10 times more economic healthcare

to whom extremely affordable healthcare concerns

please come or send someone to june 29 http://yunusforum.net/ so that we can spend at least half an hour trying to discuss connecting interests between healthcare worldwide and yunus

a web for exploring what $2 annual healtcare insurance can offer

I hope what follows below is of some interest - naturally any idiocies are mine, and any good ideas come from bangladesh. 25 years ago my father and I wrote a book that forecast that depending how we networked we could develop 10 times more economical health, banking, energy, media etc - its my suggestion that while most of the NW -and anywhere connected with wall street mbas has gone off path - bangladesh is the centre of gravity for all collaboration in all these 10 times more productive and more useful economies; so I fervently wish someone from your circle could experience this on june 29 http://yunusforum.net/

Imagine 10 times more economic healthcare –what economic advantages directly and indirectly will compound around a country that designs that most transparently

Some prep- think of a healthcare system that was brilliantly daring at origin but soon started degrading as tensely productive networks systems are bound to do unless evaluated by compound future measures not those that focus just on last quarter’s monetary extraction of hundreds of different administrative boxed in unit. For example at origin the Bitish national health service was quite an exciting social business but it soon got measured by government bureaucrats instead of entrepreneurs representing people’s lifelong health

Bangladesh is today better positioned than ever Britain was to design an integrated heath system that sustains-

Historical reasoning

Instead of governments, the country’s most sustainable health solutions have been masterminded by alumni of 2 of the world's greatest collaboration entrepreneurs who returned to Bangladesh to sustain their country in the midst of rubble- they are like eg Japan’s Akio Morita except the passion they have designed into service organizations is not about electronic gadgets but how to open source replicate life-critical and life-enhancing knowledge

In their first decade their first healthcare successes were

Village nursing networks supporting their discovery or oral rehydration – a method that saved up to 20% of infants lives – key learning embed the nurse in the village- don’t make infant healthcare a big city profession whose members will either not want to visit the village or demand higher fees for doing so (brain drain!)
Carrots- yes carrots because most village children were night blind due to vitamin deficiency. This interest 30 years later became the stimulus for the greatest leadership strategy ever developed whose story is know to the our 1000 bookreader club as future capitalism
The most supbprime mortgages (700,000 no defaults) you have ever seen – basically a hut with a monsoon-proof roof, a pit latrine toilet, and the settlement passing to the woman and children of the house
Income generation for the poor which is very good for a poor family’s health
A cooperative membership program in which 16 elected future foci for innovation were clarified – 9 of which were health infrastructure connected.

Knowledge sharing between centres of 60 illiterate women organized across about 300000 hubs around the nation -which is approximately the 18 million female microentrpreneurs now connected by micriocredit in bangladesh (enough of this population have now seen their children grow up and as many as 30,000 of these children -70% girls- get university scholarships with medicine a favourite study)

During the second decade a health insurance plan was piloted for $2 per year per 6 member family – what is covered is diagnosis by doctors of what’s wrong; the patient still has to pay for most of the suggested solutions though with direction to where the best buy is –link. The pilot currently operates 48 locations ; the insurance is sold by local microcredit bank in that region. Each location is led by a licensed physician and a couple of paramedics-typically they serve 50000 people within a 4 mile radius . This health program is designed to encourage positive health seeking practices by all who are communally involved. It is our wish to continuously improve the model’s sustainability and replicability so that it can be shared through Bangladesh and other countries

Towards the end of their second decade, they seized the opportunity to end digital divides with mobile phones- now for the first time life-critical know-how and questions could be exchanged across the 300000 hubs. 14 years on Banglasdesh is second only to india in designing mobile partnerships ofb extremely innovative sorts http://bankabillion.org/

At the same time they started the best ever use of worldwide networking and real meetings aligned around heroic millennium goals- explicitly this microsummiting was convened round 10 times more economic banking but below I refer to some of the micro health conferencing is now in its 7^th year of worldwide open sourcing

India’s 10 times lower cost cataract operations curing unnecessary blindness have been proven to be replicable in Bangladesh; also just proven this year is 80 times cheaper drinking water than has ever been offered safely by a business before

