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Welcome to the “It’s All About Attitude” Book Series. The series began in 2001 with the publishing of Net Attitude: What It Is, How to Get It, and Why Your Company Can’t Survive Without It. All the books in the series are available in paperback and Kindle. Election Attitude and Health Attitude are also available in Audible. Please visit the book series pages on Amazon: one for the Kindle versions and one for the paperback versions. On this page you will find sample chapters of all the books. You can find reviews of the books here. As you will find in all my books, I believe most big problems and big solutions involve Attitude. I hope you enjoy reading the It’s All About Attitude Series. See a description of each book and comments from thought leaders here.
Praise for Reflection Attitude 1
Also by John R. Patrick 4
Dedication 5
Preface 6
Table of Contents 12
Introduction 16
Communications 1
“Get Connected” – Introduction 1
An Internet-based Communications Program 1
“Get Connected” 2
“Get Connected” – Part 1 4
“Get Connected” – Part 2 6
“Get Connected” – Part 3 8
“Get Connected” – Part 4 11
“Get Connected” – Part 5 13
“Get Connected” – Critical Success Factors 16
Keynote Speeches 18
Meeting with the President 21
Getting Physical 23
Power to the People 26
When Will the Spam Stop? 31
Are Most Virtual Things Actually Real? 34
How Is OCLC Helping Libraries of the World? 36
Business 40
Two Percent – Case 1 40
Two Percent – Case 2 41
No Radio, No TV, No Computers, No Fax 44
Speedpass for Gas, Burgers, and More! 47
“That’s not going to change” 50
Olympic Advertising 51
Are Customer Satisfaction Surveys a Good Thing? 54
Is the Fax Machine Dead? 57
Can Business Processes Be Automated? 60
What Is the Future of Car Maintenance? 65
Climate Change 68
Worms and Potato Chips 68
What to Do with Your Old Computers 73
The Simple Science of a Greenhouse 75
What Are the Top Greenhouse Gases? 78
What Is Your Carbon Footprint? 81
How to Calculate Your Footprint and What to Do About It 84
The Power of Wind 88
Which Is Worse: Power Outage or Digital Outage? 90
The Recycling Mess 95
Can You Wait Just a Zeptosecond? 98
Is Fusion the Energy of The Future? 100
Climate Change: Is It Too Late to Save the Planet? 103
Infrastructure 110
Do We Need the Interstate Highway System? 110
Let’s Get the Politics Out of Infrastructure 114
Crypto 120
Inside Bitcoins 120
My First Purchase Using Bitcoin 124
Bank and Bitcoin Failures 127
Reflections on Bitcoin 129
My Bitcoin Strategy 130
Cryptocurrencies and the Scope of Bitcoin 133
Applying Blockchain to Container Shipping 134
Is MiamiCoin for Real? 136
Will Congress Be Able to Grasp Crypto? 139
Is the NFT Revolution a Bubble? 142
Healthcare 146
Paper, Paper, Everywhere Paper 146
Electronic Health Records 148
When Have We Seen Enough TV Drug Ads? 152
Healthcare Common Sense: What to Do? 155
Microbiome Immunity Project 161
How Big is the Big Pharma Lobby? 163
Can Amazon and Apple Fix Our Healthcare System? 167
How Can Nanotechnology Detect Heart Health? 172
What is the Best Way to Test for Covid-19? 174
Robotics 177
Can Tractors Drive Themselves? 177
The Limits to Growth 180
Can Cobots Help with the Supply Chain? 183
Music 186
Origins of My Love of Music 186
Running With Mozart 190
Conducting Mozart 25.1 – Part 1 191
Conducting Mozart – Part 2 194
Conducting Mozart – Part 3 197
Conducting Mozart – Part 4 (finale) 199
Conducting Mozart – Part 5 (reviews) 200
Conducting Beethoven 202
Can a Robot Conduct an Orchestra? 204
Doo Wop – Why They Keep Going 206
The Future of Music 208
Technology 214
Bandwidth Galore 214
Is Subway Surfing Stealing? 218
What Is the World Community Grid? 222
Password Hell 226
What Is the Ultimate Button? 231
How Do We Stop the Hackers? 236
Space 241
What is Going on in Huntsville? 241
How Can We Get a Look at the Beginning of Time? 245
Hobbies 248
Motorcycle Riding: How It All Started 248
