Unaffordability Ebola is Spreading Throughout US Healthcare | healthcare

Driven by “The Number One Concern of Adults and Businesses in the US,” an insatiable, immutable ‘Unaffordability Ebola is attacking another compliant US host: The US Healthcare System.According to experts at Harvard, Johns Hopkins and Mercer, the US System is sick; its prognosis, poor.”We’re reaching the outer limits of affordability,” said Arnold Milstein, MD, Medical Director of PBGH and Chief Physician at Mercer. Milstein was addressing an international conference of providers, educators, brokers and facilitators on Global Health when he said, “We’re seeing an upward spread of The ‘Unaffordability Ebola.”WHAT HAPPENS IN VEGAS…
At the first, International Medical Tourism Conference in Las Vegas in April, Milstein was one of the prominent canaries singing an early warning of a virus attacking the seemingly immune US Healthcare System – “The Best System in the World.” The Canaries were singing at all venues in ‘Vegas but what happened there WON’T stay there. The Ebola is spreading faster than many people will admit…500,000 U.S. PATIENTS ABROADThe National Coalition of Healthcare estimates 500,000 people left the US for treatments last year; 500,000 international patients will visit India this year infusing $2.2Billion into its economy; 200,000 patients visited Singapore in ’05; 100,000 visited Malaysia that same year. It’s a $60 Billion Global Business that’s growing 20% a year.A presentation titled: “Leveling the Global Healthcare Playing Field,” Harvard Medical International President Dr. Robert Crone argued:1.) Regional Health Systems have achieved quality services at lower cost than US systems;2.) Global Standards and Benchmarks of quality are emerging;3.) Medical Tourism is growing, and global insurers will participate. Privately, he said, “they’re going to eat our lunch.”BARK, AND A BITE!Dr. Crone knows what’s he’s talking about. He has the credentials one would expect of a guy who’s at the top of the food chain at Harvard Medical. He’s lectured and implemented health education and delivery system programs in more countries than the average American could spell – or find on a map! A Top Dog in global healthcare, Dr. Crone has the bedside manner of a Junk Yard Dog: both his bark – and bite – hurt!”In the Flat Medicine World,” he said, “US facilities may be seriously disadvantaged, and adversely impacted in the global marketplace. Oh well,” he said smugly, “we had our Century.”Crone rattled off the maladies running rampant throughout the US system today, then piled on several scary scenarios ahead. It was a foreboding message for anyone planning to access US Healthcare today, or tomorrow. (Meaning, probably, every single American: rich, poor, healthy, sick!)Like other industries, healthcare has globalized and the new, uber competitive marketplace is introducing unimagined (some say impossible) features and benefits to consumers: Cheap, Comparable Outcomes and Outstanding Customer Service…What’s not to like?Let’s say you are uninsured and need a new knee? (What if you needed something less invasive like, say, your annual physical?) What if you wanted a face lift; a breast reduction; tummy tuck or a sex change? Since you’re responsible for the FULL price, you’re probably going to shop around a bit (after you self-diagnosed yourself, of course).As you’re shopping, you’re probably trying to find other important things to study and measure besides reputation and credentials alone. Unfortunately, there is very little accessible, comparable consumer information on cost, quality and care in the US. As a result, even the most unsophisticated buyer of healthcare is drawn to the international healthcare bizarre on the internet – and a sale can be made half way ’round the earth in the dead of night. That’s the new world of medicine.JOE SIXPACKLet’s say you’re a self insured employer – responsible for the first $50,000 or so on each employee. Would you consider recommending old Joe from Sales consider an awake, beating heart coronary artery bypass grafting at a superspeciality hospital in India – instead of the local provider? Would you ask/beg Joe (and his wife) to go halfway around the world for three weeks of treatment for the financial health of the company? Would you rewrite your Plan Document to take advantage of global pricing? Would you consider Singapore as your new Preferred Provider Network?And what about a good deal for taxpayers? Should the US Government send Medicaid patients packing? What about Medicare? Should taxpayers shell out $65,000 for grandma’s new hip when she can get hip resurfacing for $13,500 in India (including air fare and a week on the beach)?And how about all those new, high deductible health plans being sold in the US – where your best interest (maybe your only interest) is buying the most cost-effective care you can find?Would you fly 10,000 miles for a couple new crowns – plus a week on the beach – if you’d save $1,000? A TIME Magazine poll in May ’06 found that 45% of uninsured people said they would; 19% of insured people said they would, too.When asked if they could save $5000, 61% of the uninsured and 40% of insureds said they would travel 10,000 miles for an elective procedure.HOLD THE MAYOImagine your Executive Physical at a Mayo vs Maya? (Come on, guys, wouldn’t you be more inclined to actually have an annual physical – even with a colonoscopy – if it included a week on the beach with a martini and a massage for less than you’d spend for three days in Rochester, Minnesota?)Medical Tourism is Hot. (Some call it: “Medical Value Travel;” to others, it’s Consumer Driven Healthcare at its most driven level.) Whatever YOU call it, it’s economics applied to healthcare for the first time in more than 50 years.Medical Value Travel has been going on in the world for a long time, but most tourism has been inbound to the Mayos and the Cleveland Clinics of the world. Since 911, however, inbound Medical Travel has all but dried up in the US while outbound tourism is growing by leaps and bounds. Instead of Cleveland, it’s Chennai; Mumbai instead of Mayo. The Brave New World of Healthcare.Nicolet Bank Business Pulse© is a quarterly economic study of CEOs, O&Os and GMs in 10 Northeastern Wisconsin counties. (Businesses from all sectors and all sizes are represented in the sample.)In January, Nicolet Bank posed several questions about Medical Tourism: 52% of the CEOs, O&Os and GMs never heard of Medical Tourism; 23% heard of it, but didn’t know much about it; 17% were somewhat familiar; 9% very familiar.The Nicolet Bank Business Pulse© also asked: How interested would you be in traveling to another country for a routine procedure (e.g. your Executive Physical) if you knew the cost would be considerably less – and the care would be equally good?”Nearly a third said they’d be interested,” said Dr. David Wegge, president of IntellectualMarketing, LLC – the firm that conducts the studies for Nicolet Bank of Green Bay. “I don’t know how this compares to national CEO data; I suspect we’re the first ones to ask.”Wegge was surprised that a third of the CEOs would be interested, “especially among CEOs who probably have health insurance and fewer financial worries.” 30% were definitely not interested; 23% were probably not interested; 19% said, “It depends on the country.” (Of the countries listed, Canada was the overall preferred provider; Russia was dead last – definitely an OUT of network provider!)Nicolet Bank also asked CEOs 1.) “Would you be more interested if a medical trip were combined with a business opportunity and; 2.) Would you be more interested if it included a vacation with spouse/partner. “The levels changed substantially,” Wegge said.**Contact Wegge for detailed analysis: 920.217.7738

