Personal Global Health

1.
You
are
a
Stranger
in
a
Strange
Place
&
You’re
sick,
very
sick…
Link-­‐for-­‐Life —a
Global
Public
Health
Solutions
™
for
we
the
people.
February,
11
1

2.
An
Overview
of
Global
Public
Health
Issues
&
Solutions
Issues
Affronting
Global
Public
Health
“Healthonomics”
and
the
Tipping
Point
Global
health
care
is
expensive,
so
much
so,
we
see
prosperous
nations
on
the
cusp
of
healthcare
bankruptcy.
Today
of
the
195
official
independent
countries
of
the
world,
the
top
50
nations
are
spending
over
$5
trillion
on
their
public
health
and
human
services.
These
same
nations
are
also
declining
their
quality
of
health
in
all
the
metrics-­‐that-­‐matter
in
public
health
care
and
wellbeing.
Country
leaders
know
that
a
healthy
nation
is
a
prosperous
nation.
The
contrasting
is
readily
seen
within
impoverished
nations.
Wealth
is
the
blood
of
nations
but
health
pumps
the
blood.
The
dynamic
tension
between
the
health
of
people
and
the
prosperity
of
people
is
fueling
the
tipping
point.
We
call
this
the
Healthonomics
of
a
nation.
In
most
1st
world
nations,
public
health
is
a
central
topic
of
government’s
concerns,
actions
and
reactions.
This
becomes
very
apparent
at
the
mere
mention
of
a
spreading
pandemic.
Global
health
care
is
under
great
and
rapidly
escalating
stress
that
affects
everyone
both
directly
and
indirectly.
Today
we
see
disease
and
disorders
evolving
into
new
strains,
reactive
therapeutic
treatments
failing,
losing
effectiveness
or
simply
not
available
but
to
a
select
few.
We
have
learned
that
disease
and
disorders
have
no
boarders
and
can
spread
rapidly—
worldwide.
Increasing
public
global
travel
of
course
compounds
this.
We
look
to
the
2,500-­‐year
history
of
health
care
practiced
as
an
art.
The
practitioners
of
the
art-­‐
of-­‐medicine
are
losing
community
standing,
economic
incentives,
and
they
are
faced
with
growing
complexity
in
the
practice
of
their
art.
At
the
same
time
greater
and
greater
specialization
and
sub-­‐specialization
is
expected
of
the
profession.
This
has
intensified
with
the
arts-­‐of-­‐medicine
moving
to
the
sciences-­‐of-­‐health.
Also
fueling
the
tipping
point
is
the
seemly
slow
evolution
from
the
arts-­‐of-­‐medicine
moving
to
the
sciences-­‐of-­‐health.
Most
medical
scientists
and
academicians
agree
that
the
year
2000
was
the
apex
of
this
tipping
point.
Since
1985
we
have
seen
information
technologies
increasing
focus
on
the
cellular
and
molecular
understanding
of
life.
In
1986
we
saw
the
ebb
of
a
biological
scientific
research
initiative
motivated
by
a
new
strain
Ebola
appearing
in
quarantined
research
primates
in
Virginia1.
This
unique
event
oddly
motivated
the
United
States
and
Britain
to
sponsor
the
mapping
of
the
human
genome.
This
much-­‐publicized
multinational
scientific
project
quietly
spawned
many
other
IT
data
centric
analyses
of
aligned
research
and
computational
aided
interest
in
the
cellular,
molecular
biological
life
sciences.
Life
sciences
and
medical
research
scientists
began
computationally
doubling
data
every
six
months
on
a
global
computational
scale
by
the
year
2000.
This
rapid
growth
of
data
had
never
occurred
in
a
single
sector
prior
to
this
period.
The
world’s
supercomputer
centers
performed
more
and
more
computational
biological
and
biochemical
analysis
than
ever
before.
This
phenomenon
continues
today,
with
present
estimates
doubling
life
sciences
data
every
three
months.
1
Why
Map
DNA
http://gallery.me.com/howardasher#100039
January
2011
Page
2

