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          University Research       Mad as Hell Doctors
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            Illahee Lecture:
            Wendell Potter
45,000 Americans
                   die every year from
                    lack of health care
                          access.
                                          What can we do
                                           about this?

That’s Terrible!




 Macro-Inquiry
PSU


                            OHSU
                OSU




Micro-Inquiry
Human
                                                   Rights
Ri




                                               h
                                          Healt
  gh




                                          Care
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   ra
     in
         In
         itia
             tiv
              e




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                                                                    ell
                                                                          Do
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                                   Ca
                              om
                         Zo
          Micro-Action
Inquiry                   Action
Micro-
         Writing/Media          Initiatives/Orgs
          University Research       Mad as Hell Doctors
Macro-




         Lectures/Forums
            Illahee Lecture:
            Wendell Potter
Inquiry                   Action
Micro-
         Writing/Media          Initiatives/Orgs
          University Research       Mad as Hell Doctors
Macro-




         Lectures/Forums
            Illahee Lecture:     Illahee Institute
            Wendell Potter
Inquiry                   Action
Micro-
         Writing/Media          Initiatives/Orgs
          University Research       Mad as Hell Doctors




                                                            Who makes the
                                                             connections?
Macro-




                                                          MFA Collaborative Design!
         Lectures/Forums
            Illahee Lecture:     Illahee Institute
            Wendell Potter
Illahee Board       Illahee       Illahee President




                           I L L A H E E
Advisory Board                 Institute           Director
                                                   Co-appointed by
-Illahee board (3)
-PNCA board (2)                                    Illahee and PNCA
-Post-graduate student
-Graduate student
-Director          Staff                     Illahee Institute
                   -Post-graduate student    Design Lab
                   -Interns                  Graduate students from
                                             PNCA, PSU, Lewis & Clark
                                             and U of Portland may apply




Macro-Action
nity
                             dCommu
                          ire
Partn                   sp                              rch
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                   In
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                                Stakehold          er In t e
                     D es
                         ign Charrettes

                         System Mappin g                                    Transition Design
                                  I t e r a ti o
                                                   ns                             Campaigns
                                G a m es                                             Products
                                                          .......                      Policy
                                                                  ..... . .     Organization
                                                                                      ????????
The influence that X has on Y           INFORMATION           REGULATION           HEALTHCARE              FUNDING
                                               Medicare, etc                                                                                                                                                                        Doctors / Nurses                                            Alternative
                       Government            (gov’t programs)                  Insurance             Pharmaceutical                Lobbyists              Interest Groups             Employers                Hospitals             (primary care)                 Pharmacies                   Medicine
                                                                                                                              Provides funding source
                                                                                                                                                                                Pay taxes to gov’t to
                                                                         Lobbies for gov’t poli-                              for politicians; cam-                                                      Receive payment; com-      Sometimes employed by                          Exists and is regulated
    Government                               Programs of government
                                                                         cies to act in their favor
                                                                                                    Lobbies for regulation
                                                                                                                              paign contributions in
                                                                                                                                                      Tries to influence policy fund healthcare pro-
                                                                                                                                                                                                         ply with regulation        gov’t.
                                                                                                                                                                                                                                                          Complies with regulation
                                                                                                                                                                                                                                                                                   by
                                                                                                                                                                                grams
                                                                                                                              exchange for policy
                                                                         Insurance creates
                   Programs of the gov’t.                                supplemental policies                                                          AARP, wants to chance,                                                                                  Provides drugs to pa-
   Medicare, etc   Set policies, determine                               for gaps in medicare; in- Sets prices to sell drugs
                                                                                                                             Shaping public opinion
                                                                                                                                                        pressure, ensure health- Pay taxes
                                                                                                                                                                                                         Health care providers;     Health care providers;
                                                                                                                                                                                                                                                                tients; checks for drug
                                                                                                                                                                                                                                                                                           Experimental or not
(gov’t programs)                                                                                                             of health programs                                                          works for programs         works for programs                                     covered
                   funding                                               surance forces sick poor                                                       care                                                                                                    interactions
                                                                         people off policies

