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SXSW 2019

Health Care: Meet the American Dream

I will present the Dream Plan, my concept for transforming the American health care system based on the principles of the American Dream. Instead of paying third parties, like insurance companies and the government, Americans would contribute money into individual investment accounts (called Longitudinal Health Care Plans or LHCPs) to fund their health care expenses over the course of their lives. Data from a genetic analysis, behavioral attributes and socio-economic factors would be collected to predict an individual's health care conditions. An investment strategy would be developed to ensure that individuals save for their care needs. Those who cannot afford an LHCP would default into a public health program. Everyone would have health coverage in the Dream Plan.

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  1. An understanding of how advances in genetics and AI will predict future health care needs, making traditional health insurance obsolete.
  2. Why popular ideas about how to transform health care, such as a single payer system and value-based care, will never work.
  3. An appreciation for the cultural and financial imperatives that are driving the need for more personal accountability in health care.



Janis Powers, Director, Powers Enterprises LLC

Meta Information:

  • Event: SXSW
  • Format: Book Reading
  • Track: Health & MedTech
  • Level: Advanced
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