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Augie In Action! Augie In Action! - Ihrsa

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and its Wharton School of business.<br />

What prompted you to do that?<br />

MO: The reason I wanted an MBA was<br />

because I wanted to understand healthcare<br />

finance. Even then, back in the early<br />

’80s, I recognized that we were going to<br />

face major challenges in terms of how<br />

we were going to pay for healthcare in<br />

America. I saw bureaucrats taking ownership<br />

of the problem; and I felt strongly<br />

that someone who actually took care of<br />

patients should understand enough<br />

about the business of medicine to be<br />

able to offer some sensible insights and<br />

viable solutions. The distinction between<br />

a medical and a business degree<br />

involves vocabulary, knowledge, and<br />

cultural issues; you evaluate and think<br />

about matters quite differently. So, now,<br />

when I’m giving advice to someone<br />

who’s thinking about the healthcare<br />

challenges facing this country, I understand<br />

concepts such as net present<br />

value or the value of a dollar today vs.<br />

tomorrow—I understand the actual<br />

market forces that are involved.<br />

CBI: Given the fact that you’d like<br />

to play some sort of role in reworking<br />

the healthcare system—what<br />

do you think needs to be done?<br />

MO: First, everyone has to have insurance.<br />

We need to have affordable healthcare<br />

for all. I’m not going to suggest, at this<br />

point, how we should pay for it, although<br />

I do have some ideas on the subject. But<br />

everyone has to be in the system. When<br />

a person is outside of the system, they<br />

actually wind up costing the system a<br />

lot more. An uninsured patient is like a<br />

rudderless ship coming into dock—it<br />

smacks into things and wreaks havoc.<br />

The collateral damage is unacceptable<br />

and unaffordable.<br />

Once everyone is in the system, we<br />

need a health-information system that<br />

allows us to be smarter patients and<br />

| CBI <strong>In</strong>terview |<br />

smarter doctors. Then, when I see a<br />

patient, the information about that visit<br />

will be collected and saved so that other<br />

doctors, down the road, can figure out if<br />

I did the right thing and, more importantly,<br />

determine whether it’s going to work<br />

for their patients.<br />

CBI: What sort of synergy, if any,<br />

is there between the work you’re<br />

doing and the goals that IHRSA<br />

and its member clubs are<br />

striving toward?<br />

MO: It’s huge! Bottom line: IHRSA is<br />

all about getting folks to recognize and<br />

accept the roles they have to play in<br />

order to enhance and ensure their own<br />

health. IHRSA is saying that, if you want<br />

to get in good physical shape, you have<br />

to show up at the gym. And that’s true!<br />

HealthCorps, and virtually all of the<br />

other activities that I’m involved in,<br />

are communicating very much the<br />

same message. —|<br />

Visit us at IHRSA 2008, Booth #3548<br />

www.ihrsa.org | MARCH 2008 | Club Business <strong>In</strong>ternational 55

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