Presentation on theme: "Sustainable Development, Information Technology, and Health Care Reform Prepared for the 5 th Annual State Sovereignty Rally, Topeka, Kansas January 18,"— Presentation transcript:
Sustainable Development, Information Technology, and Health Care Reform Prepared for the 5 th Annual State Sovereignty Rally, Topeka, Kansas January 18, 2013 Copyright by OK-SAFE, Inc. www.ok-safe.com and www.exposinghealthcarereform.com 1
Copyright by OK-SAFE, Inc. www.ok-safe.com and www.exposinghealthcarereform.com 2 Slide Source: Michael Gallis & Associates, BRICs in the 21 st Century, 4/2007
OK-SAFE Issues: 2006-2009 Trans-Texas Corridor NASCO/NAFTA Superhighway IVHS (Intelligent Vehicle Highway System)/RFID/Tracking Global Supply Chain Management/PPPs REAL ID National/International Identification Card Personally Identifiable Biometric Identification Remote ID via CCTV/Global SuperCorrido rs RFID/SensorsElectronic Tolling Vehicle Tracking/Cameras Fusion Centers Elimination of Barriers for Information Sharing – Fed/State Global XML Language Global Data Collection/Sharing Copyright by OK-SAFE, Inc. www.ok-safe.com and www.exposinghealthcarereform.com 3 In Common? Standardized digital data collection, aggregation, analysis, and information sharing via advanced IT (information technology) systems
OK-SAFE Issues: 2009-2012 Sustainable Development Resource Management Education for Sustainable Development Densification – PlaniTulsa/MAPS Earmarks for Technology Co. Wave Technologies – Empty Offices OSU-UML – Drones Triton Scientific, Triarii, etc. State CIO Government Modernization State Chief Information Officer $1M Capgemini Contract – State IT Assessment Health Care Reform Exposing Health Care Reform Electronic Health Record (EHR) – On Everyone 2 Exchanges – Information/Insurance Copyright by OK-SAFE, Inc. www.ok-safe.com and www.exposinghealthcarereform.com 4 In Common? Standardized digital data collection, aggregation, analysis, and information sharing via advanced IT (information technology) systems 1/16/13 - Add Gun Violence Reduction Efforts
Sustainable Development – Development that meets the needs of the present generation without compromising the ability of future generations to meet their own needs. In other words, from each according to his ability, to each according to his need. Targets producers & consumers. Sustainable Development Copyright by OK-SAFE, Inc. www.ok-safe.com and www.exposinghealthcarereform.com 5 Source: The Brundtland Report, 1987 Balanced Production and Consumption
Technocracy – N.A. Technate Copyright by OK-SAFE, Inc. www.ok-safe.com and www.exposinghealthcarereform.com 6 Balanced Production and Consumption TECHNOCRACY – Technocracy finds that the production and distribution of an abundance of physical wealth on a Continental scale for the use of all Continental citizens can only be accomplished by a Continental technological control – a governance of function – a Technate. Technocracy Study Course, 1934, 1935, 1936 – p. vii.
Definitions Technology – The branch of knowledge that deals with the creation and use of technical means and their interrelation with life, society, and the environment, drawing upon such subjects as industrial arts, engineering, applied science, and pure science. A technological process, invention, method, or the like. Information Technology – The development, installation, and implementation of computer systems and applications. Technocracy – Government by technical experts. Technate – Technocracy is the concept of government by technicians, i.e. scientists and engineers, who would oversee and administrate government and the economy. The framework for a North American Technate (an institutionalized and operational technocracy) was formulated in the early twentieth century by an influential group called Technocracy Incorporated. early twentieth century This group eventually published a Technocracy Study Course Copyright by OK-SAFE, Inc. www.ok-safe.com and www.exposinghealthcarereform.com 7
Changing Consumption Patterns Agenda 21 - Chapter 4 CHANGING CONSUMPTION PATTERNS a. Focusing on unsustainable patterns of production and consumption; b. Developing national policies and strategies to encourage changes in unsustainable consumption patterns. (b) Data and information - Undertaking research on consumption 4.10. In order to support this broad strategy, Governments, and/or private research and policy institutes, with the assistance of regional and international economic and environmental organizations, should make a concerted effort to: a. Expand or promote databases on production and consumption and develop methodologies for analysing them; b. Assess the relationship between production and consumption, environment, technological adaptation and innovation, economic growth and development, and demographic factors; c. Examine the impact of ongoing changes in the structure of modern industrial economies away from material-intensive economic growth; d. Consider how economies can grow and prosper while reducing the use of energy and materials and the production of harmful materials; e. Identify balanced patterns of consumption worldwide which the Earth can support in the long term. Copyright by OK-SAFE, Inc. www.ok-safe.com and www.exposinghealthcarereform.com 8 Balanced Production and Consumption
U.S. Dept. of State The United States works domestically to implement the recommendations made at the Rio Conference. Source: U.S. Department of State, 95/06/09 Fact Sheet: Global Environmental Issues, Bureau of Public Affairs Colin Powell The U.S. strongly supports the CSD (Commission on Sustainable Development) as a primary international body for promoting sustainable development worldwide.
