Developing and implementing real-world community solutions.
Over the past seven years, our team has worked to build a financially sustainable system that has proven to better meet the needs of the community. We did this by flipping the business model of public transit on its head.
Governor Leavitt continuously championed collaboration throughout his career, and he authored a book entitled “Finding Allies and Building Alliances.” In the book, he outlines the commonalities of successful alliances from analysis of hundreds of organizations and programs at both the state and federal levels, in government and private sectors, spanning large publicly traded industries and nonprofits. His analysis identified eight elements that are essential for success. Some of these elements are almost obvious, like committed leadership or a common pain point for involved parties, but one in particular is not only critical but is often the most difficult to secure: a “convener of stature.”
ACTiN is an Advanced Connected Transportation Network. It is one of several interconnected networks that allows a community to interact with every conceivable transportation asset – including new ones – all in one place. To do this, we use a specially designed smartphone app called MoveUP.
One of the most influential medical studies I read about was performed in the 1950s. The goal was to evaluate how we form and internally rationalize our belief systems.
Man is required to deal with a multitude of challenges to live a healthy and happy life. Some of these challenges are environmental, some are physical. Some result from other lifeforms or even quasi-living things taking advantage of preexisting human systems for their own benefit.
People are suffering and dying, but you can do something about it. These are not people in a distant land, and they don’t have a communicable disease, these are people all around you, of all walks of life, of all races, young and old.
My dad was pretty nerdy, so it’s not like I thought he was cool when I was growing up or wanted to be just like him. The fact is I would cringe when people said we looked alike or had exactly the same mannerisms.
The amount at stake with education cannot be overstated. This is our Normandy. To all of the teachers out there, this is a call to battle, to you and to our society as a whole.
My whole world now revolves around designing and implementing a therapy for poverty. How this relates to an app that facilitates transportation and deliveries is a bit much to get your head around, but the best part is that if it works, you won’t have to understand why.
If your knee-jerk reaction is, “make everyone wear masks,” then you are headed for disappointment, because what we are doing now is clearly not a solution. Think of the two biggest problems: continued isolation in nursing homes and total disruption of education. If masks are a solution, then why don’t we all put them on and just go back to regular life?
This is a call for Americans to demand revision of the current mandates from Center for Medicare and Medicaid Services (CMS) in regards to nursing homes.
For my non-medical readers, the placebo effect is the somewhat dismissive term given to effects from a therapy that cannot be attributed to the treatment itself, like what might happen if you were given a sugar pill instead of an antibiotic. It is actually a manifestation of the poorly understood mind-body connection that we all have but is frustratingly difficult for physicians to manage. In this case, the placebo effect would include changes in mindset and related behavioral adjustments that a person might adopt while wearing a mask or even while seeing someone else wearing a mask. Some of these are good (reminder to maintain safe social distances in public places; inability to put your finger in your nose). Some of these are bad (reduced ability to meaningfully connect with others; continuous reminder of potentially deadly risk).
This headline is just as criminal as yelling “Fire!” in a crowded movie theater.
The intent was to look at how the virus spreads. The methods are solid, and we would be unable to duplicate it in the US due to differences in personal freedoms.
If I see another headline talking about increasing COVID cases, I think I may lose what little is left of my sanity. Why do you even put that out there? That’s a rhetorical question. We all know why you do it: because it’s scary and gets people to click on your so-called news page, even though you are telling us nothing of value but are instead trying to stoke the smoldering remains of a fire almost put out by riots.
We have been fighting about politics and religion since the dawn of man, and we have managed to twine them together throughout. I have been arguing with the same friends over the same issues since college (I don’t think I really gave any of it much thought before then). This isn’t going to change, so stop trying to get it to change. No one is going to win – we aren’t going to fight the ideological differences out of our philosophical foes. Yet we continue swinging with this false pretense that we have two parties with two philosophies so if we argue about it all we will somehow meet in the middle.
Since the very first time I saw this story, this guy has been an inspiration to me.
My goals are different, and I want to face life on my own terms. I want to teach my kids by example, to encourage them to look where they want to go and reach for that goal with fierce tenacity. And that’s how I want them to remember me.
The name MoveUP doesn’t refer to moving people or even stuff, it refers to this idea that we might evolve as a s ociety by improving how we connect. We believe that intelligently designing and implementing a platform that allows us to live together cooperatively could facilitate reaching our maximum unified potential.
This is intending to explain the complexities of public health. The most important lesson: it’s complicated.