Aviation 251
Do Hobbies Have a Role in the Pandemic? 255
One More Thing 259
e-philanthropy 259
Conclusion 264
Acknowledgements 266
About the Author 267
Notes 268
Praise for Robot Attitude. iii
Also by John R. Patrick. iv
Dedication. v
Preface. vi
The End is Near vi
The Future is Bright vi
Table of Contents. viii
Part 1. 12
Robots. 12
Introduction to Robots. 13
What is a Robot?. 13
The Robot Market 15
Pepper 15
Humanoids 16
Robots in Retail 18
Robots at Amazon. 18
Retail Innovation. 20
Pickups 22
Cobots 23
Fast food. 24
Summary. 25
Robots in Agriculture. 26
Indoor Farming. 27
Summary. 29
Robots in Manufacturing. 30
Robotic Solutions 31
Robot Training. 32
Summary. 33
Robots at Home. 34
Robots in the Kitchen. 34
Room Cleaning Robots 35
Companionship. 36
A Robotic Dog. 38
Home Delivery. 39
Other Forms of Robotic Delivery. 41
Summary. 42
Robots in Healthcare. 43
Robotic Surgery. 43
My Personal Robot 45
Challenges in Robotic Healthcare. 47
Robots in Home Healthcare. 47
Robots and Autism.. 49
Exoskeleton Bionic Devices. 50
Trexo. 52
Summary. 52
3-D Printing. 53
Printing with Steel 55
3-D Printing in Healthcare. 55
Summary. 57
Drones 58
Drone History. 58
Military Drones 58
Commercial Drones 60
Delivery. 61
Drones for the Consumer 64
The Return. 66
Build a Drone. 66
The Market 68
Regulation. 68
Summary. 69
Part 2. 70
Artificial Intelligence. 70
Introduction to AI 71
Governments Taking Notice. 73
Machine Learning. 75
Dig Deeper 76
Cats and Dogs 76
Summary. 77
Faces. 78
Face ID. 78
Facial Recognition. 78
Coinbase. 80
Faces for Security. 81
Your Face Is Your Boarding Pass 81
Facial Recognition in China. 84
Governments 86
Summary. 87
Voices. 88
Mental Health. 88
Keeping Drivers Awake. 89
Fighting Heart Disease. 89
The Call Center 90
Hiring the Right People. 91
Combatting Fraud. 92
Investigating Crimes. 93
Summary. 94
AI in Healthcare. 95
Smart Stethoscopes 95
An Eye for AI 96
Falling in the Hospital 97
Enhancing Emergency Calls 98
Predicting Fatal Conditions 98
The Right Medications 100
Radiology. 100
The Barrier 102
Summary. 102
AI in Banking. 103
The Fax. 103
Apple Card. 105
Robotic Process Automation. 106
Summary. 108
AI in Insurance. 109
Summary. 111
AI at Home. 112
Privacy. 114
Summary. 116
AI in Journalism.. 117
Breaking News 117
Fake News 118
Summary. 120
AI and Social Media. 121
Summary. 122
Part 3. 124
Implications. 124
The Singularity. 125
Human Evolution. 126
Computer Evolution. 127
Summary. 129
Impact 131
Universal Basic Income. 134
Conclusion. 137
Epilogue. 138
Acknowledgements. 140
Index. 141
About the Author 142
Notes 143
Praise for Home Attitude…………………………… iii
Also by John R. Patrick…………………………….. iv
Dedication……………………………………………….. v
Preface……………………………………………………. vi
Introduction…………………………………………… xiv
A Brief History of Home Automation.. xiv
Home Automation Today………………….. xv
The Internet of Things……………………… xvi
Part 1 Home Automation: What It Is and What It Can Do For You………………. xix
Chapter 1 Home Automation Basics………… 1
The Basics………………………………………… 2
Devices…………………………………………….. 2
Hubs…………………………………………………. 3
Schedules………………………………………….. 3
Action groups……………………………………. 4
Triggers……………………………………………. 4
Scenes………………………………………………. 4
User interfaces…………………………………… 5
Chapter 2 Lighting Control…………………….. 7
Scenes………………………………………………. 8
Morning……………………………………………. 9
Night………………………………………………. 10
Party……………………………………………….. 10
Movie Time…………………………………….. 10
Vacation………………………………………….. 10
Reading and Writing………………………… 11
Paths………………………………………………. 11
Specialized Scenes…………………………… 11
If This Then That……………………………… 11
Geofencing……………………………………… 12
Schedules………………………………………… 13
Security…………………………………………… 13
Summary………………………………………… 13
Chapter 3 Home Entertainment……………… 14
Music Makes the World Go Around…… 14
MP3……………………………………………….. 14
Podcasts………………………………………….. 15
Sound Systems………………………………… 15
Let’s Go to the Movies……………………… 16
Sling……………………………………………….. 17
Home Video……………………………………. 20
Games…………………………………………….. 21
