Open Health Care

In 2008, Bouchard et al, Privatizing biomedical research—a´third way, Biotechnology, Vol 26: 31-35 the majority of drug development was achieve via public funds. Because especially, more than now, Biology, Medical research, become time consume from the basic research to medical trials.

Historical, hospitals were institutions to dispensed charity and medicine, records exited about 2500 years, in India, Fan Xian 400 C.E., wrote in his chronic visit to India.

Rome and Greece have their own tradition, in the case of Greece, Hippocrates, known as the Father of Modern Medicine, established a medical school at Kos. Hippocrates and his students documented numerous illnesses in the Hippocratic Corpus, and developed the Hippocratic Oath for physicians. What its significance, the fact the ideal of communities Hospitals administrates by some public level, from Charity to direct state intervention, this tradition was kept in Medieval Europe and accepted Muslin communities, the first doctors in this communities, where Christians and Jews, the reason not only the Knowledge was from them, but Islam limited profession to the people of the book, and Medicine as Profession, was base on License, In Europe the same development, since the Christian wold Limited the Jewish to any access to university, and Hospitals were view as apprenticeships .

Bismarck, realizing his political tool provide to the Prussia State the first insurances, not out charity or good will, but out fear—the industrial revolution brought to the cities migration, in many case overcrowd and unsanitary neighborhoods, by guaranty health care.

While not just Germany, where, the License provide by the state, where in the US, the License is given by Medical Association, and the state provide a License to prescribe drugs. 

In US the health care provider were no profit,, in the 1980´s with Regan come into power, and the battles from free for all market and the regulated market, tilted to the free for all, Manage Health Care born a for profit, where in the Process, mental health clinics become close, since, one the most of the expansive, and bottom line cuts, and cost, the saving when to the Managers, and health care become a private, where the employer past the cost to the workers.

While, Modern Medicine is driving by developments, and the use of public funds, because its not just the cost, but not guaranty of success, become only the one who can afford the price access.

The crises did not end, since many marketers advocated used of Emergency rooms as access,  the hospitals driven by profit, send to the direct public support, even deny entrance, Medicine have become a privilege, to be healthy become a privilege. 

More, over, the educational Hospitals benefit from public funding from the research to maintenance, the cost, the education of MD in Europe is Profession, where in in US base on privilege, the education itself is a high specially apprenticeship, based on theoretical and practical, become more as Art, with time get better, because experience, the combination is due Biology, sometime basic rule are simple other times is complicated, but because the interaction as always complex.

The best model, there is not a single path, what is obvious the for profit model, excluded sometimes the ones who are exposed the most and they need the most, but cannot afford the axes. 

One consideration should be community hospitals, were educational training is base an high skill apprenticeship, combined with open model of drug development and research open an transparent, we are in time the Artisan industrial Revolution is upon us, can be extended to drug development, where research can transfers directly industrial scale, from make places, 3-D Printing. Many times researcher needs, access to people, equipment or Machine Shops to customize instrumentation-base on a sharing—gift economy.

June Zen moment

Beauty of Public Transport

Open Books, with Open Networks

Open Science, Open technology and the question of the Artesian

While, leaning or building a body of knowledge (Epistemology) is not just about collection of facts or information, but is how to make judgements calls. Open education model exits a good example is http://www.ais-sanmarino.org/ , (AIS is unique, because is also the only high learned centre, where Esperanto is part of the fabric) and has been in operation since 1980s as education centre. But only in beginning of the 21 century new model collaboration was possible in part, information science collaboration model peculated through the fabric of the society, and models like open biology brought to research is DYS, not since amateur astronomy, where for the love and desired, become to alternative, while biology is described as descripted, but nature of biology a very complex, sometimes have simple rules, sometimes complex rules, but interaction always complex the formation of groups like  http://diybio.org/ and http://www.genspace.org/ in New York, but the idea has been spread, not just to Science but to DYS technology or makers, have succeeded to lunch micro satellites, in spaces hacker places, Fab Labs, one characterise of this places is the used of 3-D  printers is part of the tools. Of course many this open models developed of computer and programmers aficionados creating another possibility.

