1. HealthCare21 Tom Peters/03.28.2002

2. HealthCare21: 21 Ideas for Century21 1. Hospitals kill people
HealthCare21: 21 Ideas for Century Hospitals kill people. (And many of those they don’t kill, they wound.) (And they deny it.) (ERRORS RULE!) And: Hustling ambulances kill pedestrians—and don’t save patients. 2. Doctors are spoiled brats—who don’t like measurements. Or any form of “interference.” Docs are also cover-up artists. The REAL Hippocratic Oath: “DON’T RAT ON A FELLOW DOC”. 3. Most prescription drugs don’t work—for a PARTICULAR patient. Current drugs = Blunderbusses. 4. Think … WELLNESS. Think … PREVENTION. 5. THERE IS LITTLE “SCIENCE” IN “MEDICINE.” (See state to state variations … country to country variations … the general lack of agreed-upon treatments.) 6. You could save thousands of lives (think Schindler)—if you just outlawed handwritten prescriptions. 7. “Detailers” will disappear … when GenX docs arrive.

3. HealthCare21 (Cont.) IS/IT in hospitals is sub-primitive (despite enormous expenditures) Systemic IS/IT is worse—links between docs, insurers, providers, patients. 10. ELECTRONIC MEDICAL RECORDS …TO UNIFORM STANDARDS. (NOW.) (PLEASE.) 11. THE WEB WILL LIBERATE. (Info = Power.) (BELIEVE IT.) M BOOMERS RULE. ($$$$$. Desire for c-o-m-p-l-e-t-e CONTROL. NOW. “LEADERSHIP” OF AGING PROCESS.) 13. “Drug Discovery” processes at Big Pharma are … hopelessly over-complicated (???: Bye-Bye … Big Pharma.) % of the “healthcare fix”: HARVEST THE LOW-HANGING FRUIT. “They” are … NOT … the Enemy. “I have seen the enemy … and it am me.” Damn it.

4. HealthCare21 (Cont. ) 15. The number of U. S
HealthCare21 (Cont.) 15. The number of U.S. un-insured is the nation’s #1 disgrace That said, insured “consumers” are spoiled brats They/we/me act as if healthcare were a free good … and believe that an incipient hangnail calls for at least a CAT scan … or two. ANSWER: MAKE US FEEL THE PAIN. 16. Genetic engineering & biotech change … EVERYTHING (Within 15 years.) 17. New Medical Devices change … EVERYTHING. (Within years.) 18. IS/IT changes … EVERYTHING. (Within 10 years.) 19. New Docs change … EVERYTHING. (Within 10 years.) 20. New Patients change … EVERYTHING. (Within 5 years.) * *

5. HealthCare21 (Cont. ) 21. ALL THIS = ENORMOUS OPPORTUNITY
HealthCare21 (Cont.) ALL THIS = ENORMOUS OPPORTUNITY. The Opportunity of Several Lifetimes. (For the Bold & Brave.) H’Care WILL be … TOTALLY … re-invented in the next two decades. (And, hey, it is our largest “industry.”)