Here are extracts of the plan that Bangladesh is looking at now that it feels it is time to put together an integrated national health service while its 2 world class entrepreneurs remain at the top of their game as well as better connected with humanity’s sustainability alumni and youth networks than any 2 single people you will be able to identify

Please note that all of the above are my translations of cases I have read (I am sure that you can help correct some nuances; equally I expect you to joyfully evaluate that they are correct at a common sense level), you can edit or question them- show me where you have better info than I have – I am here to learn

The extracts that follow are part of last weeks briefing shared at the annual get-together of 2000 experts in health at the world congress in DC http://www.worldcongress.com/ as well as Hilary Clinton

Extending successful principles of microcredit to designing an national health system serving the poorest villagers first

\“The aim is to extend the success of microcredit to healthcare –to establish sustainable best practices for a broad range of health care services for a broad market but one in which the poorest are integrally included. By this we mean enabling the poor to be self-sufficient in addressing their health care needs so that they can accept but not require outside assistance.

This intent will be developed in overlapping complimentary ways:

we will design and develop a bottom up healthcare infrastructure that takes lessons from successful efforts around the world and improve upon them to deliver the highest quality healthcare in an efficient and sustainable manner, primarily to the poorest of the poor, but also to the non-poor who may pay a little more than the target population

we will collaboratively support a global effort to R&D new and existing delivery models and best practice on an ongoing basis creating a conduit of critical information and insight for those working to achieve the goals of sustainable high quality healthcare for all

simply put we are dedicated to ensuring that nobody is excluded from quality and sustainable healthcare services; we collaboratively want to create a new standard of quality, sustainability and affordability; everyone involved in this will see it as both the greatest challenge and opportunity of our lifetime

Dr Yunus continues

\What will be the organizational and financial structure of this project? While open to alternatives, my suggestion is to create 2 organizations – one in N.America or Europe, and the other in Bangladesh- this can become a partnership of those with the most resources and those serving the most life critical needs through grassroots networking. The American or European foundation will also raise grants, facilitate loan negotiations, find equity capital and endowment funds, for R&D including new technology’s reach to previously unreachable people, to fund special chairs, host national and international conferences, provide scholarships to students.

The university or company in bangladesh will be governed around social business constitution. At least 60% of the whole will be owned as a social business, leaving 40 per cent to organizations who may choose other equity forms of governance.

The best and most motivated students will be attracted from all over the world. Commitment to the vision will be a key consideration for selection such students – as it is in a parallel youth ambassador network of 5000 future capitalism qualified network generation peers.

There will be a positive bias towards students who are girls and who come form poor families. Initially much of the university staff in Bangladesh may come form the international partner but this number will be reduced without harming quality of education.

I look forward to face to face meetings with people seriously wishing to support this project. Dr M Yunus

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chris macrae usa 301 881 1655

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inquiries chris macrae info @worldcitizen.tv us tel 301 881 1655 ; us office 5801 nicholson lane suite 404, North Bethesda, MD 20852 USA - uk 80 queens road, suite 30, wimbledon, london sw19 8lb

Mapping is a process of discovery. It explores how to make the invisible principles and practices of real wealth creation visible, and therefore useable. Our planet needs case studies underline the search for new win-wins that build ‘system integrity’
Trust-flow is the unseen wealth to invest sustainability in. Tranpsaremtly mapped it develops a goodwill gravity tyhat invites with roleplayer in a community to multiply goodwill while sustaining their own cashflow.. Trust is not some vague, mushy, abstract warm-hearted sentiment. It is an economic powerhouse – probably just as economically and socially important as oil.
The point is, there are specific things you need to do to get trust flowing, just as there are specific things you need to do to get oil flowing. And like oil trust has a dark side. Right now, the world is awash with the carbon emissions which threaten the stability and sustainability of its ecosystems. Right now, the world is also awash with the ‘carbon emission’ of trust – mistrust. Indeed it may well be that our ability to tackle the one issue – the threat of environmental catastrophe – depends on our ability to tackle the other issue: how to generate, deepen, extend and sustain trust.>br>But what is the best way of doing this? One thing is for sure. You don’t build and sustain trust via some sentimental exercise of goodwill to all and sundry. There are three very simple principles at the heart of effective trust generation.
First, trust is generated via win-win relationships. It’s virtually impossible to generate or sustain trust without mutual benefit for those involved. But beneficial outcomes are not enough in themselves. For trust to be built and sustained, both sides need to signal a demonstrable commitment to finding win-win ways forward. Such a commitment may require real changes to what we say and do. Second, real ‘win-wins’ are hardly ever purely financial or material. You don’t build trust simply by walking away with more cash in your pocket. Trust works at all the dimensions and levels of human exchange. Yes, it’s about financial and material rewards. But it’s also about purpose (what people want to achieve). It’s about politics with a small ‘p’: the use and abuse of power, the crafting and application of rules of fair play. And it’s about emotions: the sometimes overwhelmingly strong emotions, both positive and negative, that are generated when people deal with other peopleWhat’s constitutes a ‘win’ – a sense of real improvement – is therefore highly specific. It depends absolutely on the details of who the parties are, what they are trying to achieve, in what context. Building trus, therefore involves discovering these specifics. Just as oil doesn’t flow out of the ground, get refined and pump its way into motor vehicles automatically and without effort, so identifying and doing what is necessary to get trust flowing requires dedicated, skilled effort. It requires a disciplined, structured process, not a vague sentiment.

