It's the simplest of ideas in health innovation: Give love a billing code.
I tweeted this in the
spring of 2008 at Health 2.0 Conference in Boston. Since then these words
have been echoed, referenced and morphed by many friends and even by some I've
never met in the industry.
Love needs a billing
code brings the idea of care and healing back to simple. It rallies
good people working in this space, reminding us why we started in health care in
the first place. The expression is activating too. It makes explicit a
core value "To Love" that most of us presume is already present as an
under layer in health transactions.
Love is not an industry standard. The presumption that love
is integrated into most health care transactions is flawed. I am
tempted to be flip and to say that profit is the reliable standard at work in
the industry. While there is good reason to utter such a phrase, I know my
tired soul is talking and I don't want to give voice to broken things. I continue
to dream the possibility of a more loving system end to end. One that is as big
for love as it is in love with big data.
There are moments of love
in today's health centers, doctors’ offices, and hospitals. We see miracles
and extraordinary feats of humanity so great that we cry every time we encounter
them. But my experience is that our health care ecosystem is unloving
and … quite frankly … unlovable.
So why is there not a
billing code to measure the caring potency of a health care encounter? Why is
this idea dismissed as silly, as lacking gravitas, or as poorly matched with
western medicine? Is love considered a downstream transaction? First see the
doctor and then find the love you’ll need to heal?
We have walked on the moon,
created unmanned drones to hit micro-targets far away, spent millions on challenges and prizes promoting health innovation, and yet we turn away from
measuring the impact of love on the doctor and the patient. Why? This is a crime of omission.
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| My question since 2008 |
Many consumers
unconsciously approach medicine as if it were God's work. Imagine what
might happen if the industry - including insurance - actually caught up with us and started thinking of
itself as doing God's work? Not God 1.0’s work, but God 2.0, the
caring, concerned, tech savvy and adaptive God who functions like a safety net?
What would happen when love
met medicine? Would it lead to nefarious intent and abuse of power? Or would it
perhaps be instrumental in creating a shift in consciousness? A
shift inviting us to learn how to tolerate the unbearable losses and
unexplained graces life, death and medicine bring into our lives.
What
if love had a billing code?