Sustainable Development is All Encompassing Economy Promotes redistribution of wealth Business backed by support of government Public/Private Partnerships vs. Private Enterprise NGOs used to implement Environment Elevates Nature above Man Climate Change Dictates Air & Water Use Control of natural resources Central land management Energy use yBiodiversity Equity Social Justice, vs. Equal Justice Requires shift in attitudes, values, beliefs Multiculturalism Seeks to abolish private property Changes in consumption patterns Population Control Goal is to not exceed the carrying capacity of the Earth Education for Sustainable Development – For Everyone Requires Central Planning & Technology to Track and Monitor Complianc e Includes Health Care (i.e. standardized and rationed) Knowledge-based Economy The computer-based Information Technology/Data Industry is sustainable as it is resource light
Sustainable Development Requires A Technocracy Copyright by OK-SAFE, Inc. www.ok-safe.com and www.exposinghealthcarereform.com 11 Global Control of Resources - Systems Sustainable Development Global Control of Assets – Systems Including the people Global Transportation – Systems Moves goods, people and information Global Supply Chain Management - Systems Tracking and control of production and distribution Knowledge-based Economy The computer-based Information Technology/Data Industry is sustainable as it is resource light
Digital everything - Persons, Places, Things, and Events Data on persons, places, things, and events is being collected, aggregated, analyzed and shared – across jurisdictions regionally, nationally and internationally Technology now includes the ability to locate, identify and track (surveille) persons, places, things and events remotely Digital Everything 12 Knowledge-based Economy The computer-based Information Technology/Data Industry is sustainable as it is resource light
Office of the National Coordinator (ONC) 13 4/27/2004 - President Bush issued Executive Order 13335 establishing the position of a National Coordinator for Health Information Technology (IT) within the Office of the Secretary of Health and Human Services. ONC Initiatives include establishing the Nationwide Health Information Network (NHIN), and supporting the development of the Federal Health Architecture. The ONC has set a goal that every person in the U.S. must utilize an electronic medical record by 2014. ONC will leverage the National Information Exchange Model (NIEM) Source: Office of the National Coordinator – http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__home/1204 CHANGE - Yes, We Can! Because federal & state statutes about disclosure and privacy were written before interoperable health IT and widespread exchange of health information, federal and state laws that inadvertently and unnecessarily prohibit or limit the appropriate exchange of information… must change to accommodate the technology. Technology Trumps Principle!
Seamless Flow of Information Information sharing requires common standards and interoperability of information technology systems – at the federal, state, local, tribal and territorial level Requires the elimination of institutional and jurisdictional barriers to information sharing State laws, regulations and policies that inadvertently and unnecessarily prohibit or significantly limit the exchange of electronic information (including health information) are changing to allow the seamless flow of information across organizational borders. 14 Source: Vision 2015 – A Globally Integrated and Networked Intelligence Enterprise. http://www.dni.gov/Vision_2015.pdf Federal Data Hub The new American Idol By 2015
Photo Source: Libelium. OK-SAFE, Inc. www.ok-safe.com and www.exposinghealthcarereform.com 15 I.E. – Libeliums 50 Sensor Applications Knowledge-based Economy Selling Software and Hardware For Monitoring Compliance
Standardization & Interoperability Standards – Common use, rules, guidelines, formats, coding, etc. Establishes UNIFORMITY. HL7 International – Health Level 7 International has been adopted by U.S. (global) ICD-10 – International Classifications of Diseases, V10 – For health coding and claims, adopted by U.S. (global) Interoperability – one system can communicate with another system, even if using different software and hardware. 16 Sources: http://worldstandardscooperation.org/about.html; Health Level 7 International - http://www.hl7.org/ ;http://www.hl7.org/ S & I Framework - http://wiki.siframework.org/Query+Health+Commitment+Tracker ALL FEDERAL GRANTS that involve technology, including all healthcare, law enforcement and education grants, REQUIRE compliance with federal IT standards and interoperability capabilities. ALL federal standards are international standards and globally interoperable. ALL healthcare systems must comply.