3) Third, even if we do steps 1) and 2) there’s still a good chance it won’t succeed. Why? Because it ignores an invisible third factor. In the real world, purely two way bilateral relationships don’t exist. There is always a third party whose interests or outcomes are affected by what the other two parties do but who is not a party to the contract. The environment is a case in point. Producers and consumers may both benefit from buying and selling to each other – but what happens if, in doing so, they destroy the environment they both depend on?

This raises a hugely important question. When two parties pursue win-wins and build mutual trust, are they doing so in a way which creates a win and builds trust for the third party at the same time? Or are they simply pushing the problems – and the mistrust – further down the line on to this third party? Building vigorous, healthy networks of trust is a different kettle of fish to ‘you scratch my back and I’ll scratch yours’ win-win conspiracies. It requires a Map of all the key relationships plus careful consideration of knock-on consequences. It requires a different perspective.

These three simple, basic steps do not happen automatically. They need to be worked at. The territory needs to be deliberately Mapped and explored. What’s more, there are obstacles in our way – mental and practical obstacles that need to be cleared. Prevailing economic theories about ‘rational economic man’ for example, deny the need to commit to win-win outcomes. Instead, they promote supposedly ‘rational’ (i.e. narrowly selfish behaviours) which actively undermine trust The same theories insist that the only valid measure of human benefit is money, thereby excluding from consideration many of the biggest opportunities for improvement. Meanwhile many vested interests do not want to extend the circle of trust to third parties and complete networks because their positions of power depend on their ability to take advantage of the weaknesses of these third parties. That’s another job for Mapping: helping to identify and mount such obstacles.
The potential benefits of doing so are unthinkably huge. They start with a simple negative: the relief that comes from when you stop banging your head against a brick wall. Mistrust breeds wasteful, wealth destroying conflict that tends to feed on itself. Anger and hatred engender anger and hatred. Simply easing or stopping the terrible waste of mistrust would transform prospects for many millions of people. We desperately need to find ways of doing this. Then there are the positive benefits. Understanding the real nature of human wealth – all those dimensions of purpose, ‘politics’ and emotion as well as money and material comfort – means we can start being human again; human in the way we think, and act. What’s more, many of these intangible benefits won’t cost a penny. They’re there for the taking, if only we puts our minds to it.
But there’s more, because trust is also an economic superpower in its own right. In the pages that follow we will show conclusively that material and financial riches are also dependent on trust. In fact, we will argue the case for going one step further. We will say that material and financial riches are a by-product of trust: the visible fruits of invisible, intangible human exchange. Once you understand that sustainable cash flows are a by-product of sustainable trust flows, your understanding of what makes a successful business is transformed.
Separately, each of these three fruits – reducing the waste of conflict, unleashing the potential intrinsic benefits of human exchange, and energising the sustainable creation of material wealth – are massive in their own right. Put them together and they represent a vast new continent of opportunity.
As we said, this book is addressed to entrepreneurs and system innovation revolutionaries. Wherever you happen to be, whatever the change you want to make is, the principles explored in this book apply. The wish to change and the will to change are not the same as being able to change successfully. For that you need to understand your territory. You will need new Maps.