who simply didn&#x27;t care or recognize the effect of their everyday behaviors on the lives of others.<p>The example given in the article is Valley Med requiring 5-10 days to serve patient medical records. These 5-10 days can be the the difference between LIFE and DEATH when it comes to medical care. There exists an inefficiency, which can lead to wrongful death, and there is a clear path to remove the inefficiency. Why is nothing done and why does society accept it, despite paying ridiculous amounts for healthcare?<p>The fact is that doctors are perfectly adept at handling 95% of cases which they see often, but outside of that they seem to lack the drive to &#x27;connect the dots.&#x27;<p>When I go to the doctor, I do my research before I step foot into the office and I tell them what I am thinking. Sometimes I am wrong and cede to the doctor&#x27;s explanation, other times it results in different tests taken&#x2F;treatment paths.
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lopmotr大约 7 年前
Perhaps the problem is more that there exists expensive treatments. As long as they exist, people will be upset at not getting them. When they don&#x27;t exist, people won&#x27;t blame anyone for their death. Imagine if some miracle cancer cure is discovered but it genuinely costs a million dollars (not just due to patents). There&#x27;ll be no option but to let uninsured poor people die. There might not be enough money in the country to actually save them all.
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saagarjha大约 7 年前
It&#x27;s nice that she was able to help out, but think about how many people aren&#x27;t in a situation where they can call up the CEO of 23andMe to help.
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jonhendry18大约 7 年前
&quot;Such assertiveness came in handy when Wojcicki was visiting her grandmother in a Palm Springs care home several years ago and couldn’t find a doctor in the building.&quot;<p>The nursing homes I&#x27;m familiar with have nurses and a doctor who comes in one day a week, and takes calls from staff. If anything significant comes up the resident is taken to the ER.<p>A care home with a doctor on staff full time (let alone 24 hours) would likely be significantly more expensive.<p>I suspect Wojcicki&#x27;s grandmother couldn&#x27;t afford that. And it&#x27;s probably overkill.
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writimov大约 7 年前
Glad Anne Wojcicki, CoveredCA and Legal Aid were able to step in and help. There are some specific problems highlighted in the article that could be fixed by software startups:<p>1) Problem: Difficulty to identify a Doctor for a second opinion. a) Possible solution: software that allows you to input the medical term (or possibly the medicare code for a disease or combos of diseases?) and find all the second opinion doctors located near you. The software needs things like sort by reputation or reviews, price estimates, speed to get second opinion, time window (with a button to click for life-threatening emergency). Also, why be local? Through telemedicine you could video chat with your second opinion after digitally transferring records.<p>2) Problem: Too long to transfer medical records 5-10 days instead of 10mins. a) Possible solution: HIPAA and GDPR compliant digital medical health platform that works with all hospitals. (Very difficult to solve this because of non-standardization.) b) Secondary solution: Biometric authorization (fingerprint and voiceprint ID or DNA scan) and quick digital download of medical record in plain text. Must complete in less than 10mins even with slower bandwidth.<p>3) Problem: Didn&#x27;t have health insurance. Hospital was looking at a potentially very large unpaid bill. a) Single payer government health insurance is the best solution. b) SW Tech company solution is quick instant insurance signup with government or charity guarantee for some percentage of bill. The rest of the bill is dumped into CoveredCA or something else. And the patient is enrolled for 1 year after the fact and must pay premiums. ? There are probably better solutions.<p>4) Problem: Must rely on humans. a) IBM Watson for disease diagnosis and treatment recommendations combined with additional neural net or machine learning technologies could be used to created automated second opinions. Feed all the raw data into the system to determine the outcomes and probability of recovery for all treatment options.
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