Now the models developed the next step is to transform into communities open cooperatives as economic development, we can consider since the mass production common place in the 19^th century and the 20^th century, the small scale and time consume art of production was consider a thing from the past, but the decentralisation of knowledge and the accessibility of the information through the internet open the possibility, to collaboration and alternatives. The myth of the rough individual become a fantasy, due complexly, projects like SETI, where the funding dry up or just complex like CERN or Fusion projects, while in this institutional project hierarchy base on power sets, still place, open to other models. Now with share, open economics slowly peculated through society. Medical education, while is very elitist and exclusive, medicine itself is not just a science, but a practitioner, make medical education into an art, and the artisan should be to every knowledge, a combination of practices and foundation knowledge, learn in this open source locations, while is different, because is not just 4 years, but longer time, which is the human experience. We just not waiting for our own funeral, but life has given us an opportunity as individuals to growth, but because we still dealing with creation of the system, where we evolution prepare us for dealing with few people in small groups, but our complex world, a system were the elite think of themselves, against the cost of everyone, and political, economic system felt us, and created conflict, we have a new beginning, where small groups though democratic assemblies can renew us, we can created this small places where we can growth.

Carcassone

Open Square

May 1 2015

Open Education, Open University, Open Degrees, Open Titles

The power of the system is to give people illusion of hope, like the upper mobility, which as a slow death which began to a slow death in the 1980s culminated in the Economic Meltdown of 2008. The study presented by Gilovich et al, in Perspectives on Psychological Science: Building a More Mobile-one Income Quintile at a Time, one thing can be say, because shift from industrial economies to services economy, credential in education, and because nor just knowledge in the ivy or high end universities, are special, the opposite the institutions become echo chambers, where the educate elite are  expose to the supposedly knowledge taken rain over the society power, then committed the same mistakes over again and again.   

The gate keepers though SATs or legacy spots, will never let other to enter to gain into the corrupted system. While the upper classes decry about the welfare system, they benefit from them from contacts to have access taxes monies as VP US Biden in name of his grant father, Socialism for the Wealthy and Capitalism for the rest, the value of this education is access of taxes payers’ wealth, and contact. 

There is no accident the receivers of  this wealth in 1980s MIT receive in grant from US government 100 Million USD (The University-Military Connection by Howard J Ehrlich Vacant Lots press, 1985) , and the Middle of the 2000´s was 1 Billion USD , or John Hopkin University haven access to National Health Institute close to 418, 940, 258 USD (955 awards in 2013 Genetic Engineering & Biotechnology News), moreover, in case of the NHI, the study by Yang et al, A bibliometric analysis of academic publications and NIH funding in Journal of Informetrics, 2013 7:318-324, where similar research, with the same qualifications and background, what difference to obtain the grant was the color of the skin, since, the researcher know each other in the Academy Circles and conferences, the projected their own prejudices and bias.

The control of the credential accreditation is using accreditation bodies take for example Middle States Associations of Colleges and Schools, first is recognize by the US secretary of Education and the advisory group are selected individuals, from started the intuitions originated the body and select this chosen individuals, in many are from the business community, they defined the accreditation, in the more extreme, the American Medical Association, after the civil war, surgeon and Medical profession, give a license (the FDA give the License to prescribed drugs after  AMA give the title, this is the only government involve-drug prescription is control), and to give legitimize, the association gave the Doctor Title (the same model has been applied to Attorneys), based on passing a set of test, where in Europe, the system is the state who confer the title as recommendation of the Educational instated, in both case and US case is more problematic, because the standard is define by individual interest where in case of Europe, the politicians need to confront an electoral.

Some will say we do not need validation, form the structure system, which is right, but we need an alternative in Ontario Canada, the province provided: The Ontario Federation of Alternatives Schools can be use a model, for everyone involves, not the political class, or the economic elite. Education models like Anarchist Free University, Toronto Canada, run by using facilitators, and model of degrees especially higher degrees like the model by University of Senoda, where is based on two book chapters, or some German higher education to Publish a research paper, in General Publication required 3 people review, and moreover, the people who review are impartial, not direct contact with the author, since there is a way to write a research paper, show the objective the capacity to created new body of knowledge, in many case because institutions and Professors have invested their own economic interest (some cases they try to stop the publication).

I am not talking about patents or companies (since their value is based if they can attract investment or the products), but permanent source of income from Foundations or Taxes, so can maintain their position—another model is based on discussion groups reading specific knowledge, like a seminar and publish the body of knowledge as group or individual. 

Especially the Open Source Journal, are under scrutiny, the paper upon publication shows the caliber of Scholarship, meaning anyone with some experience can reproduce the body of work exposed in the paper, while the Title should never be objective, the experience in creating knowledge should be the experience.  