3.
An
Overview
of
Global
Public
Health
Issues
&
Solutions
The
new
era
of
the
sciences-­‐of-­‐health
The
sciences
of
health
have
begun
teaching
us
the
disease
process
at
the
cellular
and
recently
at
the
molecular
levels.
We
are
beginning
to
learn
what
is
the
genetic
predisposition
of
disease
and
health
disorders.
We
are
learning
that
each
disease
expresses
a
unique
protein
signature.
These
protein
signatures
and
other
biomarkers
can
usually
be
expressed
in
our
biofluids;
saliva,
urine,
blood,
etc.,
eventually
negating
the
need
for
tissue
biopsy
or
other
invasive
methods.
We
are
beginning
to
see
disease
progress
or
regress
at
the
molecular
levels.
We
are
learning
that
people
with
specific
biomarkers
react
better
to
a
systemic
therapeutic
than
those
without
the
certain
biomarker.
We
above
all
are
beginning
to
re-­‐learn
that
no
two
people
are
alike
and
that
one
pill
does
not
suit
all.
Most
importantly,
we
are
beginning
to
learn
medicine
and
health
is
very
personal
and
personalized
medicine
will
make
an
enormous
difference
in
human
health
and
wellbeing.
Solutions
Affording
Global
Public
Health
Let’s
get
Personal
In
order
for
we
the
people
to
enjoy
the
arriving
benefits
of
personalized
medicine
we
absolutely
need
to
have
full
ownership
and
possession
of
our
personal
health
records,
history
and
eventually
our
very
personal
and
private
genotype,
phenotype
and
genetic
predisposition.
We
need
this
complete
information
24/7
anywhere
and
anytime
we
need
health
care.
We
need
this
personal
health
record
(PHR)
to
always
be
up-­‐to-­‐date,
accurate,
and
complete.
We
need
our
PHR!
We
also
need
our
PHR
to
belong
to
us
we
the
people,
and
not
owned
by
any
institution
or
health
network.
We
need
to
be
free
to
move
from
one
health
care
system
to
another
without
ever
being
concerned
we
could
lose
access
to
our
health
information,
history
or
any
part
of
our
health
record.
We
need
to
know
our
PHR
will
be
non-­‐disruptive
to
any
health
care
institution
or
health
network.
Just
like
we
can
do
with
our
bank
ATM
debit
card,
use
it
anywhere
in
the
world
and
know
we
will
not
be
disruptive
to
any
institution.
We
also
need
to
trust
our
PHR
information
will
only
be
available
on
a
need-­‐to-­‐know
basis.
Again
just
like
our
bank
ATM
transaction.
We
know
our
financial
information
is
safe.
We
trust
that
the
grocery
clerk
only
gets
approval
when
we
ask
for
$20.00
cash
back
from
our
ATM
debit
card
transaction.
We
know
the
grocery
clerk
has
no
knowledge
or
access
privilege
to
our
entire
bank
record.
The
point
here:
this
is
not
a
new
concept.
If
the
global
banking
system
can
do
this
successfully
for
the
last
20+
years,
so
should
our
global
health
system.
January
2011
Page
3

4.
An
Overview
of
Global
Public
Health
Issues
&
Solutions
Above
all,
we
need
to
have
one
private
and
personal
trusted
place
to
know
we
will
always
have
our
lifelong
health
information,
records,
images,
prescriptions,
lab
results,
and
any
and
all
of
our
health
record
available
to
us.
We
need
to
know
we
can
log
into
a
health
care
facility
and
our
entire
health
record
is
accurately
available
on
a
need-­‐to-­‐know
basis,
to
any
caregiver,
throughout
the
point-­‐of-­‐care
(PoC).
We
need
to
know
that
any
health
care
we
receive
throughout
any
PoC
will
be
automatically
placed
into
our
PHR
and
always
be
up-­‐to-­‐date,
complete
and
accurate.
We
indeed
need
to
know
that
we
no
longer
need
to
fill
out
a
form
to
be
seen
by
a
caregiver.
We
know
we
may
not
remember
all
the
important
allergies,
medical,
surgical,
immunization
and
pharmaceutical
details
the
caregiver
needs
to
know
to
perform
fully
informed
care.
Moreover,
in
many
emergency
or
disaster
situations,
we
the
patient
may
not
physically
be
capable
of
communicating
our
medical
histories
to
caregivers.
We
need
our
caregivers
to
be
fully
informed
about
us,
at
PoC,
after
all
our
health
histories
are
unique
to
us
and
yes
it
is
very
personal
and
private.
The
EMR
and
the
Missing
Link
Many
countries
have
spent
much
effort,
money,
time
and
political
capital
to
motivate
health
care
institutions
to
install
and
deploy
electronic
medical
record
(EMR)
system
to
a
meaningful
use.
EMRs
after
all
would
reform
healthcare!
Well
no
they
will
not.
At
least
not
all
by
themselves—for
that
is
exactly
what
EMRs
are
and
should
be—all
by
themselves
and
institutionally
centric.
They
must
be
institutionally
centric
to
help
the
exact
institution
perform
clinical
practices,
specific
to
the
institution’s
clinical
workflows,
clinical
resources,
schedules,
and
best
practices.
Asking
an
institutional
EMR
to
be
“Patient-­‐Centric”
is,
well—silly.
EMR’s
are
prospectively
designed
to
be
institutionally
centric
and
must
be
to
be
successful
for
the
unique
needs
of
the
clinical
or
healthcare
or
hospital
or
any
specific
health
care
institution.
Institutional
EMRs
must
manage
many
different
patients
most
requiring
specific
care
in
alignment
with
their
specific
clinical
condition.
A
hospital
EMR
is
taxed
with
many
different
patients,
each
requiring
a
wide
and
variable
clinical
workflow,
different
schedules,
various
medical
resources,
lab
tests,
diets,
etc.
EMRs
cannot
nor
should
not
try
to
be
all
about
the
patient.
If
for
no
other
reason,
someday
the
patient
will
leave
the
institution.
This
happens
everyday
to
a
US
soldier
under
the
ALTA
EMR,
or
a
Military
Veteran
under
VistA,
or
a
Kaiser
patient
under
the
highly
customized
Epic
EMR
system.
When
a
patient
leaves
a
closed
harmonized
health
network,
and
requires
health
care,
they
become
a
stranger
in
a
strange
place.
In
fact
they
may
be
worse
off,
for
when
they
are
within
their
closed
health
network,
they
rarely
fill
out
a
form
and
do
not
need
to
remember
all
their
personal
health
information
and
history.
January
2011
Page
4