                                                                                                   Determines what pricing                             Shapes public opinion of Purchase insurance for   Provides health services Billing department ex-
                   Regulates coverage and                                                                                     Work on behalf of insur-                                                                                                     Sets pricing for indi-
      Insurance    who should be covered.
                                          Type of insurance                                        is set for different poli-
                                                                                                                              ance companies           insurance                their employees; make    to insured; negotiate    ists to get payment from
                                                                                                                                                                                                                                                           vidual policies / groups
                                                                                                   cies/ companies                                                              choice                   network                  insurance companies


                                                                  Sets pricing of drugs;                                                                Provides standard for
                   Provides grants for    Medicare benefits nego-                                                                                                                                        Negotiate pricing for                                  Orders drugs, retailer of Develops treatments that
 Pharmaceutical    R&D, regulates via FDA tiated
                                                                  purchasing power                                            Case-by-case              groups to organize to    Through insurance
                                                                                                                                                                                                         drugs                                                  supplies                  could be patentable
                                                                  through bulk                                                                          influence


                                             Provides standard for       Provides standard for     Provides standard for                                                                                 Provides standard for      Provides standard for
                   Regulates restrictions                                                                                                               David to Goliath; oppos- Pro-industry against                                                                                      Maybe influence? not as
       Lobbyists   on lobbying
                                             lobbyists to attempt to     lobbyists to attempt to   lobbyists to attempt to
                                                                                                                                                        ing forces               insurance mandate
                                                                                                                                                                                                         lobbyists to attempt to    lobbyists to attempt to
                                                                                                                                                                                                                                                                                           prominent?
                                             influence                   influence                 influence                                                                                             influence                  influence


                   Makes policies; de-                                   Provides standard for     Provides standard for                                                                                 Provides standard for      Belong to interest
                                             Creates groups to help                                                                                                                                                                                                                        Creates groups to help
 Interest Groups   mocracy invites public
                                             shape public opinion
                                                                         groups to organize to     groups to organize to      Negotiate, case-by-case                            Through insurance       groups to organize to      groups to persuade
                                                                                                                                                                                                                                                                                           shape public opinion
                   opinion                                               influence                 influence                                                                                             influence                  policies




     Consumers     Set tax requirements                                                                                                                                                                                             Provide health care         Provides retail of drugs   Treatment



                                                                                                                                                                                                                                    Provides healthcare to
                                                                                                                                                                                                                                                                Through insurance, if
                   Regulates how much        Funded by employer          Insurance companies                                                                                                                                        their employees; spe-
      Employers    coverage provided         payroll tax                 employ lots of people
                                                                                                   Through insurance          Case-by-case              Through insurance                                Interact through insured
                                                                                                                                                                                                                                    cific clinics in network,
                                                                                                                                                                                                                                                                have prescription drug     Through insurance
                                                                                                                                                                                                                                                                plan
                                                                                                                                                                                                                                    etc


                   Regulates licensing,                                  Pay for services, ap-                                                                                                                                      Relationships to send
                                                                                                                              Work on behalf to shape                                                                                                                                      Some “alt treatments”
       Hospitals   HIPPA, payment via        Pays for treatments         prove procedure /         Sells drugs to hospitals
                                                                                                                              regulation
                                                                                                                                                      Push agenda                Through insurance                                  patients here for more      Located within hospitals
                                                                                                                                                                                                                                                                                           provided, i.e. doulas
                   medicaid, etc.                                        determines network                                                                                                                                         specialized treatment