It's here. 4 years of planning, 2 years of software development, countless hours devoted to fixing a ubiquitous problem.
I am a doctor and I do not support the widespread use of cloth masks in public, and strongly oppose a government mandate to this effect. Many of you are already looking for the biggest thing you can pick up, so before the rocks and chairs are in the air, I will try to go through this logically.
Over the past few weeks, I have been interacting with as many business and people as I can. The goal is to choose a platform for electronic fund transfer, which is why we haven't embedded this function yet.
There are three main forces that shape our lives, that hold together the framework of our modern society, listed here in the order in which they were created: government, industry, and healthcare.
We are facing a crisis of a magnitude that few of us alive have ever seen. If we want to avert disaster and minimize the damage, we are going to have to do it ourselves.
It has become virtually impossible to even know who to listen to, as there are thousands of experts talking about everything from molecular biology to statistics to epidemiology and who is right?
In those bygone days, I was a force to be reckoned with, provided you were over the age of 40 and lived within the city limits of Lynchburg and preferred long-course to sprint triathlons. Ah, those were the days.
This is the supporting document to the grant application I have submitted to the Virginia Department of Rail and Public Transit in the hopes of implementing MoveUP as a digital backbone to a comprehensive, collaborative transportation system for smaller cities and rural communities.
As we get older, we are naturally drawn to the things that shaped us into who we are.
I bet you never thought small aftermarket auto parts companies could be critical to community health, but give me a bit to circle back around on this one.
A bit ago, I picked up a twenty one year old 355 F1 berlinetta, my third example of this model, making my car ownership look much like the marriage history of a corporate executive or pro team owner.
Man has always been at his best when he is goofing off. A friend snapped this picture of me coming back from the grocery store today.
This is a new threat in a smoldering battle that has been going on as long as I have been in practice. As the director of our lung cancer program, I am well past tired of seeing people die from a disease that largely wouldn't exist were it not for smoking.
Unified4Kids is a cooperative community support program for kids with cancer, and the best thing about it is how it is going to enable everyone to make a meaningful impact in what has to be the most unjust disease process in the known universe.
Confused? Me too. For sure, I didn't see this coming. I have had plenty of crazy ideas, chance interactions, and eerie coincidences, but who would have thought the missing element would be something so simple and yet so frustratingly complex as consent.
What do a cooperative transportation app, riding a bike, and mental health have to do with each other? Actually quite a lot.
Let me state a hard truth: if this is a far as you are going to read, you aren't going to get it. Which is really frustrating, if getting it turns out to be important.
It's time to look back at my goals for 2018, see how I did, and set a few for 2019.
A very important two day meeting just finished. I have been to a lot of meetings over the past three years, but this one is going to stand out for a long time. Five senior executives from a very big company -- a multi-billion dollar industry leader -- came to our city to begin the step-by-step process of assisting us in becoming the healthiest city in the world.
We are all responsible for each other. It doesn't matter whether you like it or not, it's the way it is. So we have to build systems that enable us to help each other out, that connect us, that make life easier.
Our culture has long been one based on competition, and that's a hard core value to shake. So every time I see evidence that someone else has beaten us to an idea or solution, I have to suppress the gut reaction that we are too late.
Everyone wants to be connected. Everyone needs connections. We can now provide safe, effective, connections without cost, and without strings attached.
Writing is a way to vent frustrations, but it is also a way to organize thoughts. Putting ideas together in a way that other people might read them and understand what you are on about is a critical part of the process, certainly for me.
What if you had an idea that might lead to world peace? How far would you go?
Below is the submission in its entirety. The wording is chosen to be as accommodating as possible: for example, don’t set things like dollar amounts for fees, or you have to go back and re-write the code to adjust for inflation or market changes.
I am pretty sure many legislators slept through these discussions when Uber became a problem they simply didn't understand.
This one is for my fellow healthcare providers, an attempt to explain my bizarre actions of late. Drilling down to the heart of it, I am very frustrated, a little scared, and cautiously optimistic.
Taxicabs operated within the city shall be of a closed or sedan type with at least four (4) doors and of not less than five (5) passenger capacity.
Below is a summary of the 3 main types of for-hire transport in Virginia.
Though the big V12 cars like the DB9 and Vanquish have been the flagships, the smaller and perfectly proportioned Vantage is arguably one of the best looking cars ever made.
My personal hero was Ferrari, with Lamborghini (specifically the Countach) a very close second. When I say that, I am referring to the cars, not the people. Honestly, as a teenager I knew little about Enzo Ferrari, or Ferruccio Lamborghini. Or racing or engineering for that matter.
