Thanks for stopping by. My name is John Patrick and Attitude LLC is the name of my company. My activities include writing, speaking, and board service. I am fortunate to have a number of affiliations and I get to work with people from whom I am constantly learning. Prior to “e-tirement”, I was vice president for Internet Technology at IBM Corporation. Nearly everything I have ever said or written is here at patrickWeb or in one of my books, Health Attitude and Net Attitude. My newest book, Health Attitude, was published in March 2015. The book unravels the complexity of American healthcare and outlines technological and attitudinal changes to make our healthcare safer and more affordable. The patrickWeb blog contains more than 1,000 stories about technology, music, motorcycles, travel, business, and healthcare. I hope you enjoy reading them. Please click here to get an email update when there is something new in the blog. You can find me on Facebook, Google+, LinkedIn, and Twitter. You can also find me in Wikipedia. To buy Health Attitude, please click here. Find me on Facebook, Google+, and LinkedIn. Follow me on twitter. You can also find me in Wikipedia.
The Sunday night interview with Mark Walsh and Jonathan Aberman on Sirius XM Progress Channel 127 was a pleasure. They both asked good questions and gave me the opportunity to explain what Health Attitude is about. You can play the 15 minute interview below. Read about Mark and Jonathan and their Left Jab Radio program here.
Mark Walsh, a fellow speaker at the 21st Annual Genesys Partners Venture Dinner this week, will interview me about Health Attitude this evening on SiriusXM Channel 127. The interview will take place at approximately 7:15 PM. The name of Mark’s weekly program is Left Jab. Sirius XM describes the program as “An informative talk show that mixes politics, business and pleasure.” I have no idea what questions he will ask but likely something about the Patient Protection and Affordable Care Act (ACA). I discussed the ACA in my new book, Health Attitude. Click here to watch the short video of Mark Walsh and I.
Mark Walsh, a fellow speaker at the 21st Annual Genesys Partners Venture Dinner this week, will interview me about Health Attitude this evening on SiriusXM Channel 127. The interview will take place at approximately 7:15 PM. The name of Mark’s weekly program is Left Jab. Sirius XM describes the program as “An informative talk show that mixes politics, business and pleasure.” I have no idea what questions he will ask but likely something about the Patient Protection and Affordable Care Act (ACA). I discussed the ACA in my new book, Health Attitude. I will post the interview audio here as soon as it is available.
The 21st Annual Genesys Partners Venture Dinner — Genesys XXI– Tuesday night at the Union League Club in New York included more than 100 invited venture capitalists, investors, journalists, entrepreneurs, and industry executives. As always, Jim Kollegger — CEO of Genesys Partners and one of the pioneers of the information industry — was an elegant master of ceremonies. Jim announced a new conference called Agility First! Forum which was held the following day. He introduced the various collaborators and sponsors, next day panelists at Agility First!, several startup CEO’s, and a few of us who speak at the dinner each year. Following is a synopsis of what I had to say.
Like a broken record, I offered my normal upbeat view of the future of the Internet but prefaced my remarks by asserting that we are still only 10-15% of the way there. In other words, of all the things that could be done on the Internet that would save us time and make our lives better, only 10-15% of them are there. It may sound low, but consider retail e-commerce. Although there has been continuous double-digit growth of retail e-commerce for twenty years, it still represents just 6.5% of total retail.
I observed the total United States retail e-commerce for 2014 came in at $305 billion. This represented 6.5% of total retail sales. One company — Amazon — amassed nearly $90 billion in revenue during the year. Why is retail e-commerce 6.5%, not 25% or more? Much is written about that at patrickWeb and in my book, Net Attitude, but the short answer is that there are still a lot of lame web sites. “Click here for the location of our nearest dealer where you can visit.” or “Call to buy the product you just found.” or “Click here to download this form and fax it to us.” How about healthcare? How is it fairing in terms of exploiting the Internet? If only it could be 5% of the way there! Don’t you love the ubiquitous clipboards at doctor offices where we take a pen and provide a lot of information they already have? In the years ahead, I am hopeful healthcare delivery will operate more like Amazon. I attempted to unravel and solve the complexity of our healthcare system in my new book, just published last week. It is called Health Attitude.
I then offered my view of the status of the Internet and health care. This is one man’s view of the evolution of the Internet including the seven characteristics I discuss every year. The things going on under each characteristic continuously change and Jim asks me once a year to do a thumbnail sketch of my latest thinking. The seven characteristics I discussed are: Fast, Always On, Everywhere, Natural, Intelligent, Easy, and Trusted. I will share my comments on each in the next post.
The 21st Annual Genesys Partners Venture Dinner at the Union League Club in New York included more than 100 invited venture capitalists, investors, journalists, entrepreneurs, and industry executives. Jim Kollegger, CEO of Genesys Partners and host of the dinner asks me each year to offer my view of the status of the Internet and health care. This is one man’s view of the evolution of the Internet including the seven characteristics I discuss every year. The things going on under each characteristic continuously change and in a short dinner speech I hit a few highlights.
