tag:blogger.com,1999:blog-33624074055174948402011-11-27T20:21:24.866-05:00Official web-log (blog) of the inventors of Medical Onshoring (a patent-pending process - App. No. 20090112622, 12/255,711). Dedicated to affordable, high-quality surgical medicine ($300B USA market) -- in Indian Country, Rural America, the USA & worldwide. Authentic health care professionals with deep knowledge of patient needs. "BETTER HEALTH CARE -- HIGH STANDARDS -- MORE AFFORDABLE"C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.comBlogger401100tag:blogger.com,1999:blog-3362407405517494840.post-79137429296074324792010-01-06T10:54:00.005-05:002010-01-06T11:02:26.210-05:00

As the inventor of Medical Onshoring, I have been frequently asked about the impact of the Bilski decision.My answer: upon information, research and belief, I believe my Medical Onshoring patent application will survive all challenges. For the following reasons: 1. Ultimate defense -- never proposed before, according to the patent search. No prior art. Novel, non-obvious, and useful. Builds new

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-8956237352757779542009-07-23T18:26:00.004-04:002009-10-17T11:50:56.075-04:00

Bill George, former Chairman and CEO of Medtronic and now a professor at the Harvard Business School, thinks he knows the answers.George lays out the elements of "authentic leadership" in his book of the same name. They are:"(1) pursuing purpose with passion: Authentic leaders must first understand themselves and their passions;(2) practicing solid values: values are personal, but integrity is

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-11279595205680582612009-07-16T12:23:00.001-04:002009-07-16T12:24:59.789-04:00

Hmm ..WASHINGTON, D.C. -- While domestic healthcare costs are expected to increase to an estimated 21% of GDP by 2010, some Americans may be interested in taking their healthcare spending elsewhere. A recent Gallup Poll finds that up to 29% of Americans would consider traveling abroad for medical procedures such as heart bypass surgery, hip or knee replacement, plastic surgery, cancer diagnosis

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-52381604059087983052009-07-16T12:21:00.001-04:002009-07-16T12:22:19.041-04:00

The AMA advocates that employers, insurance companies, and other entities that facilitate or incentivize medical care outside the U.S. adhere to the following principles:(a) Medical care outside of the U.S. must be voluntary.(b) Financial incentives to travel outside the U.S. for medical care should not inappropriately limit the diagnostic and therapeutic

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F.U.D. -- fear, uncertainty, doubtGalichia Heart Hospital in Wichita, Kan., recently decided that it could break into a market monopolized by overseas hospitals—and offer high-quality, more-convenient care to patients.In conducting research of medical tourism options in other countries, “we visited hospitals in Singapore, India and the Philippines—the biggest areas drawing Americans,” says Steve

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-79713052676136381032009-07-14T12:42:00.002-04:002009-07-14T12:45:55.245-04:00

A start-up's life is never dull. On the sales call-list this week --Major SE tribeMajor SW tribeMajor GP tribeMajor provider in IndiaMajor provider in ThailandMajor provider in South Korea

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-90518659445103167732009-07-14T12:35:00.005-04:002009-07-14T13:01:34.346-04:00

Today's news: one of the USA's largest, most-trusted member-organizations has agreed to review Medical Onshoring (patent-pending) for usability. If given a positive review, insurers (e.g., Blue Cross/Blue Shield) and venture capitalists would be suitably impressed.

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-45292646026946991682009-07-02T19:39:00.004-04:002009-07-02T19:45:56.954-04:00

In my patent application for Medical Onshoring, I cite the work of Mother Teresa and C.K. Prahalad in India. I'm not a genius -- I just try to use common sense.BTW: about the WSJ's concern that being one S.D. from mean is issue -- getting no treatment is right off the chart.Can cost-effective health-care measures that have worked in poorer countries be applied to in the U.S.?That’s the question

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-48594868327028977142009-07-01T19:57:00.001-04:002009-07-01T19:59:44.379-04:00

Some of the shibboleths we've heard in recent weeks don't make much sense.The health-care debate continues. We have now heard from nearly all the politicians, experts and interested parties: doctors, drug makers, hospitals, insurance companies, even constitutional lawyers (though not, significantly, from trial lawyers, who know full well "change" is not coming to their practices). Here is how one

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-41625099471788819802009-06-18T15:42:00.007-04:002009-07-01T19:57:10.893-04:00

If there had been a Twitter from M/C Day 1 (October 1950), it might read like this --Day 1: One donor. Two souls.After twenty years as a teacher and principal at a Catholic girls high school in Calcutta -- neat, clean, professional middle-class -- Mother Teresa had a vision. A vision to serve the "poorest of the poor," in a world where human waste runs down streets to open sewers (think "Slumdog