                   Licensing of profes-                                  Pays for primary care;                                                                                                                                                                 Pharmacist checks for
Doctors / Nurses   sionals; regulation of
                                             Limits number of pa-
                                                                         sets regulation of how
                                                                                                   Provides “perks” to get    Case-by-case; ex: AMA: Shapes public opinion of
                                                                                                                                                                              Through insurance          Employ caregivers                                      complications / interac-
                                                                                                                                                                                                                                                                                         Practicing; case-by-
  (primary care)                             tients able to be treated                             their drugs prescribed     against single payer   insurance                                                                                                                           case
                   policies                                              much is covered                                                                                                                                                                        tion of drugs


                   Regulates via FDA &
                                                                                                                                                                                                         Prescribes drugs to be     Prescribes drugs to be
     Pharmacies    DEA; required to keep     Pays for drugs              Pays for some drugs       Sets prices to sell drugs Case-by-case                                        Through insurance
                                                                                                                                                                                                         filled by pharmacies       filled by pharmacies
                                                                                                                                                                                                                                                                                           Fulfils treatments
                   records



                   Provides grants to fund                                                         Influences cirriculum,                                                                                Residencies, attached to Venue for clinical rota-                                 Teaching / integrated
Medical Schools    education
                                             Exposed to in clinicals
                                                                                                   sponsors research
                                                                                                                                                        Student chapters
                                                                                                                                                                                                         med schools              tions
                                                                                                                                                                                                                                                                Pharmacy school
                                                                                                                                                                                                                                                                                           research



                   Regulation & licensing;                          Determines what prac-
     Alternative   decides what insurance
                                           Limits coverage / treat-
                                                                    tices would be covered
                                                                                                   Interest in what works     Maybe influence? not as Some advocating for        Through insurance,      Could be practicing alt.   Could be practicing alt.    Recommends treatments
       Medicine                            ment                                                    & is patenable             prominent?              increased alternatives     maybe                   medicine                   medicine                    available (?)
                   has to cover                                     under policies
The influence that X has on Y           INFORMATION           REGULATION           HEALTHCARE             FUNDING
                                               Medicare, etc                                                                                                                                                                        Doctors / Nurses                                           Alternative
                       Government            (gov’t programs)                  Insurance             Pharmaceutical                Lobbyists              Interest Groups             Employers                Hospitals             (primary care)                Pharmacies                   Medicine
                                                                                                                              Provides funding source
                                                                                                                                                                                Pay taxes to gov’t to
                                                                    Lobbies for gov’t poli-                                   for politicians; cam-                                                      Receive payment; com-      Sometimes employed by                          Exists and is regulated
    Government                               Programs of government
                                                                    cies to act in their favor
                                                                                               Lobbies for regulation
                                                                                                                              paign contributions in
                                                                                                                                                      Tries to influence policy fund healthcare pro-
                                                                                                                                                                                                         ply with regulation        gov’t.
                                                                                                                                                                                                                                                          Complies with regulation
                                                                                                                                                                                                                                                                                   by
                                                                                                                                                                                grams
                                                                                                                              exchange for policy
                                                                         Insurance creates
                   Programs of the gov’t.                                supplemental policies                                                          AARP, wants to chance,                                                                                 Provides drugs to pa-
   Medicare, etc   Set policies, determine                               for gaps in medicare; in- Sets prices to sell drugs
                                                                                                                             Shaping public opinion
                                                                                                                                                        pressure, ensure health- Pay taxes
                                                                                                                                                                                                         Health care providers;     Health care providers;
                                                                                                                                                                                                                                                               tients; checks for drug
                                                                                                                                                                                                                                                                                          Experimental or not
(gov’t programs)                                                                                                             of health programs                                                          works for programs         works for programs                                    covered
                   funding                                               surance forces sick poor                                                       care                                                                                                   interactions
                                                                         people off policies

                                                                                                   Determines what pricing                                                      Purchase insurance for   Provides health services Billing department ex-
                   Regulates coverage and                                                                                     Work on behalf of insur- Shapes public opinion of                                                                            Sets pricing for indi-
      Insurance    who should be covered.
                                          Type of insurance                                        is set for different poli-
                                                                                                                              ance companies           insurance                their employees; make    to insured; negotiate    ists to get payment from
                                                                                                                                                                                                                                                           vidual policies / groups
                                                                                                   cies/ companies                                                              choice                   network                  insurance companies