I am not even going to dwell on the fact that we are all responsible for our neighbors who have genuine transportation issues – regardless of what those issues may be – so their needs are, in fact, our needs.
I have been an Audi fan for as long as I can remember.
When I took philosophy in college, I remember wondering what it was that these guys did all day.
Despite what you consistently hear, despite what you may even believe, America is without question the greatest country in the world.
Transportation is a problem. It’s also an example. It’s a problem for all of us. It’s an example of how problems today really are all of our responsibility.
Mark Zuckerberg is not to blame for social media, no matter what its long term effects or where in our society it all settles out.
Last night, the dog woke me up in the middle of the night barking like Cujo and it scared the crap out of me.
How do you define an heroic act? Does it require laying it all on the line at just the right moment, risking or even giving one’s life for another?
Income tax is actually regressive, because the system itself has far greater impact on those with lesser means than those with more. When everything you make goes to necessities of life, any reduction is tremendous.
Change is really hard, but I am getting better at it.
When I started, the goal was Atlanta. But it all led to Daytona.
This one is for my “liberal” friends. I put that word in quotes because I hate it. I hate it because it is inaccurate, and just the label itself serves to put us into different boxes.
Even with our tremendous new methods of connectivity, any search for the truth has to be undertaken with an open and properly shaken can of skepticism.
This is the two year mark, and I am back where it started: Mayo Clinic, Scottsdale Arizona. As before, I find myself surrounded by some of the most incredible people, each tremendously inspirational in their devotion to advancing our understanding and treatment of disease processes, and in particular, cancer.
Does believing my way is the right way mean all those who hold a different view are the enemy?
We need to stop fooling ourselves: fun is an important basic need. So in an attempt to apply this theory, I think I will keep a running blog on the 2018 racing season.
The first step to fixing a problem is recognizing you have a problem, and we have a big problem with dogma. Just like our resistance to change, acceptance and perpetuation of systems and ideology that have rested on outdated or even erroneous concepts makes forward progress all but impossible.
No matter what, not everyone will agree with the final pick. You would have people who, for a variety of reasons, thought one of the other guys was a better choice.
We have just crossed the one year mark since I snapped and decided to start down this bumpy road. I have listened, I have learned, I have screwed up, I have mode progress.
If you are an American, chances are you are overweight.
There are aspects of American society that we hold nearly sacred, and one is this idea that competition always yields a better product. In reality, it depends on the setting.
We had been driving down 95 with several hours still to go when dad heard something funny. None of us could hear it, but he was convinced it was a new little tick or knock. We pulled into a gas station and he popped the hood.
I keep going on about the government being a mess, that they have no solutions for us. If that seems a bit arrogant – I mean, how can I possibly understand all of the intricate complexities that these folks have to deal with?
Left of Center? Right of Center?
Left of Center? Right of Center?
Left of Center? Right of Center?
I keep going off that we have to stop lashing out at each other and find ways to get along. And right in the middle of our impending descent into a racist, totalitarian empire. How could I be so callous?
There are symbols and pictures and statues and songs and phrases that offend people. Get over it.
I was recently told – and I don’t disagree – that I have little experience swimming in the roiling sea of society’s issues. But here is an equally valid fact: all those super-smart visionaries that have been writing books for decades about how we should be, either individually or collectively?
Look around: beautiful hospitals advertise state of the art care; new outpatient offices and procedure centers streamline access and convenience; revolutionary medicines are advertised on TV; billboards lure the sick by digitally showing the current and short wait time at a nearby ER.
Allow me to try once again to explain what I mean when I say (1) the government can’t fix this, and (2) much of this is overblown crap designed to get you to think the other side is made up of horrible, horrible people. Like me.
We have come farther than we realize, and it’s causing us issues. Allowing ourselves to backslide should not be an option.
The pendulum swings back and forth, and at the peak of each swing something happens, people take credit for pluses, people point fingers for minuses, and yet we remain in the very same rut, just smashing back and forth on the rails like a bobsled with a team that spent a bit too much time entertaining the groupies.
Cancer generates a lot of fear. It is able to strike anyone, it is able to kill across all demographics.
In a clumsy attempt to make a point about our political process, I employed a typical media tactic in suggesting our city’s governing body had made a careless error.
Anyone that knows me at all knows that this is all new frontier for me.I was a science guy in college, and I specifically avoided taking classes with subjective grades. Like government. Especially government. Because even then, it seemed so illogical.