Broadband in the U.S. is getting faster, but not cheaper. The FCC has developed rules to preserve Net Neutrality. The concept is not to disallow different pricing for different user demands, but to prevent balkanization of the Internet where an operator and a content company might form an exclusive arrangement that blocks access for others or creates a fast lane that might disadvantage new startups. Verizon sued the FCC and was upheld. However, the Federal judge ruling also validated the FCC’s ability to regulate broadband which it has now announced plans to do. Government regulation is often not a good thing but in this case I trust the FCC more than the telcos and cable operaters.
WiFi is part of the fabric of the world. Gigabit WiFi is here and will provide dramatic performance improvement for office buildings, campuses, and homes. Ultra HD 4K TV will be streaming to multiple large flat panels throughout the home — with no network cables. In healthcare, always on means better care for patients with chronic illness and home healthcare telemonitoring may grow ten-fold over the next few years. The Medical Body Area Network (MBAN) was approved by the FCC and will facilitate wireless healthcare.
In last year’s “Everywhere” I talked about the billion computers (including tablets), one billion cars, one and a half billion televisions, two billion Internet users, and nearly six billion paid cellular subscribers. Last night I talked about 3D printing. It is happening everywhere and having the effect of the industrial revolution. 3D printing touches every segment, but I am most impressed with what is happening in regenerative medicine. Researchers in the U.K. have developed a technique to simultaneously print a scaffold and living stem cells to create human bone tissue. Eventually, any body part will be replaceable.
Social networking continues to be fundamental to healthcare and spawns vertical sites such as patientslikeme.com. Further empowering consumers are sites like zocdoc.com that allow you to make doctor appointments in a simple and useful way. The newly emerging trend is for consumers to perform self-diagnosis. Doctors worry consumers may self-diagnose, then self-prescribe, and possibly self-destruct. However, new techniques such as Isabel can put patients in the loop, gain highly accurate information through differential diagnostic technology, and improve the productivity of doctors. Consumers are now using mHealth devices to measure cholesterol, heart activity, and eventually genomic measures.
The biggest growth of intelligence is occurring in the field of analytics. Exabytes of data are being stored. Analytics will enable businesses to make sense of it, model their business, and continuously adapt to what is going on. IBM’s Watson took on humans on the Jeopardy Show, but what is more interesting is the ability for a primary care physician to call and get a recommendation based on patient data they describe to Watson. Within a couple of seconds Watson will be able to review all relevant medical information in the world and make a useful suggestion. Within 5-10 years, Watson may be available on a smartphone.
This may be the year for TV to get easier. Last year I talked about the three remotes — BlueRay, Cable box, and TV — including 153 buttons. Even a savvy child could not possibly master this impossible user interface. An Apple TV remote has three buttons. Apple is rumored to be announcing new TV Stations available through the Apple TV. Once consumers can get news and sports on their Apple TV or Roku or Amazon Fire TV, millions will cut the cord that has been locking them in to high prices and hundreds of channels most of which are never watched.
There are many dimensions to trust. Can we trust the Internet with our healthcare information. I said we can trust the Internet but not necessarily companies like Anthem that do not properly protect the data. I also talked about Bitcoin. The various nefarious things we hear about related to Bitcoin are about people we can’t trust, not about Bitcoin. With Bitcoin, we are trusting the Internet and cryptography. The evolution of Bitcoin has all the trappings of the web of 1995. The last question posed was whether we can trust our hospitals and doctors and big pharma. That is what Health Attitude is about.
Health Attitude was published on Wednesday, March 18, 2015. The launch took place on Tuesday, March 24 at the Agility First! Forum Dinner at the Union League Club in New York. The Forum took place the next day. I will be writing about the dinner and the Forum later. Please click here to make sure you are on the list to receive updates.
Thanks very much to all those who gave me ideas, identified typos in the early drafts, and offered encouragement along the publishing journey. My special thanks to editor Kathleen Imhoff for her countless suggestions that helped crystallize the story I want to tell. The initial version of Health Attitude is available in print on Amazon. It is also available at the CreateSpace eStore. Get a 15% discount on any quantity code 3ZCLVD9F. The Kindle version will be available on or hopefully before April 1. An Audible version will follow.
My goal with Health Attitude is to have a positive impact on our healthcare system. It is worse than you may think, but the opportunities to make it better are far greater than you may think. That is what Health Attitude is about: unraveling the complexity of healthcare and offering solutions. It’s not disease, dollars, or doctors standing in the way of safe and affordable healthcare. The solution includes a new health attitude of patients, providers, payers, and policymakers. I will be making regular posts to expand on concepts in the book. Thanks for your interest in Health Attitude.
A number of my friends have asked what I thought of the FCC voting for Net Neutrality. Many people interpret the move to regulate the Internet as a sign of government controls, more regulation, and even stifling innovation. I do not see it that way at all. I am not in favor of more government or regulation, but there are some areas where government should take a leadership role. I am not completely comfortable with the FCC and have agreed with others in the past that we would be better off without an FCC. It is highly unlikely the FCC is going to go away so what should their role be with regard to the Internet?
