Tapscott: the healthcare reform battle

Don Tapscott explains why healthcare reform is going to be hard, a huge battle, and we shouldn’t be surprised to see the shouting and worse. But we might still see a real change, because citizens can organize like never before. [Link]

There is no possible compromise on health care and the myth of Obama as a “post-partisan” president is exactly that – a myth.   The health care industry generates billions of dollars in profits and many people are seething that these profits might be curtailed.  This issue can never be negotiated in Washington back rooms as there are huge interests vested in the status quo – such as the big insurance companies, health maintenance organizations and pharmaceutical giants.  Like many social changes, for this one there will be winners and losers and an historic battle will determine the outcome.

As Obama noted in his message to supporters, “In politics, there’s a rule that says when you ask people to get involved, always tell them it’ll be easy. Well, let’s be honest here: Passing comprehensive health insurance reform will not be easy. Every President since Harry Truman has talked about it, and the most powerful and experienced lobbyists in Washington stand in the way.”  But this time Obama has what those presidents lacked:  the Internet and a powerful social movement that potentially can shift the relationship of forces in America away from the traditional entrenched interests towards the needs of the population.

Gary Chapman at Texas Community Media Unworkshop: Obama’s Open Government Initiatives

At the Texas Community Media Unworkshop last Saturday, I posted several notes to Twitter from a talk by Gary Chapman of the 21st Century Project at the LBJ School of Public Affairs. By popular demand, here’s those notes, with some additional material…

Kevin Martin from FCC was at UT [last] week. He said Democratic members of the FCC had been trying to increase minority ownership of broadcasting, but his philosophy had been instead to expand the space and the opportunities. Gary had previously had concerns about Martin, but found himself agreeing with much he had to say. Martin is considering how to increse the availability of broadband as well as the bandwidth, something the Obama administration also wants. (See my previous post about white spaces.) Gary also heard Martin propose free national public broadband.

The LBJ School is working with Obama transition team. There’ll be a White House CTO. http://change.gov/ has info about transition.

The Federal government has already put spending data online and has created APIs, ways for programmers to access and use for that data, which anyone can also download. Obama drove legislation to do this – transparency in government is a top priority for the new administration.

OMB watch has created a site, FedSpending.org, using that data.

Data about the Federal budget is also online, but not in an accessible way – as pdf documents. The LBJ School has prposed working on a transparent onine budget similar to the spending data, and is working with the Obama transition team on the concept. This should open a new era of transparency and accountability. People will be able to monitor what’s happening at all levels of government. The most compelling applications will tie the spending data to the budget for analysis… connecting the dots for real transparency.

The LBJ School is also seeking funds for a lab to create tools for bloggers, activists, etc. Get programming talent to build new tools. For instance, the want to take a wiki model of collaborative space and flip that into specfic applications for collaboration and for doing processing online. Gary mentioned as a similar tool Wikicalc, Dan Bricklin’s collaborative spreadsheet absorbed by SocialText. Another exampnle: Google is creating APIs for its spreadsheet.

The next phase of public media will blur boundaries between government and citizens using online tools, Gary says. We’ll see a transition from e-government, which is merely transactional (renew your driver’s license online) to i-government, or information based government. Government shouldn’t just build PR web sites, it should be guarantor of data quality for access by tool builders. This is the next phase of democracy, and the ext stage in the fight against corruption. We won’t need to file freedom of information access requests, because the information will already be online and accessible.

This is all high on the Obama transition team’s agenda. They’ve been working on this for months already. Obama is also reestablishing status of science – planning to bringing on a science advisor.

Obama on Technology and Innovation

The Obama presidency hopefully starts today, not January 20 – and it’s time for all of us to start real work on a future that’s not just survivable, but thrivable. My particular interests are social technology and sustainability, and on the tech side, I’m particularly interested in the ambitious plan set forth in Obama’s white paper, “Connecting and Empowering All Americans through Technology and Innovation” (linked as pdf). The doc incorporates some of the best thinking about where we should focus…

Ensure the Full and Free Exchange of Information through an Open Internet and Diverse Media Outlets – including a clueful paragraph on protecting the openness of the Internet and another on encouraging diversity in media ownership.

Create a Transparent and Connected Democracy. Tals about online tools for open government, and “bringing government into the 21st Century,” using tech “to reform government and improve the exchange of information between the federal government and citizens while ensuring the security of our networks.” To that end, he wants to appoint a Chief Technology Officer. (D’oh – you mean we didn’t already have one?)

Deploy a Modern Communications Infrastructure – great news for the “Freedom to Connect” crowd, including yours truly. “Barack Obama believes that America should lead the world in broadband penetration and Internet access,” so he’s going to push for a redefinition of what constitutes broadband in the U.S., i.e. fatter pipes. He also wants to open spectrum for more and better wireless deployment.

Employ Technology and Innovation to Solve Our Nation’s Most Pressing Problems, such as lowering health care costs by doing more to integrate records and facilitate digital claims processing. Healthcare systems are a patchwork mess, so this will be a huge challenge – it’s definitely time to take it on.

Invest in Climate-Friendly Energy Development and Deployment. Those of us who are interested in clean energy development know that it’s all about technology – we replace resource extraction with knowledge development and engineering to support greater efficiencies as well as the development of new forms of energy. Obama has several items for supporting the development of the clean energy sector, and for upgrading education so that our schools will produce more science and engineering graduates, and “[tap] the diversity of America to meet the increasing demand for a skilled workforce…so that we can retain and
grow jobs requiring 21st century skills rather than forcing employers to find skilled workers abroad.” He’ll also modernize public safety networks.

Improve America’s Competitiveness. “Barack Obama supports doubling federal funding for basic research, changing the posture of our federal government from being one of the most anti-science administrations in American history to one that embraces science and technology.” Obama proposes making the R&D tax credit permanent, reforming immigration, doing more to promote American business abroad, ensuring competitive markets, protecting American intellectual property abroad and at home, and (big one) reforming the patent system. “By improving predictability and clarity in our patent system, we will help foster an environment that encourages innovation. Giving the Patent and Trademark Office (PTO) the resources to improve patent quality and opening up the patent process to citizen review will reduce the uncertainty and wasteful litigation that is currently a significant drag on innovation.”

This is a lot to accomplish, but vision, attitude, and powerful intention will go a long way in getting us where we need to be after eight years of backward thinking and indifference. Personally, I’m putting my nose to the grindstone and plowing ahead with the the two areas of focus I’ve had for years – on the social web and on sustainability, both well-addressed by Obama’s plan – and I’m feeling invigorated knowing that the new administration will be supporting, not obstructing, progress in both areas.

Hope Art

  

Found a page filled with parodies of the Shepard Fairey “Hope” Obama poster.

The strong, simple poster hit the nerve of many graphic designers. Fairey, who had been accused of copying style and content of communist propaganda posters, found himself suddenly imitated with numerous versions of his original design. Tutorials and plugins began to appear in the web on how to make your own Fairey/Obama poster, even ready made solutions where you can just enter your own text instead of HOPE.