The silent majority needs to find its voice right now, because I don’t know how much more I can take hearing only the noise from the fringes.
Yes, the private insurance companies will go nuts, because it is definitely stacking the deck against them. But we have a serious crisis, and in a situation like this, we need to be extraordinarily aggressive.
Sometimes when you screw up, it's hard to know what to do to make things right. (I am well versed). The ultimate solution -- undoing what was done -- is generally not an option.
Here is another example of how much of what is batted about by government is just smoke and mirrors, primarily because reality is hard to sell.
I believe the recognition of this power is fundamental to Dr. Z's insistence that it not be used in a disingenuous way. In other words, don't bullshit someone and say you are going to realign their chakra with a Red-Bull and a jade egg.
I know in America we are bred to believe that competition is the ultimate method of bringing out the best, but think about what that means in healthcare: if one doctor or facility is the best, then everyone else is getting substandard care.
It's much easier to criticize and point out the mistakes people make or the flaws in some system than it is to actually get things done. Probably 99% of the crap being batted about (including much of this right here) falls into that category.
I would describe my recent discovery of Zubin Damania as stimulating and empowering. My daughter described it as a "man-crush." Whatever.
In an idealistic world, we would never ask the question, but our world is far from ideal. It is reasonable for an individual to take the stance that they will never personally support abortion in any form.
We in America love our cars. We like making them, we like driving them. Our country is big, and we have a lot of people, and we churn out a lot of exhaust. Regardless of whatever data is out there on climate change and carbon emissions, no one can argue that we burn up a lot of gas.
I am not even sure if we remember what a compromise looks like. Because in this case, it isn't the elimination of private firearms, and it isn't a continuation of essentially no regulation.
The major argument from those who are the most dedicated supporters of the second amendment is the ability of the people to defend themselves against a tyrannical government, but there are many who seem unable to get their heads around this entire concept. That sort of thing could never happen here, and we are above the atrocities committed by others around the globe. Besides, what good is a little rifle against the might of the government? If it all goes south, resistance will be futile.
Statistics on gun ownership and death rates in the US are a little grey, but a couple of things are irrefutable: as a high-developed nation, we unquestionably have the largest stockpile of privately held guns in the world. Estimates generally exceed one per person, and I find that pretty easy to believe. Of course, not every person or house has a gun, but a subset of people have multiple guns; part of the “pro-gun” mentality often includes wanting a variety.
I was trained in how guns work, in ballistics, in the effects they have on their victims, and the clues to look for to make these determinations. Make no mistake, guns have one purpose: to kill things. Animals, people, it doesn’t matter; they work the same way. But at the end of the day, guns are tools. They have no soul, no morals, they are neither good nor evil. In an ideal world, in a utopia where nothing ever needed to be killed, there would be no need for guns. But that’s not our world. So we have to face our realities. And doing so in a logical and cooperative manner is the only way that makes sense.
The plan was designed to bring in more money to pay healthcare costs by getting currently uninsured healthy people to become insured, thereby bringing in additional money in the form of their premiums.
One of the difficulties we are seeing in the world of healthcare parallels an underlying issue throughout our society: personal responsibility.
Let me show you how the fee-for-service world affects the practice of medicine, and then you can step back out into that world, look around, and decide for yourself if my description is accurate. What I hope to show you is the system we have built and why, and give examples of the reactions to the various attempts to make a fair, cost effective way of taking care of people.
Neither side is talking. They aren’t, and you aren’t either.
If you read nothing else of the prattle I produce, I beg you to take the time to read this one through.
Every time we choose to use the term African-American, we bring attention to the fact that we have an ongoing issue with skin color, and it’s one that we don’t want to talk about.
I snapped this picture on the way into work today.
So before we can even ask “what am I trying to accomplish,” we need to consider what actually happened. Russia hacked the computer systems of the Democratic National convention. Has any other country tried to hack things? Yes, lots of countries it seems, with China being the usual suspect.
There is nothing to stop is from changing the system, we just have to want to do it.
Things are always more complicated than what is said in the media. It’s often more complicated than our attention spans allow, (so I am breaking this up). But that doesn’t change reality.
It's not the people, it is the system.
We all have melanocytes. And all of us make melanin (except albino people. And I mean real albino people – people who have a defective melanin gene, not just fair-skinned people like my wife who will blind you first thing in the spring). What determines skin color is how much melanin those cells make. That’s it.
This is probably one of the most heated, complicated, frustrating situations.