Because the science and technology development, two import exposures are need one History tell us who we are and Biology, where we come from to add, Philosophy, while the US tradition is Analytic and Continental as more descriptive, but exposure of Human evolution of the perfection of the abstraction to more ground in Human experience, the same can be say the Art, in Antiquity what was consider value the Gods and the Lords to slowly with Golden Age of the Nederland, where every day found his beauty—show by the Impressionist, to the Literature, where Czar Russia thinking was capital punishment, but Chekov, Dostoevsky, took Literature into Philosophical essay, where Spinoza and Montaingne essays, Zola essay in Jacusse, where previous to the Genocide Committed by Sunni Ottoman Caliphate and German Nazi, where Flaubert in Madabe Bovary (demystify the human experience) and Elliot, in Daniel Deronda humanize the Outsider created by Christianity and Islam—the Jew as Human with his history as necessary to study Greeks- Indian, Japan and China civilization, to have curiosity besides ourselves, or immediate surround—to see the other.

Spring Dreams

Pagodas

Zen Gate

Oriental House Model

Co-Housing

After, the house meltdown in US, not only affected the owners in US, but the world economy, how, the situation got to this stage, since the 1930s, the upper class has been in denial, they, economy base on Social Darwinism, and the two schools which define British Economic though regulation as control, and not regulation. In the 1980´s after the inflation economy, using the idea: everything has a price, and the concentration to the wealth should be to a small group, they decide and trickle down the wealth, but the free marketers, did only will take place after all the safe-guards will be remove. In effect one important, safe-guard the banks can not be used funds as investors. 

The consequence, not just the greed, but using bank deposit, originally the idea was to privatize social security, they become the funds, but the Democratic congress did not when along, the Chile as example, where originally the public retirement funds become privatize, but in the 1980s the risk, and losing some the funds, reverted given option to kept the funding in public hands or private investment, 95% return to public and only 5% was kept in private hands. Because, the deny of retirement fund as capital, and from Enron experience, where creative accounting, bough down the company, where the Managers, encourage their own employers to buy the company shares, and the Managers, where selling, because the company was collapsing, since they debt was off shore in fictitious companies, and the books transmuted deb from red ink to a profit. The banks pray the US the wealth value is measure on wealth, and the wealth is based on house, the encourage the home owners to used their houses private banks, and the wealth was house cost, with the assumption the value of the house will increased, and the second victims were the renters, where the promise house ownership as the cost of their rent, of course house ownership, have fees and this fees are more than rent itself, the lenders deferred 3 years, in the hype of the propaganda 2006  in the State of the Union, the president George W Busch proclaim now more low milled class and the poor have the American Dream, so wealth was under reach, when 2008 come all this forces in place created the meltdown. But the deception did not ended with help of the rating Agencies the deb was transform in great investments, through the London the financial system, introduced to Europe, on paper the borrows, first time and second mortgages, where excellence investment. For the home owners the long the value increase in the case of second mortgages, or the fees where included works, but then, bubble burst and the economic meltdown of 2008 began as chain reaction, from house to auto industry and 4.5 Million home owners lost their place. In Europe they left with the investments of empty houses. The wealth created from the pyramided skin, did not tricked down, and the wealth was not invested in infra-structure, bridges started to collapse, and without railway system and public transportation or education become privatize, was outreach, in US not just a wealth inequality, but permanent underclass, but the seed of popular revolution, while in US race is heart of the issue, but demographics where not minority is the majority and the white society demographically decreased, a social confrontation. When member of congress, tell the population, does not expect financial relieve, only if your 1% of the population or the banks, and today, some developers start using crow sourcing to invest in house developments, and the same mistake of greed taken place, eventually, the development will collapse and individual wealth will be lost.

After the trauma, the question become how to resolved loss of the house, in Spain where many families where dislodge by the banks from their house, some made occupation of their own house, force was used to obtain the dislodge, the question what will be solution, today more the ever is possible to be off the grid, using wind, bio-gas, micro-hydro and solar power.

In the 1960s co-housing originated in Denmark, the philosophy was intentional community, based on social community, where the house become from the born to the last days, with flexibility to growth children to adults. The ownership of the house, can be setup cooperatives, house associations or condominiums, the house itself can follow Japanese philosophy, using the materials of the region and practicality, the way of live is not based on consumption, and manage as non-hierarchical structure employing a consensus decision-making model, the off the grid should use from the consumption of water, to the disposal, for example using wetlands is way to recycle the water, and the effort should be obtain land closed to water source, independent of the private or public water supplied, and with access or easy construction of public transportation, ray is most efficient and access to local business.