Virtual Reality…………………………………. 22
Augmented Reality…………………………… 23
Summary………………………………………… 23
Chapter 4 Home Security……………………… 24
The Basics………………………………………. 24
Enhancements………………………………….. 26
Virtual Zones…………………………………… 26
Motion Detection……………………………… 28
Surveillance…………………………………….. 29
Alert Buttons…………………………………… 30
Leak Detection………………………………… 32
Carbon Dioxide……………………………….. 33
Summary………………………………………… 34
Chapter 5 Energy Efficiency…………………. 36
Monitoring Energy Usage…………………. 36
Electricity……………………………………….. 37
Backup Generator…………………………….. 40
Fuel Oil…………………………………………… 41
Propane…………………………………………… 42
Natural Gas……………………………………… 44
Water……………………………………………… 45
Summary………………………………………… 46
Chapter 6 Weather Monitoring……………… 47
Weather Underground………………………. 47
Home Weather Stations…………………….. 47
Summary………………………………………… 49
Chapter 7 Convenience………………………… 50
Essentials………………………………………… 51
Conveniences…………………………………… 52
Rooms and Lights…………………………….. 53
Room Cleaning Robots…………………….. 53
Music and Announcements……………….. 54
Summary………………………………………… 54
Chapter 8 Security and Privacy……………… 56
The Internet…………………………………….. 56
Authentication…………………………………. 58
Passwords……………………………………….. 58
2FA………………………………………………… 59
Biometric Authentication………………….. 59
Breaches…………………………………………. 60
Distributed Denial of Service Attacks…. 61
The Tunnel……………………………………… 62
Privacy……………………………………………. 63
Voice……………………………………………… 64
Conclusion………………………………………. 64
Part 2 Home Automation: How It Works and How To Get It………………… 65
Chapter 9 Hubs and Networks……………….. 66
SmartThings……………………………………. 66
Indigo……………………………………………… 67
Start Simple, Upgrade Next………………. 68
Networking……………………………………… 68
The Internet…………………………………….. 69
Summary………………………………………… 70
Chapter 10 Devices and Plugins…………….. 71
Chips………………………………………………. 71
Device Types…………………………………… 72
LED Strip……………………………………….. 72
Availability……………………………………… 73
Plugins……………………………………………. 73
Maintenance……………………………………. 74
Summary………………………………………… 74
Chapter 11 Actions and Scenes……………… 75
Actions……………………………………………. 75
Action Types…………………………………… 77
Scenes…………………………………………….. 77
Summary………………………………………… 77
Chapter 12 Schedules and Triggers………… 78
Schedules………………………………………… 78
Triggers………………………………………….. 80
MultiSensor 6………………………………….. 81
IFTTT…………………………………………….. 83
The Generator………………………………….. 83
Summary………………………………………… 85
Chapter 13 User Interfaces……………………. 86
MiniMote………………………………………… 86
Smartphone……………………………………… 87
Control Pages………………………………….. 87
Voice……………………………………………… 90
Polly……………………………………………….. 91
Artificial Intelligence……………………….. 92
Summary………………………………………… 93
Chapter 14 Home Automation: How to Get It…………….. 94
Go Professional……………………………….. 95
Control4………………………………………….. 96
Creston……………………………………………. 97
Leviton……………………………………………. 97
Lutron…………………………………………….. 97
Savant…………………………………………….. 97
Go Professional Summary…………………. 98
Subscription Based Services……………… 98
ADT……………………………………………….. 99
Safe Streets USA……………………………… 99
AT&T…………………………………………….. 99
Comcast………………………………………….. 99
Frontpoint……………………………………… 100
Subscription Service Summary………… 100
Do It Yourself………………………………… 100
Apple……………………………………………. 102
e-WeLink………………………………………. 103
HomeSeer……………………………………… 103
Indigo Domotics…………………………….. 103
Smarthome…………………………………….. 104
SmartThings………………………………….. 104
Vera……………………………………………… 105
Do It Yourself Summary…………………. 105
Next steps……………………………………… 106
Epilogue……………………………………………….. 108
Acknowledgements……………………………….. 109
Appendix A………………………………………….. 110
Notes……………………………………………………. 111
List of Figures
Figure 1. Insteon KeypadLinc. By Smarthome.com. 5
Figure 2. Ademco Recessed Contact. By Honeywell International. 25
Figure 3. Z-Wave door/window sensor. By HomeSeer. 26
Figure 4. Insteon Water Leak Sensor. By Smarthome.com. 33
Figure 5. Kill A Watt® EZ. By P3 International. 38
Figure 6. Aeotec Home Energy Meter. By Aeon Labs. 39
Figure 7. Sense Home Energy Monitor. By Sense 40
Figure 8. EcoMeter for Fuel Oil. By Proteus. 42
