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This project was done as a pilot project of the Illahee Institute. There were four of us in our Participatory Design class who decided to take it on. We started by doing secondary research to become more familiar with the health care system, followed by primary research interviews with various stakeholders in the system. We went through a lot of work to decide at what level of detail we wanted to define our stakeholders, and then just started in trying to understand the relationships between them. Our final iterations are based on the maps that we made with participants in our workshop. Afterwards, we had the opportunity to share our maps with Wendell Potter and a group of key individuals in the health care system. We were given a positive response and gathered some ideas as to how we could take this project further in the future.
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Health care Working toward Affordability & Accessibility
The Problem
It is difficult to create change toward affordability and accessibility in the U.S. health care system because of its complexity.
Assumptions + Biases- It is complex
- There are numerous stockholders
- It is expensive
- A lot of people are unhappy with it
- It is always a political agenda
- It is confusing
- It is a big system
- Without insurance you are SOL
- It is a problem
-Our research and interviews within the health care system were heavily skewed by people working towards change, specifically single-payer health care systems -as a result, our systems maps and project research tend towards these viewpoints
Health Care System MapExamples
Health Care System MapExamples
Research
QuestionsWho are the policy changers/ decision makers?
What are they basing their decision on?
Who sets the prices for insurance and what are they
Based on?
Who do these people listen to?
Does or can the public have and say, and if so how?
What are the relationships between stakeholders?
The Facts● No industrialized country in the world has a health care
system like the U.S..● Most bankruptcies in the U.S. are from medical
emergencies.● Insurance companies are brokers with too much power● Massachusetts' health care reform has 96% of the
population covered, but it has not solved their problems.● Reform in Vermont will transform their health care into
a single payer system.
System Maps
System Maps
System Maps
Workshop
PARTICIPANTS
Michael Hillis Activist from Lights on Healthcare Richard Bruno Medical Student at OHSU and president of Mad as Hell Doctors Student Chapter
Don Harker Author, Birdwatcher, Epiphany Expert, and PNCA Collaborative Design Supermentor
Workshop
Workshop
Workshop
Final Maps
Final Maps
Final Maps
Final Maps
Matrix
Next stepsFurther develop system maps for providers and policy makers toward creating cohesion amongst progressives. ● Pharmacy-Insurance● Doctors-Hospitals
● Pharmaceuticals-Insurance
Next stepsCreate a campaign using strategic language for single-payer health care.
Next steps