                                                                  Sets pricing of drugs;                                                                Provides standard for
                   Provides grants for    Medicare benefits nego-                                                                                                                                        Negotiate pricing for                                 Orders drugs, retailer of Develops treatments that
 Pharmaceutical    R&D, regulates via FDA tiated
                                                                  purchasing power                                            Case-by-case              groups to organize to    Through insurance
                                                                                                                                                                                                         drugs                                                 supplies                  could be patentable
                                                                  through bulk                                                                          influence


                                             Provides standard for       Provides standard for     Provides standard for                                                                                 Provides standard for      Provides standard for
                   Regulates restrictions                                                                                                               David to Goliath; oppos- Pro-industry against                                                                                     Maybe influence? not as
       Lobbyists   on lobbying
                                             lobbyists to attempt to     lobbyists to attempt to   lobbyists to attempt to
                                                                                                                                                        ing forces               insurance mandate
                                                                                                                                                                                                         lobbyists to attempt to    lobbyists to attempt to
                                                                                                                                                                                                                                                                                          prominent?
                                             influence                   influence                 influence                                                                                             influence                  influence


                   Makes policies; de-                                   Provides standard for     Provides standard for                                                                                 Provides standard for      Belong to interest
                                             Creates groups to help                                                                                                                                                                                                                       Creates groups to help
 Interest Groups   mocracy invites public
                                             shape public opinion
                                                                         groups to organize to     groups to organize to      Negotiate, case-by-case                            Through insurance       groups to organize to      groups to persuade
                                                                                                                                                                                                                                                                                          shape public opinion
                   opinion                                               influence                 influence                                                                                             influence                  policies




     Consumers     Set tax requirements                                                                                                                                                                                             Provide health care        Provides retail of drugs   Treatment



                                                                                                                                                                                                                                  Provides healthcare to
                                                                                                                                                                                                                                                               Through insurance, if
                   Regulates how much        Funded by employer          Insurance companies                                                                                                                                      their employees; spe-
      Employers    coverage provided         payroll tax                 employ lots of people
                                                                                                   Through insurance          Case-by-case              Through insurance                                Interact through insured
                                                                                                                                                                                                                                  cific clinics in network,
                                                                                                                                                                                                                                                               have prescription drug     Through insurance
                                                                                                                                                                                                                                                               plan
                                                                                                                                                                                                                                  etc


                   Regulates licensing,                                  Pay for services, ap-                                                                                                                                      Relationships to send
                                                                                                                              Work on behalf to shape                                                                                                                                     Some “alt treatments”
       Hospitals   HIPPA, payment via        Pays for treatments         prove procedure /         Sells drugs to hospitals
                                                                                                                              regulation
                                                                                                                                                      Push agenda                Through insurance                                  patients here for more     Located within hospitals
                                                                                                                                                                                                                                                                                          provided, i.e. doulas
                   medicaid, etc.                                        determines network                                                                                                                                         specialized treatment


                   Licensing of profes-                                  Pays for primary care;                                                                                                                                                                Pharmacist checks for
Doctors / Nurses   sionals; regulation of
                                             Limits number of pa-
                                                                         sets regulation of how
                                                                                                   Provides “perks” to get    Case-by-case; ex: AMA: Shapes public opinion of
                                                                                                                                                                              Through insurance          Employ caregivers                                     complications / interac-
                                                                                                                                                                                                                                                                                        Practicing; case-by-
  (primary care)                             tients able to be treated                             their drugs prescribed     against single payer   insurance                                                                                                                          case
                   policies                                              much is covered                                                                                                                                                                       tion of drugs