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-5898903028960632452009-06-18T09:05:00.006-04:002009-07-02T19:52:39.878-04:00

Per previous, once upon a time, someone whom I befriended volunteered for a year with Mother Teresa in Calcutta. I supported those efforts with many in-kind services (e.g., fund-raising, donations).How was "Mom T" able to work in 100 countries, some of them Communist and anti-Catholic?What I learned: she focused on hospice work. She did not make political statements, or criticized anyone, which

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-65447234813731076132009-06-07T14:04:00.003-04:002009-07-02T19:49:46.382-04:00

A cautionary note ..Because Congress has passed bill after bill on Obama's wish list and because Democrats hold overwhelming majorities in both the House and Senate, some may think there can be no repetition of the fiasco of 1993-94, when Bill and Hillary Clinton saw their effort at health-care reform die without a whimper. Insiders know better. Last week, I went to see the four top officials of

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-28362460206289668832009-06-06T15:21:00.004-04:002009-07-02T19:48:30.913-04:00

My family served the Cree community as accountants, pre-gaming. What we learned:Shared spirituality -- different, yet shared.Working together - fairly, forthrightly.A love of nature.Self-governance -- as a separate, unique national entity that works cooperatively with other such entities.Awareness of the global community and the need to work together.Respect and forthrightness with others.

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-50860353385614795992009-05-03T12:34:00.004-04:002009-07-02T19:47:34.963-04:00

What I gleaned from Cleveland Clinic's CEO about performance standards: either you're doing top-level work and giving 100% -- or you're preparing to leave.And he points that goal at himself: Tensions are so high that when Clinic leader Delos "Toby" Cosgrove was asked recently about possible layoffs, he responded passionately, banging his fist on the table. "We have agonizingly thought this

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-55368123009530742932009-05-03T10:37:00.003-04:002009-06-18T17:48:47.407-04:00

At uspto.gov --http://preview.tinyurl.com/chien-usptoAs PDF --http://tinyurl.com/coxare

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-55633394559602069342009-04-05T15:19:00.000-04:002009-04-06T09:32:24.155-04:00

In a nutshell -- with most of the goals outlined in Porter & Olmstead-Teisberg's 2006 book on health care --http://harvardbusinessonline.hbsp.harvard.edu/b02/en/common/item_detail.jhtml;jsessionid=WMYRKFHW0JUE2AKRGWDR5VQBKE0YIISW?id=7782&_requestid=128898The U.S. health care system is in crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-72428572081328657232009-03-10T13:04:00.007-04:002009-04-02T07:56:30.553-04:00

What kind of professionals are needed for Medical Onshoring (patent-pending)?Oh .. like these guys .. from the HBO movie "Taking Chance" .. professionals for whom "responsibility" and "honor" are more than legal theories.

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-89296901500841488672009-03-04T19:20:00.001-05:002009-04-02T07:58:41.735-04:00

An important step towards Medical Onshoring (pat. pend.) ..Once upon a time, someone whom I befriended volunteered for a year with Mother Teresa in Calcutta. My friend's letters were very gripping -- how, at the moment of death, the very great and mutual gratitude between patient and caregiver that fairly glowed. Pretty intense stuff. (And yes, Calcutta was like the Mumbi of "Slumdog Millionaire"

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-5038767814664763512009-03-04T19:19:00.012-05:002009-04-02T10:17:16.419-04:00

As the inventor of Medical Onshoring (patent-pending), one of the first questions I get is, "what about the Indian Health Service (IHS)?"My response: "I welcome them as a partner in trying to make health care worldwide better. We're national -- IHS is local. We should work together, not at cross-purposes."Plus -- I've already improved conditions for IHS (see following).MedOn (pat. pend.) began as

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-7297604560584678402009-03-04T19:18:00.004-05:002009-04-19T18:16:35.551-04:00

Why Medical Onshoring (patent-pending)?Consider the existing alternative -- the $2.4T (trillion) U.S. health care system.High costs, putting tremendous financial strain on patients, families, employers, health plans/payors, providers, and taxpayers.Uneven coverage and quality -- even with single-payer groups like VA.Ruinous medical-malpractice costs, driving up (1) costs and (2) resulting in

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-1743791025211501762009-03-04T19:17:00.000-05:002009-04-06T09:31:51.798-04:00

What makes Medical Onshoring (patent-pending) so promising is the goal of restraining runaway medical-malpractice costs and defensive medicine, via special rules and regulations that call for prompt and reasonable compensation for the very rare medical error and mandatory arbitration. The alternative? Read the following ..Xiao Xu, a research investigator in the University of Michigan Health