IT in ARRA and PPACA 17 2009 – The Stimulus Bill Was the REAL Health Care Reform Law The HITECH Act – Health Information for Economic and Clinical Health - Title XIII of Division A, and Division B of the American Recovery and Reinvestment Act of 2009, Public Law 111-5 Adoption of certified EHR technologies and requirements for their meaningful use - State Health Information Exchanges/ SHIECAP (Cooperative Agreements) 2010 – Patient Protection and Affordable Care Act (PPACA, aka ObamaCare) Public Laws 111-148 and 111-152 Health IT provisions: Quality of Care - Sections 2717, 3004, 3005, 3013, 4302, 6301, 10332,10333, 10109, 10305 Programs – Sections 1322, 1323, 2401, 2703, 3011, 4103, 5405, 934, 5604, 6701, 10410 Reimbursement Structure (Insurance Exchanges) – Sections 1311, 2706, 3002, 3021, 3022, 3024, 3201 Operating Rules and Standards –Sections 1104, 1561 Health IT Workforce – Sections 2801, 3012, 3501, 3502, 5101, 5301, 6114 Sources: The HITECH Act, PL11-5; HIMSS Summary on Key HIT in PPACA http://www.himss.org/content/files/PPACA_Summary.pdf
Health Care Reform - Defined Health Care Reform - is really about the use of IT to implement a nationwide health information network (NHIN), that will enable the seamless flow of information across boundaries, and that allows a growing global surveillance system to function. Electronic Health Records - Reform is predicated on the creation of a standardized, interoperable electronic health record (EHR) on every single individual Cradle-to-Grave – EHRs are used for data collection, aggregation and reporting and are intended to track a person from birth to death. (Longitudinal) EHRs are universal and to be shared globally – not only within our government, but with foreign governments, universities, and other third parties. Requires Standardization and Interoperability – to establish uniformity and compatibility in data collection, regardless of jurisdiction EHRs include each persons genetic information – and will be used for research purposes without the knowledge or consent of the person Rights killing - Health care reform, and other data collection networks, do an end-run around search warrants and nullify our inherent rights to life, liberty and property. 18 Knowledge-based Economy Health Care Reform: Selling Software and Hardware For Monitoring Compliance
Diagram from NGAs Krista Drobac presentation 11/3/11 to OK Joint Legislative Committee on Federal Health Care Reform
The Seamless Flow of Information – From You to the Feds…and Beyond Individual Health IT Data Collection System Government/ Research Universities Private Sector/ Foreign organizations Source: Diagram by OK-SAFE, Inc. Copyright. Reproduced with permission only. 20
Government, Industry, and Academia - Public-Private Partnerships (PPP) Sources: http://findarticles.com/p/articles/mi_qn4182/is_20090407/ai_n31516321/-: and Michigan Economic Dev. Corp.; and Greg Mains, President of St. Gregorys University, ppt presentation at the OEDC 2011 Summit, Oct. 3, 2011, Norman, OK 21 The New Economy Triangle: A knowledge-based economy involves strategic alliances, aka public-private partnerships: 1.Government 2.Industry anchor company 3.Academia This is NOT a free-market model. It is a model for technocratic governance.
From Government to Governance WordAssumed MeaningReal/Political Government needs to be run more like a business Government operating in an orderly manner, not wasting taxpayers money, while still operating within its proper authority and respecting the God-given rights of the individual; operates as a sovereign entity with a constitution, with separate but equal Executive, Legislative, and Judicial branches. Does not function as a business. It is a Government, not governance. Government operates from a business plan, focusing on revenue generation, cost savings, and efficiencies. Functions of government are viewed as services; services to the public are considered a business process & commoditized. Governance by experts. Government services are called business processes subject to consolidation/ outsourcing to eliminate waste, create efficiencies, and reduce fragmentation. Citizens are viewed as an asset or liability, and are charged for using services.
Recommendations 23 Repent – not kidding here Individuals need to minimize their electronic footprint and finds ways to not participate in the data accumulation systems. Educate yourselves on the issues facing this country and recognize the face that we no longer operate under a constitutionally constrained system of government. Work with your elected officials to educate them on the issues of loss of liberty. Replace those elected officials who do not listen or take positive action to reduce the size and scope of administrative governance. Do not establish a state-based Health Insurance exchange – it will be the same as the Federal governments version Allow people to escape HIT/HIE system without penalty; do not penalize providers who opt not to adopt EHRs or participate in this system Repeal state laws that prohibit individuals from seeking alternative health care services, i.e. homeopathic medicines or non-traditional treatments Terminate the Oklahoma Health Information Exchange Trust Audit the Oklahoma Health Care Authority Adhere to the OK Constitution - work to restore liberty Source: The People of Oklahoma
Conclusion 24 The U.S. federal government, via various initiatives [including health care reform], is actively participating in the establishment a globally networked and integrated intelligence enterprise – based on a technocratic governance model. This technocratic model includes the accumulation of an extraordinary amount of extremely personal, detailed information about the America people. Government, in its attempt to be an all-knowing technocratic god and to satisfy the IT industrys insatiable, ever-changing appetite, is doing an end-run around human dignity and nullifying our God-given rights to life, liberty and property. The American People Are Not Slaves Nature has not made men slaves, but free, with an intrinsic right to liberty when they infringe not the equal freedom of others. Not only so, but liberty is a divine principle, recognized in Scripture. So the Psalmist declared, I will talk at liberty; for I seek thy precepts, and Jesus taught that it is lawful for a man to do what he will with his own, when he thereby commits no wrong to others. Biblical Law, by H.B. Clark, p. 15