                   Regulates via FDA &
                                                                                                                                                                                                         Prescribes drugs to be     Prescribes drugs to be
     Pharmacies    DEA; required to keep     Pays for drugs              Pays for some drugs       Sets prices to sell drugs Case-by-case                                        Through insurance
                                                                                                                                                                                                         filled by pharmacies       filled by pharmacies
                                                                                                                                                                                                                                                                                          Fulfils treatments
                   records



                   Provides grants to fund                                                         Influences cirriculum,                                                                                Residencies, attached to Venue for clinical rota-                                Teaching / integrated
Medical Schools    education
                                             Exposed to in clinicals
                                                                                                   sponsors research
                                                                                                                                                        Student chapters
                                                                                                                                                                                                         med schools              tions
                                                                                                                                                                                                                                                               Pharmacy school
                                                                                                                                                                                                                                                                                          research



                   Regulation & licensing;                          Determines what prac-
     Alternative   decides what insurance
                                           Limits coverage / treat-
                                                                    tices would be covered
                                                                                                   Interest in what works     Maybe influence? not as Some advocating for        Through insurance,      Could be practicing alt.   Could be practicing alt.   Recommends treatments
       Medicine                            ment                                                    & is patenable             prominent?              increased alternatives     maybe                   medicine                   medicine                   available (?)
                   has to cover                                     under policies
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Illahee Institute presentation