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-66182550984985105702009-03-04T19:10:00.004-05:002009-03-20T19:54:57.361-04:00

Will "universal health care" solve the USA's medical-care crisis?Hmm .. consider these case studies ..Case 1: Bill Clinton. An MD on duty, 24x7 between 1992-2000. In 2004, has to be rushed to heart surgery. Hecka' job, universal healthcare.Case 2: David Letterman. Medical/health insurance for a multi-millionaire. In 2000, emergency heart surgery required.Case 3: Tim Russert. Medical/health

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-84078858422776576172009-03-04T18:19:00.004-05:002009-03-04T18:23:14.715-05:00

" .. In this relatively favorable scenario, we may follow the path recently sketched by Federal Reserve Chairman Ben Bernanke, with the economy recovering by 2010. On the other hand, the 59 nonwar depressions in our sample have an average duration of nearly four years, which, if we have one here, means that it is likely recovery would not be substantial until 2012. "Given our situation, it is

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-17129189813646001102009-03-03T18:47:00.000-05:002009-03-19T18:57:46.584-04:00

http://www.economist.com/research/Economics/alphabetic.cfm?letter=M#moralhazardMoral hazard One of two main sorts of MARKET FAILURE often associated with the provision of INSURANCE. The other is ADVERSE SELECTION. Moral hazard means that people with insurance may take greater risks than they would do without it because they know they are protected, so the insurer may get more claims than it

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-62574846225112762972009-03-03T15:37:00.005-05:002009-03-04T09:43:18.768-05:00

From his most recent shareholders' letter --The sub-prime SNAFU/FUBAR was so bad, "strong and immediate action by government was essential last year."All the government bail-outs makes inflation likely."Moreover, major industries have become dependent on Federal assistance, and they will be followed by cities and states bearing mind-boggling requests. Weaning these entities from the public teat

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-50272525924678349952009-03-03T14:14:00.000-05:002009-03-15T14:22:29.599-04:00

Much has been made about the cost of medical care and "the benefits of medical tourism." Well, to quote an old professor -- "it is a little more complicated than that."The price/cost? That's getting easier to find. Here's the reported cost of a heart transplant --http://wiki.answers.com/Q/How_much_does_a_heart_transplant_costIs that enough?Of course not. So many other factors -- pre-surgery, your

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-24432541514956722012009-02-26T07:05:00.002-05:002009-02-26T07:09:11.022-05:00

Stocks were tumbling last fall as the new school year began, but at Harvard University it was as if the boom had never ended. Workers were digging across the river from Harvard's Cambridge, Mass. home, the start of a grand expansion that was to eventually almost double the size of the university. Budgets were plump, and students from middle-class families were getting big tuition breaks under an

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-46089484268411280922009-02-25T20:15:00.005-05:002009-02-27T09:52:58.317-05:00

"Life is hard," wrote M. Scott Peck, M.D.SHEESH! No kidding! Just a year ago, so many things seemed possible. Now -- VC for bio-tech appears lifeless.But yesterday, an MBA/JD of the HSW variety (Harvard-Stanford-Wharton) said "for the right opportunity, there's still capital. If the opportunity is big enough."Medical Onshoring (patent-pending) is my mission in life. With a budget as large as the

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-54345174948537197572009-02-17T21:07:00.001-05:002009-02-17T21:10:40.255-05:00

What goes around, comes around ..Lawmaker Urges Regulation Of Dental Restorations To Protect Patient Safety21 Feb 2008 Florida Rep. Stan Jordan, R-Jacksonville, announced that he has filed legislation backed by the Florida Dental Laboratory Association to implement more stringent regulations to protect patients receiving the dental restorations affixed into the mouths of millions of Americans

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The story that helped kick-start "medical tourism" ..In 2004, at the age of fifty-three, self-employed contractor Howard Stabb learns that a leaking mitral valve in his heart needs to be repaired. Left untreated, his doctors tell Stabb, his condition may kill him at any moment. The procedure to repair the heart valve costs at least $200,000 at the Durham Regional Hospital near Stabb's North

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-41263063860279695342009-02-17T12:11:00.004-05:002009-02-17T12:19:37.816-05:00

Under "statistics, damn statistics and lies" ..http://travel.nytimes.com/2006/10/15/business/yourmoney/15care.html?sq=thailand%20hospital&st=nyt&scp=4&pagewanted=printIn Bangkok, Bumrungrad International Hospital counts 55,000 American patients a year.McKinsey & Company's report on medical tourism, using a very rigorous, very conservative data-approach --http://www.mckinseyquarterly.com/

