Archives for May 2, 2007

A Fisking: Intel’s Andy Grove Pitches a Plan for Fixing Health Care

From Wired comes this introduction:

Intel’s Andy Grove Pitches a Plan for Fixing Health Care

Kristen Philipkoski 05.02.07 | 2:00 AM

Andy Grove, the Intel co-founder and one of the most important technologists of the modern age, wants to fix the broken U.S. health care system with — surprise, surprise — technology. But there’s a twist.

As technology executives get older, they seem to inevitably become interested in health care. The Bill and Melinda Gates Foundation has had a major impact on global health. Steve Case, former CEO of AOL, has just launched Revolution Health, a health management site. They’re joined by Grove, former chairman and CEO of Intel, who is touring the lecture circuit proselytizing his solutions for the troubled health care system.

Well, okay, some fellow who has forgotten more than most know about his field decides his expertise in one field means he’s an expert in others, and medicine is the target.  From that standpoint, he’ll have to get in line.

I’m going to skip ahead, but please do follow the link and read the entire article; it’s very well-written, and I’m not trying to deny the good people at Wired any bandwidth / exposure (trying to play nice with the ‘fair use’).

Grove breaks the problem of health care into three manageable chunks. Two have technological solutions — but not complex tech. Grove wants to keep the technology as simple as possible, a surprising idea for a man who put millions of transistors on a chip.

First: Keep elderly people at home as long as possible (an idea he calls “shift left”). Use high-tech gadgets to help them remember to take their medicine and monitor their health. In one year, if a quarter of the people now living in nursing homes went home, it would save more than $12 billion, Grove says.

This is idiotic, and I’ll bet Mr. Groves never once cared for someone from or in a current nursing home.  If he had, he’d realize they aren’t there because they need ‘health monitoring’ or scheduled medications, they’re there because they’d die if actual people didn’t come and take care of them, every day.  The few I’ve seen from nursing homes who were there just for medications were so exceptionally unable to care for themselves it’d be criminal to send them anywhere other than a strictly supervised environment.  Jail is out, so nursing home it is.

Oh, and who’s going to monitor the monitors, and respond when the readings don’t jive?  Are they factored into this equation of 12 Billion saved?  How much of that 12 BN will be spent making all those homes safe for the disabled, etc.  I could go on, but you see the basic error here, no need to belabor it.  There are more errors to be dealt with.
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Happy Birthday to

…Gruntdoc!  This is the Fifth Anniversary of a blog started on a lark,and continued due to lack of imagination.

Thanks very much to all of you for reading, and I hope to keep going for a long time.


My 4th birthday, for a retrospective of the design.

I wonder if I get to meet John Malkovich now…