  • 1. I L L A H E E Institute
  • 2. Inquiry Action Micro- Writing/Media Initiatives/Orgs Macro- Lectures/Forums
  • 3. Inquiry Action Micro- Writing/Media Initiatives/Orgs University Research Mad as Hell Doctors Macro- Lectures/Forums Illahee Lecture: Wendell Potter
  • 4. 45,000 Americans die every year from lack of health care access. What can we do about this? That’s Terrible! Macro-Inquiry
  • 5. PSU OHSU OSU Micro-Inquiry
  • 6. Human Rights Ri h Healt gh Care tB ra in In itia tiv e M ad asH ell Do cto rs re Ca om Zo Micro-Action
  • 7. Inquiry Action Micro- Writing/Media Initiatives/Orgs University Research Mad as Hell Doctors Macro- Lectures/Forums Illahee Lecture: Wendell Potter
  • 8. Inquiry Action Micro- Writing/Media Initiatives/Orgs University Research Mad as Hell Doctors Macro- Lectures/Forums Illahee Lecture: Illahee Institute Wendell Potter
  • 9. Inquiry Action Micro- Writing/Media Initiatives/Orgs University Research Mad as Hell Doctors Who makes the connections? Macro- MFA Collaborative Design! Lectures/Forums Illahee Lecture: Illahee Institute Wendell Potter
  • 10. Illahee Board Illahee Illahee President I L L A H E E Advisory Board Institute Director Co-appointed by -Illahee board (3) -PNCA board (2) Illahee and PNCA -Post-graduate student -Graduate student -Director Staff Illahee Institute -Post-graduate student Design Lab -Interns Graduate students from PNCA, PSU, Lewis & Clark and U of Portland may apply Macro-Action
  • 11. nity dCommu ire Partn sp rch ers esea In R Il l ahee Instit u t e Im p rov b w s ased facilitation rv i e Stakehold er In t e D es ign Charrettes System Mappin g Transition Design I t e r a ti o ns Campaigns G a m es Products ....... Policy ..... . . Organization ????????
  • 12.
  • 13. The influence that X has on Y INFORMATION REGULATION HEALTHCARE FUNDING Medicare, etc Doctors / Nurses Alternative Government (gov’t programs) Insurance Pharmaceutical Lobbyists Interest Groups Employers Hospitals (primary care) Pharmacies Medicine Provides funding source Pay taxes to gov’t to Lobbies for gov’t poli- for politicians; cam- Receive payment; com- Sometimes employed by Exists and is regulated Government Programs of government cies to act in their favor Lobbies for regulation paign contributions in Tries to influence policy fund healthcare pro- ply with regulation gov’t. Complies with regulation by grams exchange for policy Insurance creates Programs of the gov’t. supplemental policies AARP, wants to chance, Provides drugs to pa- Medicare, etc Set policies, determine for gaps in medicare; in- Sets prices to sell drugs Shaping public opinion pressure, ensure health- Pay taxes Health care providers; Health care providers; tients; checks for drug Experimental or not (gov’t programs) of health programs works for programs works for programs covered funding surance forces sick poor care interactions people off policies Determines what pricing Shapes public opinion of Purchase insurance for Provides health services Billing department ex- Regulates coverage and Work on behalf of insur- Sets pricing for indi- Insurance who should be covered. Type of insurance is set for different poli- ance companies insurance their employees; make to insured; negotiate ists to get payment from vidual policies / groups cies/ companies choice network insurance companies Sets pricing of drugs; Provides standard for Provides grants for Medicare benefits nego- Negotiate pricing for Orders drugs, retailer of Develops treatments that Pharmaceutical R&D, regulates via FDA tiated purchasing power Case-by-case groups to organize to Through insurance drugs supplies could be patentable through bulk influence Provides standard for Provides standard for Provides standard for Provides standard for Provides standard for Regulates restrictions David to Goliath; oppos- Pro-industry against Maybe influence? not as Lobbyists on lobbying lobbyists to attempt to lobbyists to attempt to lobbyists to attempt to ing forces insurance mandate lobbyists to attempt to lobbyists to attempt to prominent? influence influence influence influence influence Makes policies; de- Provides standard for Provides standard for Provides standard for Belong to interest Creates groups to help Creates groups to help Interest Groups mocracy invites public shape public opinion groups to organize to groups to organize to Negotiate, case-by-case Through insurance groups to organize to groups to persuade shape public opinion opinion influence influence influence policies Consumers Set tax requirements Provide health care Provides retail of drugs Treatment Provides healthcare to Through insurance, if Regulates how much Funded by employer Insurance companies their employees; spe- Employers coverage provided payroll tax employ lots of people Through insurance Case-by-case Through insurance Interact through insured cific clinics in network, have prescription drug Through insurance plan etc Regulates licensing, Pay for services, ap- Relationships to send Work on behalf to shape Some “alt treatments” Hospitals HIPPA, payment via Pays for treatments prove procedure / Sells drugs to hospitals regulation Push agenda Through insurance patients here for more Located within hospitals provided, i.e. doulas medicaid, etc. determines network specialized treatment Licensing of profes- Pays for primary care; Pharmacist checks for Doctors / Nurses sionals; regulation of Limits number of pa- sets regulation of how Provides “perks” to get Case-by-case; ex: AMA: Shapes public opinion of Through insurance Employ caregivers complications / interac- Practicing; case-by- (primary care) tients able to be treated their drugs prescribed against single payer insurance case policies much is covered tion of drugs Regulates via FDA & Prescribes drugs to be Prescribes drugs to be Pharmacies DEA; required to keep Pays for drugs Pays for some drugs Sets prices to sell drugs Case-by-case Through insurance filled by pharmacies filled by pharmacies Fulfils treatments records Provides grants to fund Influences cirriculum, Residencies, attached to Venue for clinical rota- Teaching / integrated Medical Schools education Exposed to in clinicals sponsors research Student chapters med schools tions Pharmacy school research Regulation & licensing; Determines what prac- Alternative decides what insurance Limits coverage / treat- tices would be covered Interest in what works Maybe influence? not as Some advocating for Through insurance, Could be practicing alt. Could be practicing alt. Recommends treatments Medicine ment & is patenable prominent? increased alternatives maybe medicine medicine available (?) has to cover under policies
