You and I. We're not invited. As consumers or voters.

Oh sure, we, healthcare consumers and voters, are invited to sit back and watch. But we're neither invited nor allowed to participate in the conversations with the decision-makers.

The recent White House Summit on Healthcare Reform held in March invited all the experts who have built the current system or allowed it to persist. Each of these have vested interests, careers and incomes, attached to the current system.

Asking these same people to correct the system which they've allowed to be perpetuated on us is like asking your IT guys to change their processes that generate  their bonuses and salaries, perks and favors.

And to his credit, President Obama has held townhall type meetings with voters with some open Q & A.  For stagecraft, this was excellent. But those meetings were few in number, limited in duration and allowed questions to be asked, answers to be given and concerns forgotten in the face of the daily influence of those who've created our healthcare system.

Oh, sure. We can call our representatives. Some will even listen genuinely. The highest percentage would be the recent arrivals, the first-termers.

But when the healthcare industry can spend $1.3 million...per DAY... or roughly $20,000 per day per member of Congress, to lobby just our representatives in Washington... it won't be long before we're not invited and their listening becomes nothing more than a nod to us and a wink to their donors.

And in all fairness, would you vote against the hand that feeds you $20,000 a day in dinners, receptions, donations, pre-packaged stances, talking points, and more?

Oh. Those numbers are from 2008. Healthcare industry lobbying budgets are up over 40% this year.

Do you have an extra 40% in your budget to lobby congress? No? Oh, wait, we're paying for that increase in lobbying efforts with our higher premiums and higher pharmacy costs and higher co-pays or no-co-pays.

One of the fundamentals of growing a brand, building customer loyalty, generating word-of-mouth, lowering costs, delivering what's needed, innovating and marketing is... ask your customers.

The healthcare industry has asked their customers. It's Congress, they've asked. And it's each other they've asked. Their products, solutions, service are directed there, not here for us. That's the conversation they all are having. And we're not invited to that one.

But that doesn't make us victims. We have to find other forums to have our conversation and to force change that meets our needs. Fortunately, with social media we can have them.


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