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Over the past several months, I spent time reviewing the proposed healthcare legislation, read editorial pieces on both sides of the issue, spoke with doctors and providers, and exchanged ideas with colleagues having diverse opinions. Have I formulated an opinion on healthcare reform? No – and that’s really starting to bother me. Why? Because I’ve invested so much time trying to figure out this societal predicament. Do I think healthcare is broken? Absolutely. The issue, though, is not whether we have to fix it, but rather the approach we take to doing so.

This is where I have an issue with both sides (are there really just two?) in the debate. Why? Because we have no way to measure spending or gauge the current performance of our healthcare system. We have neither quantified healthcare nor have we put together actionable data. Some people will jump up and down over this assertion, but there is no common baseline or framework sufficient for quantitative analysis. Some will argue that looking at things this way – objectively – will risk lives and depersonalize care.  Time for a strong opinion:

Being able to sufficiently quantify healthcare will allow us to make informed decisions, to allocate resources much more efficiently and, ultimately, to provide better care and save lives.

One of my friends challenged my views on this concept, claiming “Healthcare is too complicated to fix and it won’t fit into one of your mathematical equations, Rob.” That’s the problem. How can we possibly fix a system we can’t measure? We won’t know if it’s fixed or where it’s broken!

Our efforts in healthcare should be directed at getting the numbers in place and baselines established – and doing this fast. In the meantime, the debate train moves on. From yesterday’s Wall Street Journal on Olympia Snowe, the senior United States Senator from Maine:

Mrs. Snowe began by noting that this year’s health debate is “one of the most complex and intricate undertakings the Congress has ever confronted,” and that she, too, has devoted much of her three-decade political career to promoting cheaper, better quality insurance. “But it must be done in an effective, common-sense and bipartisan way,” she cautioned.

Real numbers will help simplify the decision, promote bipartisanship, and get public support.  Make all the numbers public. There’s a valuable lesson from the open source world in technology: when all the information is publicly accessible, more people will look at it, analyze it and make it actionable.  Let’s give the numbers to a couple hundred million people and we’ll get some great results. Remember Color by Numbers? It was – for me at least – a lot easier to work from than a blank canvas.

Rob Ciampa