The U.S. Medicare's financial health is in dour straits.  Worse, it can no longer keep up with the demand spiral, especially as the population ages and pension benefits skimp on health care coverage. "Some would replace it with vouchers that seniors could use to purchase private coverage. Others suggest upending the current payment system by inverting volume-based incentives, offering instead profits to organizations that limit utilization."  Experience has amply proven that these suggestions are Draconian, but not remedial.

"We are not an overweight-obese nation just because we drink sugary beverages. We are obese and overweight from self-medicating with sugar, starch, alcohol, tobacco and other forms of serotonin increasing, anxiety decreasing substances because we live in a psychological culture that deprives us of essential social nutrients such as respect, dignity, being listened to and valued as human beings." Donadio G.[the author of "Changing Behavior."] ”Banning Supersize Sodas Isn’t the Answer." 

Where are women on the health care information highway where four critical crossroads must intersect: information technology (I.T.) including health care informatics, total quality management to the objective of better patient outcomes, restoring equity in access and always enhancing value (the cost vs. quality debate)?  In my opinion, these questions represent the infrastructure of, for lack of a better term, "managed care."  What to we lose without the perspective of women?  Will we be less able to protect the ethics of medical business practices?