  • 14. The influence that X has on Y INFORMATION REGULATION HEALTHCARE FUNDING Medicare, etc Doctors / Nurses Alternative Government (gov’t programs) Insurance Pharmaceutical Lobbyists Interest Groups Employers Hospitals (primary care) Pharmacies Medicine Provides funding source Pay taxes to gov’t to Lobbies for gov’t poli- for politicians; cam- Receive payment; com- Sometimes employed by Exists and is regulated Government Programs of government cies to act in their favor Lobbies for regulation paign contributions in Tries to influence policy fund healthcare pro- ply with regulation gov’t. Complies with regulation by grams exchange for policy Insurance creates Programs of the gov’t. supplemental policies AARP, wants to chance, Provides drugs to pa- Medicare, etc Set policies, determine for gaps in medicare; in- Sets prices to sell drugs Shaping public opinion pressure, ensure health- Pay taxes Health care providers; Health care providers; tients; checks for drug Experimental or not (gov’t programs) of health programs works for programs works for programs covered funding surance forces sick poor care interactions people off policies Determines what pricing Purchase insurance for Provides health services Billing department ex- Regulates coverage and Work on behalf of insur- Shapes public opinion of Sets pricing for indi- Insurance who should be covered. Type of insurance is set for different poli- ance companies insurance their employees; make to insured; negotiate ists to get payment from vidual policies / groups cies/ companies choice network insurance companies Sets pricing of drugs; Provides standard for Provides grants for Medicare benefits nego- Negotiate pricing for Orders drugs, retailer of Develops treatments that Pharmaceutical R&D, regulates via FDA tiated purchasing power Case-by-case groups to organize to Through insurance drugs supplies could be patentable through bulk influence Provides standard for Provides standard for Provides standard for Provides standard for Provides standard for Regulates restrictions David to Goliath; oppos- Pro-industry against Maybe influence? not as Lobbyists on lobbying lobbyists to attempt to lobbyists to attempt to lobbyists to attempt to ing forces insurance mandate lobbyists to attempt to lobbyists to attempt to prominent? influence influence influence influence influence Makes policies; de- Provides standard for Provides standard for Provides standard for Belong to interest Creates groups to help Creates groups to help Interest Groups mocracy invites public shape public opinion groups to organize to groups to organize to Negotiate, case-by-case Through insurance groups to organize to groups to persuade shape public opinion opinion influence influence influence policies Consumers Set tax requirements Provide health care Provides retail of drugs Treatment Provides healthcare to Through insurance, if Regulates how much Funded by employer Insurance companies their employees; spe- Employers coverage provided payroll tax employ lots of people Through insurance Case-by-case Through insurance Interact through insured cific clinics in network, have prescription drug Through insurance plan etc Regulates licensing, Pay for services, ap- Relationships to send Work on behalf to shape Some “alt treatments” Hospitals HIPPA, payment via Pays for treatments prove procedure / Sells drugs to hospitals regulation Push agenda Through insurance patients here for more Located within hospitals provided, i.e. doulas medicaid, etc. determines network specialized treatment Licensing of profes- Pays for primary care; Pharmacist checks for Doctors / Nurses sionals; regulation of Limits number of pa- sets regulation of how Provides “perks” to get Case-by-case; ex: AMA: Shapes public opinion of Through insurance Employ caregivers complications / interac- Practicing; case-by- (primary care) tients able to be treated their drugs prescribed against single payer insurance case policies much is covered tion of drugs Regulates via FDA & Prescribes drugs to be Prescribes drugs to be Pharmacies DEA; required to keep Pays for drugs Pays for some drugs Sets prices to sell drugs Case-by-case Through insurance filled by pharmacies filled by pharmacies Fulfils treatments records Provides grants to fund Influences cirriculum, Residencies, attached to Venue for clinical rota- Teaching / integrated Medical Schools education Exposed to in clinicals sponsors research Student chapters med schools tions Pharmacy school research Regulation & licensing; Determines what prac- Alternative decides what insurance Limits coverage / treat- tices would be covered Interest in what works Maybe influence? not as Some advocating for Through insurance, Could be practicing alt. Could be practicing alt. Recommends treatments Medicine ment & is patenable prominent? increased alternatives maybe medicine medicine available (?) has to cover under policies
  • 15. I L L A H E E Institute