Software product development is both art and science; creative and technical. Despite what one might think, though, it is rare for software engineers to begin from scratch. Most software is developed within or on top of an established framework, as enhancements to operational systems, or morphing existing software into something new. The point is technologists don't solve problems by reinventing the wheel. It is from this perspective I offer some ideas and areas of potential change and compromise on ways to fix our health care system.

Free market. Last month I wrote about this from a personal/consumer point of view and that, as with other rational markets, consumers can make rational decisions. What continues to amaze me is that our largest industry (government doesn't count) does not operate on real, open market principles. To move in this direction we should empower and educate consumers by focusing on consumer-driven health plans, defined employer contribution models, lower premiums for improved health outcomes and proper disease management, and medical procedure cost transparency. We need to also provide quality of service information so consumers can stop making the assumption that higher prices equate to better quality.

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