Figure 9. Time Exposure Image. By Solar Panels 45
Figure 10. Qubino Weather Monitoring Equipment. By GOAP. 48
Figure 11. The Parrot Pot. By Parrot. 50
Figure 12. MiniMote. By Aeon Labs. 52
Figure 13. DEEBOT by ECOVACS ROBOTICS 54
Figure 14. Ciphertext alphabet with a shift of 19 57
Figure 15. VPN Tunnel from D-Link Business Blog 62
Figure 16. Hub with Networks and Devices 69
Figure 17. Recycling Pickup Schedule 79
Figure 18. Good Morning Trigger 81
Figure 19. MultiSensor 6. By Aeotec 83
Figure 20. Vision Vibration Sensor. Photo by John Patrick 84
Figure 21. Indigo Control Page. By John Patrick (1) 89
Figure 22. Indigo Control Page. By John Patrick (2) 90
Figure 23. Exponential Growth as described by Tim Urban 92
Figure 24. Wemo® Switch Smart Plug. By Belkin 95
List of Tables
Table 1. Kitchen Lighting Groups 8
Table 2. Kitchen Cooking Scene 8
Table 3. Kitchen Dining Scene 9
Table 4. Devices Supported by Sling TV 18
Table 5. Sling Orange Channels 19
Table 6. List of Typical Home Security System Zones 27
Table 7. Possible Actions Following Detected Intrusion 28
Table 8. How to Send a 911 Text Message by Email 31
Table 9. Example of an Emergency Action Group 31
Table 10. Device and Sensor Types 72
Table 11. Night Table MiniMote Button Functions 87
Table 12. Pros and Cons of Home Automation Alternatives 106
Praise for Election Attitude……………………. 2
Also by John R. Patrick…………………………. 5
Dedication…………………………………………… 6
Preface………………………………………………… 7
Chapter 1 Voting in America……………….. 13
What We Vote For………………………….. 13
Voter Participation………………………….. 14
Registration Requirements……………….. 16
Additional Requirements………………….. 17
Voting Rights…………………………………. 17
Difficulty of Registration…………………. 19
Difficulty of Absentee Voting…………… 20
Frequency of Elections…………………….. 20
Weekday Voting……………………………… 21
The Motor-Voter Law……………………… 21
Problems at the Polling Places………….. 22
Conclusion……………………………………… 22
Chapter 2 How We Vote Today……………. 23
Election Year 2000………………………….. 24
Equipment Upgrades……………………….. 25
The American Voting Experience……… 26
Problems at the Polling Places………….. 28
Problems with Ballots……………………… 29
Ballot Complexity…………………………… 30
Machine Failures…………………………….. 31
Security………………………………………….. 32
Alternative Methods of Voting………….. 32
Voting Survey…………………………………. 33
Voting by Military Personnel and Civilians Overseas………………………………………. 34
We Can Do Better…………………………… 38
Mail Votes Lost or Not Counted……….. 39
Voter Fraud…………………………………….. 40
Priming………………………………………….. 40
Weather…………………………………………. 41
People with Special Needs……………….. 41
Conclusion……………………………………… 42
Chapter 3 A Better Way to Vote…………… 43
Election Attitude for All…………………… 43
More Than Convenience………………….. 45
Chapter 4 Voting Innovation………………… 49
Estonia…………………………………………… 49
Other European Internet Voting………… 54
Arizona Primary (2000)……………………. 55
Florida (2000)…………………………………. 56
Michigan (2004)……………………………… 57
District of Columbia (2010)……………… 58
West Virginia (2010)……………………….. 58
Americans Elect (2012)……………………. 59
Canada (2014)………………………………… 60
Utah Primary (2016)………………………… 61
Los Angeles County, California………… 62
The City of Los Angeles – A More Visionary Approach………………………………….. 63
Travis County, Texas………………………. 64
Internet Ballot Submission……………….. 65
The Election Industry………………………. 66
Everyone Counts, Inc………………………. 66
Helios Voting System………………………. 67
Smartmatic…………………………………….. 68
Scytl………………………………………………. 69
TrustTheVote………………………………….. 70
Blockchain……………………………………… 71
Follow My Vote……………………………… 75
Blockchain Technologies Corporation.. 77
Mobile…………………………………………… 79
Chapter 5 Cybersecurity………………………. 81
The Internet……………………………………. 81
Authentication………………………………… 84
Breaches………………………………………… 86
Distributed Denial of Service Attacks… 87
End-to-end Verifiable Internet Voting.. 89
Conclusion……………………………………… 92
Chapter 6 Other Challenges to Internet Voting…………………………. 93
Voter Registration…………………………… 93
Offsetting Registration Benefits………… 94
