Archive for 2014

NEW FRONTIERS IN AUTOMATION: A Drug-Dealing Robot That Upends the Pharmacy Model.

For all the emphasis on design in the business world, there are entire classes of objects and experiences that feel stuck in time. Take a trip to the pharmacy—you wait in line, peruse the latest celebrity scandal in US Weekly, ponder whether peanut M&M’s purchased at the pharmacy count as health food, and pray that no embarrassing instructions accompany your meds.

A startup pharmacy called PillPack hopes to change this archaic process. For $20 a month, PillPack will deliver prescription drugs to patients with the efficiency of Amazon Prime. Pillpack came to life thanks to a new incubator program at the famed design consultancy IDEO and the core of their service is a small blue box that organizes all of your med into “dose packets,” little plastic baggies marked with the date and time they’re to be taken. A jumble of amber bottles are replaced by an efficient to-do list made of drugs.

This simple innovation makes life easier for seniors who can be a bit forgetful and have difficulty with bottles. Younger patients with active lifestyles and chronic diseases can just pull as many packets as they need and go. The trail of empty packets means there is never any doubt about missed doses, and each order comes with a custom infographic that shows a full color picture of each pill, explains what it does, and clarifies any special instructions. Ointments, inhalers, and other non-pill products are included in the box as well. All told, PillPack means you’ll never have to help your grandma sort pills into a tacky day-of-the-week organizer again. . . .

The technical backbone of PillPack is a suite of drug-dealing robots. A large, beige machine in PillPack’s New Hampshire office is filled with a cornucopia of curatives which are dispensed into the plastic packets. The strip of dose packs is then fed through another robot that reviews each plastic packet for quality control purposes before a team of pharmacists double check the prescriptions and send them off to patients.

Robot dispensers aren’t new, but this business model is.

A HERCULEAN AND SISYPHEAN TASK: Supplying the Information Required by Law: Directing the Federal Government to Identify All Federal Criminal Laws.

The American legal system has always presumed—often incorrectly[3]—that every person knows every criminal law. In fact, no one—no police officer, no prosecutor, no judge, and no law professor—knows all of them.[4] One reason why this problem has existed is that there is no compendium of all federal criminal laws that a person—or a lawyer—could turn to when issues arise.

In the past the Justice Department and the American Bar Association (ABA) separately attempted to prepare a list of federal offenses. Neither the Justice Department nor the ABA succeeded, no other component of the executive branch has picked up the baton since then, and no comprehensive, easily accessible list exists today.

This, it seems to me, makes the criminal law itself a due process violation. But then, I’ve written on this before.

REASON TV: Police Shoot, Kill, 80-Year-Old Man In His Own Bed, Don’t Find Drugs They Were Looking For.

Deputies approached the house, and what happened next is where things get murky. The deputies said they announced their presence upon entering and were met in the hallway by the 80-year-old man, wielding a gun and stumbling towards them. The deputies later changed the story when the massive bloodstains on Mallory’s mattress indicated to investigators that he’d most likely been in bed at the time of the shooting. Investigators also found that an audio recording of the incident revealed a discrepancy in the deputies’ original narrative: Before listening to the audio recording, [Sgt. John] Bones believed that he told Mallory to “Drop the gun” prior to the shooting. The recording revealed, however, that his commands to “Drop the gun” occurred immediately after the shooting.

No-knock raids should be executed at the government’s peril, and only when someone’s life is reasonably believed to be in immediate danger.

MEGAN MCARDLE: ObamaCare’s Missing Numbers.

The number 3.3 million represents people enrolled in a policy, not the number who have paid for their premiums. Most of the reporting — which comes from insurance industry sources — suggests that about 80 percent of those who signed up have actually paid the first month’s premium. That would put actual enrollees at more like 2.64 million. The administration now seems unlikely to hit the Congressional Budget Office’s projection of 6 million total enrolled (and paid). If enrollment and payment continue at January’s pace, they will end up under 4.8 million. That’s not necessarily the most likely outcome: We could see a surge in March, like the one we got in December. But it’s a real danger.

The demographic mix isn’t improving as hoped. In order to maintain an actuarially sound pool, and keep premiums down, the exchanges were supposed to have 40 percent of their customers between the ages of 18-34. The demographics slightly improved in January, but young adults still make up only 25 percent of the market.

A lot of people are getting subsidies — as expected. About 80 percent of the folks who bought policies on the exchange so far were eligible for subsidies. That seems high, but it’s roughly in line with estimates from the CBO, which showed six out of seven enrollees getting at least some subsidy from the federal government.

We still have no idea how many of these people previously had insurance. If the administration knows, it is not sharing those numbers with anyone else.

I think if the numbers were good, they’d be sharing.

TRAIN WRECK UPDATE: California takes down online health insurance exchange for small businesses. “The nation’s most populous state has elected to temporarily shutter its new online health insurance marketplace for small business only four months after it launched, dealing yet another blow to a key element of the health care law meant to lower costs for employers. . . . The portals were meant to curb rising health care costs for small businesses by increasing competition among insurers. The White House has said they are intended to allow employers to purchase insurance with the same ease as buying a flight on Web sites like Expedia or Priceline — but in most states, it has not panned out that way yet.”