5.
An
Overview
of
Global
Public
Health
Issues
&
Solutions
So
what’s
the
missing
link—a
very
patient-­‐centric
PHR
that
can
harmonize
and
non-­‐disruptively
synchronize
with
any
EMR
at
any
institution,
clinic,
dentist,
pharmacy,
anywhere,
anytime.
Once
again,
just
like
the
global
banking
system
has
done
successfully,
so
should
our
global
health
system.
So
where
is
our
global
health
system?
ATM
Link-­‐for-­‐Life™
Global
PHR
Automated
TeleMedicine,
Inc.
(ATM)
believes
an
individual’s
PHR
should
be
available
to
the
person,
anytime,
anywhere
they
require
any
health
care,
dentistry,
medication
or
other
health
services.
An
individual’s
PHR
should
not
be
able
to
become
lost
or
unavailable
for
any
reason.
An
individual’s
PHR
should
be
100%
secure.
An
individual’s
PHR
should
be
private,
very
private.
An
individual’s
PHR
should
be
accessible
securely
to
any
www-­‐connected
device.
The
PHR
should
not
require
the
person
to
have
access
to
a
computer,
or
any
computer
skill,
nor
require
any
literacy
skill.
An
individual’s
PHR
should
be
available
to
the
caregiver
on
a
need-­‐to-­‐know
and
only
with
the
personal
biometric
permission
of
the
individual
or
their
authorized
guardian.
The
PHR
should
never
disrupt
the
institutional
electronic
medical
record
(EMR)
system,
yet
should
instantly
exchange
appropriate
information
at
any
and
all
points-­‐of-­‐care
(PoC),
in
real
time.
The
PHR
should
automatically
recognize
the
caregiver’s
credentials
and
permit
access
to
the
relevant
health
care
information
germane
to
each
specific
caregiver.
The
PHR
should
enable
accurate
linguist
translation
from
the
caregiver
to
the
individual.
The
PHR
should
automatically
align
with
any
EMR
system,
at
any
PoC.
The
PHR
should
be
accessible
to
health
care
professional
within
any
health
network,
worldwide.
The
PHR
system
should
provide
a
free
professional
EMR
to
any
health
care
professional
who
needs
one
for
their
private,
secure
and
unrestricted
use.
The
individual’s
PHR
should
remain
with
the
person
for
their
entire
life
regardless
what
health
network
they
use.
The
individual’s
PHR
should
become
complete,
accurate
and
helpful
rapidly
over
time.
The
individual’s
PHR
too
should
be
very
close
to
free!
ATM
Link-­‐for-­‐Life™
is
99¢
per
year,
per
person.
January
2011
Page
5

6.
An
Overview
of
Global
Public
Health
Issues
&
Solutions
We
the
people
should
never
be
in
need
of
healthcare
and
a
stranger
in
a
strange
place
without
our
complete
and
accurate
health
record.
We
the
people
should
expect
our
health
caregiver
to
have
exactly
what
they
need
to
perform
fully
informed
care
to
us
at
any
PoC.
This
is
not
a
luxury—but
a
necessity
of
life.
Contact:
Howard
Asher
◊
Howard@ATM-­‐Health.com
◊
+1.619.997.5900
January
2011
Page
6