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November 18, 2021
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David W. Johnson John Zam
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Dispatches

Healthcare Over the Rainbow (Part 1)

Inspiration is ephemeral and unpredictable. It often bubbles below the surface before busting into our consciousness. The origins of this month’s 4sight Health song testifies to inspiration’s serendipity.

On September 28th, my consultant friend Jon Kaplan and I published a long-form commentary titled “Healthcare’s Transformative Digital Bazaar.” Jon and I worked on the article for over six months with 4sight Health’s Storyteller-in-Chief Keith Hollihan. 

Our article initially detailed the development of digital healthcare platforms. Over time, it morphed into an intricate exploration of the economic synergies linking digital exchanges (think hotels.com) with digital platforms (think Marriott Bonvoy). Hybrid exchange-platform companies also have evolved within the broader marketplace. Apple and Amazon are examples.

I’ve always believed that good writing leads to good thinking. Insights emerge through the writing process, particularly a collaborative one. Jon pushed us to think more deeply about exchanges. Keith loved the Turkish bazaar analogy. He also pushed us to include the hybrid discussion. I zeroed in on the differences between B2C and B2B healthcare exchange companies.

Our “Digital Bazaar” article needed a subtitle. One day, “Exchanges, Platforms and Hybrids, Oh My!” popped into my head. It was a winner.

The article’s subtitle is a clear riff on the timeless chant, “Lions, Tigers and Bears, Oh My!” from “The Wizard of Oz.” Nervous Dorothy, Tin Man and Scarecrow repeat the phrase as they pass through the Enchanted Forest on their way to the Emerald City. This chant foretells their fortuitous encounter with Cowardly Lion.

The subtitle inspired this month’s 4sight Health song, “Healthcare Over the Rainbow.” It parodies Dorothy’s (Judy Garland’s) iconic “Somewhere Over the Rainbow” from the “The Wizard of Oz.”

There’s a reason this 1939 song has lasted through the decades. It’s a wistful and soulful lament for home and family that crashes into the human reality that we never truly return home. Dorothy’s song is sad but also hopeful.

We’ve tried to capture all these emotions in “Healthcare Over the Rainbow“— our yearning for a healthcare system that is fair, just and affordable; our recognition that such a system, if possible, is a long way off; and our hopeful determination to make it a reality. The last two stanzas make this plain:

Is better healthcare just a fantasy?
If other places have it,
Why then, oh, why can’t we?

Long health spans would be heavenly
Can’t we make them a reality?
Oh please, oh please can’t we?

You can listen to Jon Zam (4sight Health’s Piano Man) perform “Healthcare Over the Rainbow” here. Enjoy!

Although the “Wizard of Oz” was a children’s story, it’s replete with political and economic allegory from the 1890s that has applicability to U.S. healthcare today. We’ll explore that theme in Part II of this Dispatch.

As you’ll see, “Oz never did give nothing to the tin man that he didn’t, didn’t already have.” That’s another song for another day. Stay tuned!

Listen to the song here. Read the lyrics here.

Read all dispatches from Dave Johnson here.

Check out all the 4sight Health songs here.

About the Authors

David W. Johnson

David Johnson is the CEO of 4sight Health, an advisory company working at the intersection of healthcare strategy, economics, innovation. Johnson is a healthcare thought leader, keynote speaker, and strategic advisor to organizations busting the status-quo to reform our healthcare system. He is the author of Market vs. Medicine: America’s Epic Fight for Better, Affordable Healthcare, and his second book, The Customer Revolution in Healthcare: Delivering Kinder, Smarter, Affordable Care for All (McGraw-Hill 2019). As a speaker, Dave plays the role of rebel, challenger, industry historian, investor and company evaluator to push audiences forward. (Watch bio video.) Johnson applies his 25+ years of investment banking in healthcare to identify ways the healthcare industry must change to deliver better care. He received a Masters in Public Policy from Harvard Kennedy School, an English degree from Colgate University, and served in the African Peace Corp service. Join over 10k+ healthcare executives who read our weekly insights and commentary on www.4sighthealth.com. His third book, Less Healthcare, More Health: The Prescription for a Happier, More Equitable and Productive America, will publish in 2024.

John Zam

John is our favorite piano man, a consummate entertainer with a fabulous voice and incredible piano skills. He’s a lifelong Billy Joel enthusiast, and well-versed in the beloved piano bar repertoire from the 70s and 80s, with virtuosity in all genres: classic rock, the Beatles, Broadway, standards from the great crooners, country, and today’s hits. John entertained Chicago audiences for more than 20 years at the famed Redhead Piano Bar, other intimate entertainment spaces, luxury hotels and restaurants, and is based in Florida now. His shows are personal, he loves requests, and can make anyone feel special with a favorite song.

At 4sight Health, music is one of our cultural touchstones, an entrée into serious, even wonky concepts. As our troubadour, John brings to life David Johnson’s alternate lyrics to well-known songs. We don’t take ourselves too seriously! Listen to them all here.

John studied music at Northwestern University, and pivoted his communication degree and PR work to performance. Original artists from Billy Joel to Metallica have complimented him on his live covers of their songs and he’s been covered in the WSJ, Chicago Tribune, Chicago Sun-Times. After decades of Chicago winters, he headed south to Miami, writes original music and performs in southern Florida, with occasional appearances at his Chicago haunts.

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