Election Officials Training……………….. 95
Privacy at Home……………………………… 95
The Status Quo……………………………….. 96
The Voting Machine Industry…………… 97
Incumbent Politicians………………………. 98
The It Just Can’t Be Done Attitude……. 99
Verified Voting……………………………… 101
Think Big, Act Bold, Start Simple, Iterate Fast……………………….. 104
Chapter 7 Voting with an Election Attitude……………………….. 106
The Voice of the People…………………. 108
Sampling The Voice of the People…… 109
Swiss Referenda……………………………. 110
Ranked Choice Voting…………………… 111
Fair Vote………………………………………. 113
Summary and Conclusions……………… 113
Acknowledgements…………………………… 117
Index……………………………………………….. 118
Appendices………………………………………. 119
About the Author………………………………. 121
Notes……………………………………………….. 122
New Praise for Net Attitude………………………………. 2
Also by John R. Patrick…………………………………….. 4
Dedication….. 5
Preface……….. 6
2001 Preface.. 8
Foreword….. 10
Chapter 1….. 18
We Haven’t Seen Anything Yet……………………….. 18
2:30 And Counting . . . ……………………………….. 19
The Heart Of The Problem…………………………… 20
Who Accommodates Whom?……………………….. 20
Millions Of E-Businesses…………………………….. 21
E-Backlash…………………………………………………. 22
The Next Generation Of The Internet……………. 23
Next Generation Attitude…………………………….. 25
Goals…….. 26
What To Expect………………………………………….. 26
Chapter 2….. 28
Power To The People……………………………………… 28
We Are At The Very Beginning……………………. 29
Customer Choice Is Power…………………………… 31
The Intel Story……………………………………………. 32
People Power In Midland, Malaysia, And Kosovo………………………………………………. 33
The Power To Vote…………………………………….. 33
The People And Their Money………………………. 34
Power To The People Happening Everywhere.. 35
What Is Napster All About?…………………………. 36
Chapter 3….. 40
The Customer Is Always Right………………………… 40
Systems That Don’t Talk To Each Other……….. 41
Click Here To Send A Fax, Fill Out A Form, Or Get Our Phone Number And Hours 43
Down For Maintenance……………………………….. 46
Guitars And Chickens…………………………………. 47
Listen Carefully; Our Menus Have Changed….. 47
For Your Own Protection…………………………….. 49
Peanuts And Potato Chips……………………………. 50
It Is Not All Gloom And Doom…………………….. 52
And Now To The Future……………………………… 53
Chapter 4….. 56
Fast………….. 56
The Packets Don’t Care……………………………….. 56
Adam Smith’s Invisible Hand………………………. 58
So Who Is The Winner?………………………………. 59
From Wired To Wireless To Optical……………… 60
Where Does The Bottleneck Move To?…………. 61
So What Do We Do With The Speed?…………… 62
Chapter 5….. 65
Always On… 65
Chapter 6….. 72
Everywhere.. 72
AOL In Your Kitchen?………………………………… 77
Becoming Mainstream?……………………………….. 77
Chapter 7….. 80
Natural……… 80
It Isn’t Just For Kids Anymore……………………… 81
Learning On-Line……………………………………….. 85
Universities Go Online Too…………………………. 86
Sprechen Sie Deutsch………………………………….. 87
An Agent At Your Service…………………………… 88
Music Makes The World Go ‘Round…………….. 89
Radio Goes Digital Too……………………………….. 90
Pictures Too!……………………………………………… 91
And Of Course There Will Be Video…………….. 92
Speech Says It All………………………………………. 92
The Next Generation Of Speech Recognition…. 92
Accessible To All……………………………………….. 93
A Browser That Talks To You……………………… 94
Limitations In Today’s Computing Interaction.. 94
Convergence At Last…………………………………… 95
Chapter 8….. 97
Intelligent….. 97
A Bold New Standard………………………………….. 98
How Is Your Vocabulary?……………………………. 98
Contracts Talking To Each Other………………….. 99
Taking The High Road………………………………… 99
E-Marketplaces Will Change How Business Is Conducted…………………………………. 100
Portals For Our Every Need……………………….. 101
Specialized Portals……………………………………. 102
Community Portals – Hanging Out……………… 102
Knowing What You Know…………………………. 103
Content Isn’t What It Used To Be……………….. 103
Life Sciences – The Next Frontier………………. 104
Autonomic Computing………………………………. 106
Chapter 9… 109
Easy……….. 109
Who Builds Websites, Anyway?…………………. 110
The High Priests Et Al……………………………….. 111
Browsers Are Great For Browsing………………. 113
Freedom From The Browser………………………. 114
