"Give me a lever long enough, and a fulcrum strong enough, and single-handed I can move the world." - Archimedes Martin Jensen makes commentaries on real issues, or at least interesting essays. Banality filter is on.


Oh, and I thought I was so clever thinking that blogging on HIPAA hadn't been done. Then I found this guy named Jeff Drummond, an attorney down in Dallas, whose hipaablog has been up for well over a year. He concentrates on privacy, but he seems to know a train wreck when he sees it.
Six Degrees of Bloggeration
So I put a message out to someone I met during my blog apprenticeship. "I want to blog to save healthcare. What should I do?" He not only gives me great advice, he references me in a blind link. Talk about trust.

He's a pretty popular guy, and he drives traffic up to my site by, well, I'm not sure how much, because I just got the hit counter installed on the day I sent him the message. But a lot.

Meanwhile, I give him his props by commenting on his blog, and ask for some help, too. Some guy with all the right background comes out of nowhere (blogwhere?) and offers his expertise. Turns out, he lives 1500 miles away, but the little girl I saw grow up and move away from Tulsa had a baby in his wife's birthing center in NYC. The baby was born very sick, but is well now, thanks to the care he received there. For all I know, his wife helped save the life of my best friend's first grandchild, and now he is offering to help me.

Life is good. Now if I could just get my archives to reappear.


Idle blogging. I started this blog nearly two years ago, calling it "fulcrum" based on the ancient Greek saying, "Give me a fulcrum strong enough, and a lever long enough, and I will single-handed move the world." Well, I fell from the Blogosphere, but I never lost sight of that concept. I've been walking along with my lever looking for a fulcrum to wedge it into. Here is what I came up with:

The HIPAA EDI Train Wreck

See, I belong to this odd group of techical/medical/business persons who understand that HIPAA is not just about privacy, it's about remaking the way that healthcare insurance transactions are conducted. Big deal, eh? Well, it is when you realize that one-seventh of the US economy is built on those transactions. And that the rules they came up with are flaky enough, yet strict enough, to make the whole segment fly off the tracks in October.

I've made my living for twenty years asking stupid questions. See my "Generalist Rant" somewhere on this site. When I started asking stupid questions, I started getting scary answers. That's the way, sometimes. When I started working with all these scary answers, I realized I needed to explain it to people outside the (relatively) small, specialized community I was working with. So I wrote a paper The Looming Financial Crisis in Healthcare: A Management Analysis of the Scheduled October 2003 "HIPAA Train Wreck."

Today, some people from the government got on a conference call and said they couldn't do anything -- the law required the train to wreck. But they published something quite different. It said the tracks could run in parallel -- old format and new, until everybody could make the new format work. I don't know if I had anything to do with it. I may never know. That's the way, sometimes.

I just keep sticking my lever under likely-looking rocks.

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