How To Profit From Vacant Land Without Selling It | Livestock

O.K. so now you purchased that ideal piece of land that you always dreamed about. Perhaps you’re planning to build your retirement home there or maybe to take the family camping. Now what? The tax bills are going to start coming in and that could be a drain on your wallet. It’s not like rental property where you have an opportunity to generate some positive cash flow, or is it?If you give it some thought and you are willing to be creative, there are many ways to generate income from vacant land before you even sell it. Below I have listed several methods for generating excess income from your property depending on its size, location and topology.1) Billboard Advertising – If your property has good road access on a fairly well traveled road and local zoning law permit, you can contact a Billboard company and offer your land to allow them to erect a billboard. Such arraignments can generate monthly income while not taking up much of your property. Generally, you must commit to a certain amount of time for them to erect a new billboard. Google ‘billboard advertising’ in your zip code to get the particulars.2) Logging – If your property is wooded, you could allow a logging company to thin out some of the trees on your property and sell them for timber. There are usually restrictions on how large a tree must be before they will cut it for timber so you need not worry about your property being cleared of all of its trees. Generally, the logger does all of the work and splits the proceeds with you in the area of 60/40 with them getting 60%. Negotiate the best deal that you can before signing any contracts.3) Leasing your property to hunters – If you have a large enough parcel of land, hunters will pay you to allow them to use your property for hunting. This is usually restricted to certain time of the year so you will need to check local ordinances. You can go on the Internet and Google ‘gun clubs’ and hunter websites in your area and post an announcement on their site offering your land for hunting.4) Leasing your property to campers and/or ATV riders – Many free-spirited individual love the greater outdoors but do not have any property to enjoy. Consider putting a free advertisement on Craigslist or BackPage offering your property to campers, ATV riders, etc. I once found a local movie production company that had advertised on Craigslist that they wanted to lease some property to film a short movie outdoors. The duration was about three weeks and they were offering about $1000 for use of the land. I also found another ad where some former college buddies got together once a year to do some camping, drink some beer and play waffle ball. They didn’t really care for regular campgrounds and were willing to spend a couple of hundred dollars to for the use of some property just to get away from it all.5) Get paid to have a company remove your stone walls – There are companies out there that will pay you to come in and remove the stone walls from your property. Me, personally, I like stone walls, I think that they have character and I would never have mine removed but it’s an option.6) Lease some land to local farmers – Consider leasing some of your property to local farmers to allow them to grow vegetables in season. Or if you have enough property you might even consider allow them to grow a Christmas tree farm on your property. You can find local growers through your Chamber of Commerce or by search the Internet. There are usually groups that farmers join in local areas. You can also go to the local Farmer’s Market and discuss such arraignments in person.7) Leasing your property to raise livestock – Similar to leasing your property to local farmers to grow vegetables, you can lease your property to livestock farmers to allow them to raise livestock on your parcel. There are also agricultural tax exemptions for raising livestock on your property, check with your local government for more details8) Lease your property for windmills or cell towers – Leasing your property to a company to allow them to place windmills or cell towers on your land can be quite profitable. They take care of all of the details of building these structures and you end up getting paid a monthly rent for the privilege.9) Sub-divide your property – Depending on local laws, you may be able to sub-divide your property and sell off some smaller sections. This can allow you to still keep the bulk of your property while generating some cash and also reducing your tax bill.10) Storage Rental or parking – Place an advertisement in the local Penny Savers offering be allow someone to place a storage contain on your property for them to store their ATVs, boats etc. Quite often people from the city and suburbs enjoy coming out to the country for all that it has to offer but they don’t like having to haul their ‘toys’ back and forth every time. Allow them to place one of those Pod units on your property to storage theirs vehicles for their weekend outings and charge them a monthly fee for the privilege.11) Lease highway frontage to businesses -If your property is located on a busy roadway, the location might be desirable for a business to lease a portion of your parcel. Properties with good road exposure might lend themselves well for a gallery or studio, a farm stand or even a food truck.These are but a few of the many ways that one might generate income from land that they own. You are only limited by your own imagination so take some time and think outside of the box and I’m sure that you can come up with many more way to profit from your property. Good luck and shoot me an email me at [email protected] and let me know what unique ways you’ve come up with. For more ideas, visit us at http://www.CheapUSLand.com


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