The Next Generation Of E-Business……………. 115
The Early Days…………………………………………. 115
The Web 116
The Application Web………………………………… 116
An Even Faster Evolution Of E-Business…….. 118
Penguin To The Rescue……………………………… 119
Three Shifts……………………………………………… 119
Who Needs It?………………………………………….. 119
The Community………………………………………… 120
Is It Real?…………………………………………………. 121
The Ultimate Test……………………………………… 122
Embedded Computing……………………………….. 122
Making Things Easier……………………………….. 123
Chapter 10. 125
Trusted……. 125
Privacy… 126
A World Where Everything Is Connected……. 127
Privacy, Confidence, And Trust All Go Together……………………………………………… 127
The Cookie Monster………………………………….. 128
Platform For Privacy Preferences……………….. 128
Internet Security – The Glass Is Half Full Not Half Empty ….. 129
It’s Not The Technology……………………………. 130
Who Are You – Really?…………………………….. 131
Digital Ids To The Rescue………………………….. 132
Authentication (You Are Who You Say You Are) ………………. 134
Authorization (Who Can Do What)…………….. 135
Confidentiality (Only The Intended Recipient Can Read Your Messages)……………. 135
Integrity (You Both Know Nothing Got Changed)…………………………………………….. 136
Non-Repudiation (No One Can Deny A Conversation Or Transaction)……………….. 136
Back To The GE Wire Transfer………………….. 136
Open Standards Need To Continue To Rule…. 137
So Many Issues; So Little Time………………….. 138
Chapter 11. 141
Getting An Attitude………………………………………. 141
A New Vocabulary Is Needed…………………….. 142
Just Say NO To ALL CAPS……………………….. 143
Communicate, Communicate, And Communicate ………. 144
Staying Connected To The Real World……….. 145
“Outside-In”…………………………………………….. 146
Name That Product……………………………………. 147
The Call Centers We Love…………………………. 147
Groovin’ With Peer-To-Peer………………………. 148
Think Globally And Act Locally………………… 148
Chapter 12. 151
Organizing To Get Things Done…………………….. 151
The Skunk Works……………………………………… 151
Small Teams With Maximum Freedom Of Action ……… 152
Impedance Matching…………………………………. 153
Fail And Fail Often…………………………………… 153
alphaWorks………………………………………………. 154
We Are All In This Together……………………… 155
Planning Ad Nausea………………………………….. 155
Just Enough Is Good Enough……………………… 156
Avoid The One-Size-Fits-All Approach………. 156
Trial By Fire…………………………………………….. 157
Kasparov 1, Deep Blue 0, Website In The Ditch …….. 158
Make Easy Things Easy!……………………………. 159
Think Integration………………………………………. 160
Build On A Framework……………………………… 161
Where Is The Leadership?………………………….. 162
You Are Not Normal…………………………………. 163
Entrepreneurs Don’t Know It Can’t Be Done.. 163
Chapter 13. 165
Get A Taste Of The Culture…………………………… 165
Dad, You Should Know More…………………….. 166
What Is Normal?………………………………………. 167
Extreme Blue……………………………………………. 167
Talk To The Kids……………………………………… 168
ThirdAgers……………………………………………….. 168
Chapter 14. 170
What To Do Next…………………………………………. 170
First And Foremost, Communicate, Communicate, Communicate …. 170
Outside-In………………………………………………… 171
Think Big But Start Simple And Grow Fast…. 172
Information Technology Infrastructure………… 173
Internet Culture…………………………………………. 174
Epilogue….. 176
Acknowledgements………………………………………. 179
References. 181
Notes 183
Praise for Health Attitude…………………………………………………… 2
Also by John R. Patrick……………………………………………………… 5
Dedication……………………………………………………………………….. 6
Preface…………………………………………………………………………….. 7
Foreword…………………………………………………………………………. 9
Table of Contents……………………………………………………………….. 13
Introduction……………………………………………………………………. 19
Part One…………………………………………………………………………….. 21
The Big Picture and Big Pharma…………………………………………… 21
Chapter 1 Evaluation of Our Healthcare System…………………. 22
Current Performance……………………………………………………. 22
Efficiency…………………………………………………………………… 23
Effectiveness………………………………………………………………. 24
Equity………………………………………………………………………… 25
Solutions…………………………………………………………………….. 27
Summary……………………………………………………………………. 28
Chapter 2 Big Pharma……………………………………………………… 29
Foregoing Needed Medications…………………………………….. 30
Determining Fair Healthcare Costs………………………………… 30
