Job Creating & Affordable Healthcare

[chris macrae]

World Record Jobs Creation Book  Chapter1 -  Valuing Millennials, Women Empowerment and Health Service Jobs

 

Apart from it being a socially valuable thing to do locally, there are several urgent reasons for sharing information on how to build a health service from next to nothing . These include:

• the social valuation mindset needed to celebrate this joyful opportunity is one that might one day save your children from living in a state where the ever increasing costs of health service have ruined many of their lives or livelihood potential
• preventing a worldwide plague from suddenly appearing in millennials hyperconnected world
• understanding that the womens banking services that have built the most jobs in previously poorest parts of the world depended on trust flows from networks which had first built health and education services for the village children
• ultimately at least 100 million girl empowerment jobs could now be valued around the world if nearly free basic nursing and nutrition  colleges were celebrated as one of the 20th Century's  mission impossibles. We can mobilise this as millennials come of age provided elearning economies are fully integrated with optimalised action learning experiences

 

Mainly two womens villagers networks in Bangladesh  were empowered to link together communities of job creating solutions that achieved demonstrations of the above during that nations first quarter of a century 1971-1996 -and the world's last pre-mobile era.

 

Before we start to map this big picture, let's illustrate a more specific case from the neighbouring but in some ways very different nation of India.

 

Guide Entry - H01 How to train illiterate untouchable single mothers into sustaining small enterprises as villages most trusted midwife - Origin India 1970

 

 XX is micro franchise begun by a family in rural India. According to Pulitzer winning reporter Tina Rosenberg (Book Join The Club);  they started just before the Bangladeshi entrepreneurial revolution.

"extract"

 

And like Mother Theresa before them, what they did sounds absolutely heroic to me, but note (and this is a challenge we question all the way through this guide) they never directly replicated their franchise beyond the one region that they have so marvelously served.

 

Threat and Opportunity of Not Collaboratively Investing in a most effective, efficient, expandable microfranchise
If XX had developed an investment structure over time, much more of  rural India might now have made the progress towards millennials goals as fast as Bangladesh has.... Instead the sort of hi-trust banking that Bangladeshi village women empower got mistranslated in India until ultimately world service reporters at the BBC started to throw the baby out with the bath water .  continued below	Opportunity : But hold this joyful thought, when we turn the pages to today's digital age, developing  digital  banking services can be 10 times less costly in most of the operational processes, so maybe millennials will not miss such replications opportunities in the future

 

BBC News - India's micro-finance suicide epidemic 

www.bbc.com/.../world-south-asia-1199...

British Broadcasting Corporation

Dec 16, 2010 - Micro-credit is often billed as the best hope for lifting the poor out of poverty ... Kallava was in default for just two months when she killed herself

 

Coming from Scotland, I am not at all happy that the BBC doesn't yet popularly engage in reporting global social value stories (what could be a more unique purpose of world service broadcasting?) but that is a subject for much later in this book.

 

 

TO BE CONTINUED

[chris macrae]

other reference to global social value of health

rehearsing impacts of the greatest public health servant

Kim et all paper of transforming value chain of global health,Lancet 2013

http://www.cfhi.org/web/fckeditor/uploaded/File/Press%20Room/Develo...

[chris macrae]

 glogalhealthmashup.ppt, 

are to journey with the messy slide attached

you will see 

1 how the history of exploring human health used to linkin the world's greatest heroines eg Florence and adventurers- people who would invent vaccines with very risky trials ... peace and health and economists whole truth mappers of advancing human lot for next generation

2 then after world war 2 the syndrome of governments not trusting people to explore anything struck and made for the most expensive ways to build health systems and later education systems -meanwhile in west 15% of all the peoplse money was diverted to arms races and political power games (arguably much more depending how you analyse media spends)

3 by 1972 it was clear to my father that whatever you believe to be the most valuable social service (and whenever you are trying to beam that out f)  -the 4th quarter of the 21st C had no organisational models and certainly no lawyers and very few business school professors capable of redesigning the 21st C but fortunately the internet was coming and millennials yes they could

4 in the same year: with BRAC there is a miraculous start  with grassroots mothers networking out of bangladesh -the last 25 years of pre-digital networking linked in by people with the least in the world as they were empowered to build health, education, nutrition and their own banking from nothing

5 by 1987 a twin spirit (paul farmer ) had emerged out of Haiti and Boston- unlike bangladesh his practice focus was on health partnerships but he had his second partnering foot in world's leading education and youth collab  entrepreneur investment networking out of boston

6 then in 1996 came women partnerships in mobile empowerment - thanks to yunus, boston, soros and women!

BUT from 1996 to 2010 big banking, big technology, big arms,  big everything out of usa did their damnedest to voice over the real stories of communal healthcare and sustaining anything with youth and womens empowerment

7 then a partner in health came to head the world bank and a partner in womens empowerment also came to dc region, and in the next 2 years elearning platforms including 5 billion person satellite, open learning partners of world bank all converged

#2030now would they be in time to reframe trust in youth post 2015 and empowering their replication of global village solutions?where will you meet in next 12 months to decide whether youth's sustainability will be won or lost?

