My presentation from Pecha Kucha NY at Le Poisson Rouge on March 23, 2009

1. + visit my site and see who i am
+ view my google calendar and choose a time
Jay Parkinson, MD, MPH
+ symptoms and address iphone
+ i make a house call and you pay me via paypal

2. + i could
+ i like good relationships
why did i create this?
+ we live in the age of DIY
+ i can’t work for the MAN

3. - pre-tax income = 17%, 26%, 41%
- uncoordinated, unfocused, inconsistent
the System is broken
- unmeasured, very inefficient, perversely incented
- excessively expensive, sometimes dangerous

4. - if we can’t fix you now, you die tomorrow
+ antibiotics and vaccines
born in the age of easy fixes
- diabetes, heart, cancer, asthma, depression
- 10% spend 80% of $2.5 trillion

5. - we need to change our lifestyle
- two hours with each diabetic and 8,764 hours without
office visits and scalpels
- $10,000 to treat your diabetes, $300 to prevent it
- we get paid to do more = supply creates demand

6. - inexpensive to solve the first 90% of a problem
- hugely expensive to solve the last 10%
health care = environment
- technology has to be invented and executed
- chronic health care needs to be re-invented

7. + the internet has revolutionized everything
+ mobile phones
times they are a changin’
+ efficient communication
+ better, closer, funner relationships

8. + secure platform to connect you and me
+ connect people with the same problems
i want this with my patients
+ your healthstream coming at me in my newsfeed
+ i can do my job better and you’ll like me again

9. + an “Amazon Webstore” for doctors
+ find and friend your local doctor
hellohealth
+ 1st visit = office. 2nd visit = email, im, video, office
+ it’s a direct connect. like having a doctor friend

10. + 10% of $2.5 trillion goes to docs
+ much less need for health care “institutions”
middleman-free health care
+ doctor fees are transparently part of their profile
+ a social network for docs to connect to each other

11. + docs are only paid for office visits
+ we try to keep you out of our office
we’re starting out with cash
+ combine us with a high deductible plan = ideal
+ our overhead is half of a regular doctor

12. + our overhead is half of a regular doctor
+ savings passed on to you
health and wealth
+ docs get paid by the hour
+ rent as much time as you need

13. + text us your blood sugar
+ comment on your last visit
new ways to connect
+ share your doctor on facebook
+ connect with others who have the same problem

18. + old people and chronic illnesses are expensive
+ payment needs reformation
this helps the PROBLEM?
+ docs need to get paid for keeping sick people well
+ we need an open market like lasik and boob jobs

19. + didn’t solve your parents problem in 2004
+ facebook leveraged the power users
facebook began with kids
+ it got bigger, better, and more powerful
+ 5 years later, your parents are friending you

20. + join our network and help us learn from you
+ more doctors, more patients = more value
can we begin with you?
+ tell your doctors, friends, employers
+ help us change health care. you. me. the internet