Robust Profits……………………………………………………………… 33
International Drugs………………………………………………………. 36
Help From Congress…………………………………………………….. 37
Summary……………………………………………………………………. 40
Part Two……………………………………………………………………………. 42
Cost, Quality, and Equity of Healthcare………………………………… 42
Chapter 3 Cost………………………………………………………………… 43
Comparing the United States with Developed Countries…… 43
Healthcare Appetite and Rationing………………………………… 44
Healthcare Pricing……………………………………………………….. 45
Increased Hospital Pricing Power………………………………….. 48
Chargemaster………………………………………………………………. 49
Transparency………………………………………………………………. 50
Medical Technology…………………………………………………….. 51
Productivity………………………………………………………………… 52
Specialists…………………………………………………………………… 54
Tort Reform and Defensive Medicine…………………………….. 54
Waste and Fraud………………………………………………………….. 56
Costly Unhealthy Lifestyles………………………………………….. 60
Chronic Disease…………………………………………………………… 65
Effects of Taxes and Fees……………………………………………… 66
Summary……………………………………………………………………. 67
Chapter 4 The Practice Of Medicine………………………………….. 68
Merry-Go-Round…………………………………………………………. 68
Anecdotal Medicine…………………………………………………….. 73
Unnecessary Office Visits…………………………………………….. 74
Physician Entitlement…………………………………………………… 75
Office is Closed…………………………………………………………… 75
Central Planning………………………………………………………….. 76
The Internet………………………………………………………………… 77
Concierge Healthcare Service……………………………………….. 78
Summary……………………………………………………………………. 80
Chapter 5 Complexity……………………………………………………… 82
OneExchange………………………………………………………………. 82
Healthcare.gov…………………………………………………………….. 84
Medicare Plan D………………………………………………………….. 85
Medicare Donut Hole…………………………………………………… 86
Explanation of Benefits………………………………………………… 88
Electronic Health Records…………………………………………….. 92
Patient Portals……………………………………………………………… 95
Summary……………………………………………………………………. 97
Chapter 6 Quality and Patient Safety…………………………………. 98
Comparison of Quality…………………………………………………. 98
Patient Safety………………………………………………………………. 99
Medication and Surgical Errors……………………………………. 100
Medical Devices………………………………………………………… 102
Hospital Acquired Conditions……………………………………… 103
Need for Transparency……………………………………………….. 104
Summary………………………………………………………………….. 104
Part Three………………………………………………………………………… 106
Solutions for Consumers and Providers……………………………….. 106
Chapter 7 Consumer Initiated Health Attitude…………………… 107
Consumers………………………………………………………………… 107
Healthcare Information………………………………………………. 109
Exercise Tracking………………………………………………………. 109
Mobile Health……………………………………………………………. 111
Personal Supercomputers……………………………………………. 112
PSC Apps and Devices……………………………………………….. 113
FDA Data Collection………………………………………………….. 124
Self Diagnosis……………………………………………………………. 124
Self Diagnosis with Isabel…………………………………………… 125
Sequencing the Baby’s Genome………………………………….. 128
Summary………………………………………………………………….. 129
Chapter 8 Electronic Health Records……………………………….. 130
Manila Folders…………………………………………………………… 130
Not Having an EHR…………………………………………………… 131
Using Electronic Health Records…………………………………. 133
Electronic Financial Records Model…………………………….. 134
Collaboration and Coordination…………………………………… 135
Healthcare Information Exchanges………………………………. 136
Shared Benefits………………………………………………………….. 137
Electronic Prescribing………………………………………………… 138
Health Records In The Cloud………………………………………. 140
Selecting Your EHR Provider……………………………………… 143
Security and Privacy…………………………………………………… 144
Standards………………………………………………………………….. 145
Ease of Use……………………………………………………………….. 147
Getting the Data…………………………………………………………. 149
Medical Tourism……………………………………………………….. 152
Summary………………………………………………………………….. 152
Chapter 9 Health Attitude in the Practice of Medicine……….. 154
Continuum Of Care……………………………………………………. 155
Patient-centered Medical Home…………………………………… 156
Provider Ladder…………………………………………………………. 158
Home Healthcare……………………………………………………….. 161
Accountable Care Organizations………………………………….. 163