[chris macrae]

At this tedx , Jim Kim 

explains his leadership belief of "living your life for eternity". Since coming to the world bank in summer 2012, he has created extraordinary buzz around investing in 25-35 year old professionals (the  most connected, educated of their age) as leaders  of what can be the most exciting 15 years on the planet 2030-2015

I came to this country (USA) when I was 5 years old. My father was a dentist and my mother, who is still alive, is a philosopher. My father was one of the most practical people on earth - Korean dentists are the most practical people on earth.   My  mother, on the other hand as  a philosopher, interested me at an early age to the writings and work and life of Martin Luther King. She would always say to us I get the dad be practical thing but you know you have got to live your life as if for eternity. So she always filled our head with the best ideas and taught us that we had a responsibility to the world. We left a wore-torn country, my parents were both refugees from the war; we were one of the very very fortunate Korean families to have opportunities with education, so she always said you have a responsibility to the rest of the world   So for most of my adult life I spent time in places like Haiti, and Peru in the prisons of Siberia , in Africa trying to provide healthcare. A very close friend and colleague of mine, Paul Farmer and I along with other friends founded an organisation called Partners in Health.   At Partners In Health we lived by a very simple but difficult mission. We wanted to make a preferential option for the poor in Healthcare. Now what does that mean? For us, having had this amazing opportunity to study medicine and anthropology at some of the greatest institutions of highest education we felt that we had a deep responsibility to  bring the best of medical science to the poorest people.   Now we started off fairly straightforward, we wanted to build clinics and bakeries and really pretty simple things then what we found out was that we could actually do a lot more - . we could actually treat HIV, we could treat tuberculosis and we could even treat drug resistant tuberculosis.   One year we stumbled upon a epidemic of Drug Resistant (DR) tuberculosis in the slums of Lima Peru, 50 cases in a town of 100000 people which counts as an outbreak of DR tuberculosis.. DR Tuberculosis is one of the most difficult diseases to treat even in the best hospitals., its 18-24 months of treatments and for 12 months you have to give patients an injection 6 days out of 7 every week, Very difficult. But what we found was that these 50 cases were infecting others and transmissions was continuing so we had no choice .   It turns out with tuberculosis that the only way to stop an epidemic is to treat those who are sick. So in other words from the human perspective is also te right thing to do from the public health perspective. Exactly the same problem we are facing today with Ebola. ...

Even if health isnt your expertise, I recommend everyone search out millennial groups inspired by partners in health - see what they do, and then search out where other millennial practitioners are so energised and supported For example I attended a 2014 summer NY briefing by ypchronic millennials - whose origin is Harvard - their network is concerned with diseases caused particularly by not-so-good-products like tobacco (a major cause of cancer and lung disease) and sugar saturated sodas - a major cause of obesity. They analysed all the rotter advertising and PR tactics that these sorts of categories used. And also showed that pharma companies that specialise in making all new drugs as expensive as possible use similar distortions of extremely expensive speech. JIm Kim has a nice analysis or reviewing whole value chains for every way in which they are stuck on making things expensive. PIH was one of a handful of leaders that change hiv drug innovation they had to get in the face of nih researchers to get started on this area of drug they had to volunteer human guinea pigs to federal drug administration to speed up introduction to markets and having been there helping with the innovation they were not prepared to let the bug pharma companies come along at the end and offer drugs at the highest price a few could pay As some of those involved in this process made sure every millennial knows - drug markets need a total change of process if we are to get back to innovating drugs to save the maximum number of lives not to maximise how much money is initially made You look around the tragedy of ebola and you see so many systems that dont make whole truth sense  why didnt the relatively easy search for vaccination or cure get supported decades ago? why do we over design perfect equipment which turns out not to be entirely practical in the fields. Partners in health test things in the hardest of all conditions to serve health - why not learn from that - especially as elearning channels are now scaling such as http://yazmi.com - a satellite with on-demand reach to 5 billion peoples

[chris macrae]

Findings

why couldnt every poor part of the world be linked in by either the brac or the pih model; in post ebola world its also in self-interest of every richer part too

why not celebrate educating hundreds of millions of girls to vilage network basic health, nutrition, clean energy, food secirty- how can we get better at specifying microfranchsies as clearly as eg aravind

how can mobile apps and telemedicine make this easier

how can elearning satellite help stream knowhow- how can peer to peer modeules like khan cademy speed up health literacy

whcich last mile concepts of polak link in

does your country /place have a milennial group informed to mediate change in global value chain

what exceptional cases are milennials innovating  eg nigerias flying doctor ;eve verytses lead cancr ersearcher

other cases celebrating health - polands great orchestra of xmas, france's circle bleu, sweden's the specialists

[chris macrae]

[chris macrae]

Latin Am best for health projects of 2015 include

chile bottom-up medicine Contreras Retediag - medical millennials

ecuador satellite tracking of healthy cattle alonsoperez ieetech   -women millennials, agriculture millennials, tech millennials

Colombia Gutierrez Sokotext Food safety and small food retailers- womens millennials food millennials sme millennials

Colombia Guaqueta acuacare  - water milennial, health millennial, houing millennails

[chris macrae]