AT&T, Comcast, and Verizon would be happy to have less regulation except for regulation that helps them increase their hold on us, the consumer. There is not enough competition and prices for broadband are too high. Cities would like to work with Google and others to establish free WiFi as a boost to their local economies and provide more connectivity for education. The lobbyists have gone around the cities and convinced a number of states to make it illegal for a municipality to establish Internet service. In my opinion, that is not right.
Another danger area is content tie-ups. Suppose Comcast and ESPN made a deal together that provided extra fast speed for ESPN content. You could only take advantage of it if you are a Comcast subscriber. More than a third of broadband subscribers have only one choice of a provider. If such fast lanes became pervasive, it is conceivable, some say likely, that the Internet for everyone else would slow down. That would not be good for innovation and the spawning of the next Facebook. Net Neutrality is a good thing for the Internet. Sasha Segan at PC Magazine said, “This isn’t a case of federal government overreach, or of federal government reach at all.” I agree.
The board of trustees of OCLC meets at least five times per year. We usually meet in the headquarters city, which is Dublin, Ohio. Once per year we meet somewhere outside of Dublin. The last few such meetings were in Boston, Seattle, and Toronto. This year it was in Florence, Italy. My wife and I decided to go a few days early and spend some time in Rome.
The food, wine, Roman ruins, and hotel room at Cavalieri Waldorf Astoria were all great. The historical sites are amazing. I had seen them some years ago but was happy to see them again. Looking at 100 foot marble columns made 2,000+ years ago is mind boggling. The fountains all over the city deliver clear clean water with no pumps — an engineering feat to behold. The Pantheon, Colosseum, and the Roman Forum are among many other sites that make you wonder, “How they did they do that?” For transportation around the city we used Metro subway tourist passes and Uber. Uber reportedly has 200 drivers in Rome. They all used spotless Mercedes E Class cars and the rates were less than a taxi. Photos from Rome are here.
We took a train from Rome to Florence. It was a ninety minute ride and provided beautiful views of snow capped mountains. Florence is much smaller than Rome. There was no Uber service, but we could easily walk anywhere in the city. We had seen the David some years ago, and it remains a marvel. It is said that if you see the David, there is no reason to look at any other sculptures because none can equal the craftsmanship of Michelangelo’s great work. Photos from Florence are here.
A highlight of our time in Florence was the FryskLab. Bibliotheekservice Fryslân, a library organization in the Netherlands, developed FryskLab, a mobile lab facility from a former book mobile. The goal of the FryskLab is to bring digital fabrication skills to primary and secondary school students. The FryskLab bus made the long trip from the Netherlands to Italy and plans to continue on to Germany, Austria, Switzerland, Luxembourg, Belgium, and France. The bus contains three 3-D printers and a laser engraving printer along with MacBooks and iPads to facilitate learning and making things. I could not resist using Doodle3D on the iPad and printing a 3-D image of Health Attitude.
The only disappointment during the trip to Italy was WiFi. Nobody made it simple. One restaurant had an access point named TELECOM-67583117 and the password was trattoriadavelentino00184. Could they make it any harder? Some of the passwords were annoying and unnecessary, but at least the service was free. Not so at the wonderful Cavalieri Waldorf Astoria. To get charged $25 Euros ($28.50) per day for WiFi was an insult. I consider it gouging. They charge the high fee because they know people want it. There rationale is that WiFi is free in the public areas of the hotel and if you want it in your room, you have to pay. Making matters worse, the consistency and the speed of the WiFi service was poor. The high-speed train to Florence offered WiFi for one cent for 24 hours. We checked into the Hotel Brunelleschi in the center of Florence. WiFi there was included in the price of the room. Our last night was at the Rome Airport Hilton. They charged 20 euros for WiFi.
I have always believed WiFi should be like the other things you expect in your room: heat, a/c, electricity, TV, and water. The Cavalieri obviously sees WiFi as an incremental profit opportunity. WiFi does have a cost associated with it, but in my opinion, that should be bundled in the price of the room. It is the principle of adding on the charge after you check in that I object to. As some airports and many hotels offer free WiFi, the high charges from those who do not stand out and leave a bad taste for what otherwise may have been a good experience.
The 21st Annual Genesys Partners Venture Dinner — Genesys XXI– will take place on Monday, January 26, at the Union League Club in New York. As always, Jim Kollegger — CEO of Genesys Partners and one of the pioneers of the information industry — will be master of ceremonies. I will give a short speech after dinner. I will provide an annual update on the continued growth of the Internet, but will emphasize the transformation of the American healthcare system that is underway. I won’t be able to resist telling the audience about Health Attitude, which will be published in March.
The new element of the Genesys program this year is a conference called The Agility First! Forum. The new conference’s mission it to convene founders and CEOs of agile and advanced early and mid-stage companies with one goal: To focus on more powerful execution. I will participate on a panel on Tuesday labeled “The Uber and Airbnb Blitz: Breaking the Law or Breaking Down Barriers?” I will emphasize how the consumer-led revolution occurring in healthcare is at least as significant as what Uber and Airbnb are doing to transportation and lodging.