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Policy. PowerPoint® Presentation. Tom Ricketts. The Point of this Presentation is that Rural Health Policy needs stewardship. The Point of this Presentation is that Rural Health Policy needs stewardship. Bonus Lecture. Welcome to Art Appreciation 101 fall semester, 2007.

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  1. Policy PowerPoint® Presentation Tom Ricketts

  2. The Point of thisPresentationis that Rural Health Policy needs stewardship The Point of thisPresentationis that Rural Health Policy needs stewardship

  3. Bonus Lecture Welcome toArt Appreciation 101fall semester, 2007 Professor Ricketts

  4. Real POWER The POWER to compel people toget on airplanes in August to come to Washington, DC—that’s real power

  5. Happy 23rd

  6. In the tradition of America’s first grant writer

  7. Franklin was proposinga totally new projectto a distant bureaucratin a faraway city withreally big buildings,fountains, and a largebureaucracy that ranthe place

  8. He got the funding! • But implementation met with serious problems, people fighting and arguing • The project didn’t meet its timeline • The outcome ended up being a conference in Philadelphia • The funder eventually lost interest—and his head

  9. Rural America:Big Politics

  10. Politics can be strange these days

  11. OMB’s New Micro-politan

  12. PARADIGM STICK

  13. Access vs Finance

  14. ?

  15. RICHPOORRURALURBAN

  16. Geographic Rate Ratio 2:1

  17. Regional Rates, all causes, black males Geographic Rate Ratio 4:1

  18. RURALITY•NONRURALITY AND HEALTH • How does ruralrelate to health • Is there somethingunique ABOUTNONURBAN health”

  19. Communities of need and communities of solution. Describing problems in terms of inequity and disparity tends to divorce communities of solution from the problem.

  20. The political economy of underservice …where need has value!

  21. HPSA Trends

  22. underserved

  23. Lots of little color-coded indicators

  24. Pointillist evaluation…how the big picture can look

  25. PART Assessments

  26. Fairness of outcomeversusfairness of process

  27. What did we want to happen then?How can we make that happen now?

  28. Stop Now!

  29. Setting Standards has consequences… Thomas Edison andGeorge Westinghousefought over whether to useAC or DC current in powertransmission…Westinghouse(AC) won because it was thought transmission would be over short distances

  30. AC is less efficient than DC and requires huge “high tension” wires to transmit“Paradigm Stick”

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