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-44732719384510978122009-02-17T11:59:00.003-05:002009-02-17T12:02:26.642-05:00

America's best in Israel .."No, No , No" exclaimed Michael Porter, chastising the Associate Director of a major medical center in Israel, "You have to raise your hand." Such blatant breaches of HBS etiquette were relatively frequent over the course of the week long IXP, which drew a wide range of participants, many of whom were unfamiliar with the peculiarities of the typical HBS classroom.The

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-71903838918093163702009-02-17T08:56:00.005-05:002009-02-26T08:53:58.636-05:00

In a terrorist attack -- not even a hospital is off-limits --http://en.wikipedia.org/wiki/Cama_HospitalThe 2008 Mumbai attacks were ten coordinated terrorist attacks across Mumbai, India's financial capital and its largest city. The attacks, which began on 26 November 2008 and lasted until 29 November, killed at least 173 people and wounded at least 308. The attacks drew widespread condemnation

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-21130555159969332792009-02-17T08:23:00.012-05:002009-03-01T12:40:19.435-05:00

AN EDITORIALSince the Dutch "tulip bulb" bubble of the 17th century, many speculative bubbles have exploded in the faces of the oh-so-smart. After Enron, Fannie Mae/Freddie Mac -- will U.S. medical costs be next?IMHO, the rate of growth of USA medical costs is unsustainable. Left unchecked, with the aging of the baby-boomers, it could grow to 35% of U.S. GNP (now 16%). How can the "stimulus" be

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-24680308786468109432009-02-13T11:45:00.002-05:002009-02-13T11:49:26.542-05:00

U.S. Patent & Trademark Office (USPTO) has notified yours truly that the patent application of Medical Onshoring (pat. pend.) is scheduled for publication on the USPTO web site on 4/29/09.

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-15557984529649161922008-10-27T21:20:00.002-04:002008-10-27T21:25:10.965-04:00

Hello! It's a been a busy few months, being CTO, CEO, CFO and CBW (chief bottle-washer).Best of all, last week, in a teleconference, the U.S. Patent Office voiced no immediate concerns about Medical Onshoring's patentability.I sought patent protection for a number of reasons: to get credit for being the first-to-invent; to ensure quality; and, hopefully, recover the enormous amount of capital

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-24113359779520441392008-05-27T17:35:00.004-04:002008-05-27T17:40:04.626-04:00

Hello, and thanks for your comments. As they say, the artist needs the audience ..About the Alaskan dental therapists serving Alaskan Natives -- I believe that is a function of the Indian Health Service. Which, by treaty, serves Native American Indians.About contacting the AARP -- GREAT IDEA. THANK YOU!

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-69269714348192384412008-05-19T16:42:00.009-04:002008-06-22T15:16:37.720-04:00

Hello, everyone,I'm the subject of this blog-post --Medical Onshoring?A few follow-up points:* About "Medical Tourism" --http://en.wikipedia.org/wiki/Medical_tourism* McKinsey & Co. on medical tourism --http://www.mckinseyquarterly.com/article_abstract_visitor.aspx?ar=2134&pagenum=1* Shameless Commerce note: the "Medical Onshoring" process is patent-pending and under review by a variety or

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-1858644078515170122008-05-15T08:55:00.004-04:002008-05-18T20:07:49.992-04:00

Hello, everyone, I'm the subject of the story.http://minotdailynews.com/page/content.detail/id/515197.htmlVery competent work on the story, based on my nationwide experiences.Follow-on points:(1) Indian gaming pioneers were arrested by California state officials; ultimately, tribal sovereignty was affirmed by the U.S. Supreme Court.http://library.findlaw.com/1999/Jan/1/241489.html(2)

C.A. Chien, M.B.A.http://www.blogger.com/profile/04976586812019457705noreply@blogger.com0tag:blogger.com,1999:blog-3362407405517494840.post-62769442686285340502008-05-15T08:50:00.002-04:002009-02-26T10:58:29.926-05:00

May 10, 2008 – IMMEDIATE RELEASE:Special to Minot Daily NewsFORMER MINOT TELEPHONE CONSULTANT FILES PATENT APPLICATION FOR AFFORDABLE HEALTH CARE – “MEDICAL ONSHORING” – WITH U.S. PATENT OFFICECHAPEL HILL, N.C. (May 10, 2008) – Cl. Alex. Chien, formerly a rural economic development staffer with RochesterTel (former owners of Minot Telephone Co.) this week filed a patent application for a

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