Organizational Trends………………………………………………… 165
Leveraging Specialists………………………………………………… 166
Evidence based Medicine……………………………………………. 167
Doctor Shortage or Surplus…………………………………………. 171
Patient Safety and Quality…………………………………………… 172
Population Health………………………………………………………. 179
Benefits of Population Health……………………………………… 181
End of Life Choices……………………………………………………. 182
Summary………………………………………………………………….. 187
Chapter 10 Leveraging Health Attitude with Provider Tools. 188
Tablets, Phablets, and Apps………………………………………… 188
A Perfect Storm…………………………………………………………. 196
Telehealth…………………………………………………………………. 197
Telemonitoring………………………………………………………….. 201
Medical Area Body Networks……………………………………… 205
Big Data and Analytics……………………………………………….. 207
Watson……………………………………………………………………… 210
Algorithms………………………………………………………………… 212
Taking Advantage of Supercomputing…………………………. 212
Blue Brain…………………………………………………………………. 214
Simulation………………………………………………………………… 215
Vaccines, Drugs, and the Microbiome………………………….. 217
World Community Grid……………………………………………… 221
Summary………………………………………………………………….. 223
Chapter 11 Robots and 3-D Printing………………………………… 224
Robotic Surgery…………………………………………………………. 225
My Personal Robot…………………………………………………….. 228
Challenges in Robotic Healthcare………………………………… 231
Robots in Home Healthcare………………………………………… 232
3-D Printing………………………………………………………………. 234
Regenerative Medicine……………………………………………….. 240
Summary………………………………………………………………….. 241
Chapter 12 Breakthrough Technology, Education, and Research 242
Artificial Cartilage……………………………………………………… 243
Bionic Eyes……………………………………………………………….. 244
Nano Sponges……………………………………………………………. 245
Stem Viruses……………………………………………………………… 245
Strawberries………………………………………………………………. 247
New Kind of X-Ray…………………………………………………… 248
Role of Research……………………………………………………….. 249
Education in Healthcare……………………………………………… 251
Summary………………………………………………………………….. 255
Chapter 13 Reducing the Cost…………………………………………. 256
Measuring Cost to Reduce Cost…………………………………… 257
Reduce Administrative Costs………………………………………. 259
Paper Blizzard…………………………………………………………… 262
Coupon Book…………………………………………………………….. 265
Fax Machine……………………………………………………………… 265
Standards………………………………………………………………….. 267
Blueprint For Innovation…………………………………………….. 267
Summary………………………………………………………………….. 271
Part Four………………………………………………………………………….. 273
Healthcare Policy and Management Techniques…………………… 273
Chapter 14 Access and Equity…………………………………………. 274
Family Health Insurance…………………………………………….. 274
Role of Deductibles……………………………………………………. 277
Businesses Avoiding Health Insurance Cost………………….. 279
Myths About Emergency Care…………………………………….. 280
Equity in Healthcare…………………………………………………… 282
Summary………………………………………………………………….. 283
Chapter 15 Healthcare – A Right or A Privilege?………………. 284
Rights of Americans…………………………………………………… 286
Presidential Points of View…………………………………………. 287
Key Questions About Healthcare Policy……………………….. 289
Medicare and Medicaid………………………………………………. 292
Managing Government Healthcare Plans………………………. 294
Size of a Health Insurance System……………………………….. 297
Role of the Federal Government………………………………….. 297
Patient Protection and Affordable Care Act…………………… 298
Summary………………………………………………………………….. 301
Chapter 16 Health Attitude and Net Attitude…………………….. 302
Think Big, Act Bold, Start Simple, Iterate Fast……………… 303
Skunk Works…………………………………………………………….. 305
Small Independent Teams…………………………………………… 306
Principles of Net Attitude……………………………………………. 308
Planning and Over Planning………………………………………… 310
Expectations……………………………………………………………… 311
Attitude and Culture…………………………………………………… 312
Path to Adopting a Health Attitude………………………………. 312
Summary………………………………………………………………….. 316
Acknowledgements……………………………………………………….. 317
List of Abbreviations……………………………………………………… 318
Index……………………………………………………………………………. 320
About the Author…………………………………………………………… 321
Notes……………………………………………………………………………. 322
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