Added 8/6/15

This letter is to put forth a suggestion to convene a meeting involving two professionals each from the academics and industry representing the two groups (for and against) along with two representatives from Northwestern University & University of Chicago.

I have collected extensive amount of data, and would like to work with this team to identify an amicable solution that will make the healthcare offerings progressive, and captures as many people as possible, even those (around 42 million) who are not currently insured without compromising on quality of healthcare and jobs for the citizens of the country.

On a side note, if I were to be given this opportunity to lead, my first recommendation would be to remove the name "Obamacare" (if President would not mind considering this suggestion), and come up with a common name that will bring both the groups together. Using a name of the person to address a system that captures 320 million is not a great idea, and the strategist who came up with this idea should consider taking a strategic management class. Northwestern University has some quality professional certificate courses.

Plan of action: Hopefully, we can come up with an amicable solution for both the groups, and publish an article on it along with getting support from all the stakeholders.

Why hopefully? There are so many interconnected variables to address - economics, healthcare, data, psychology of people, egos of leaders, team building, politics, ignorance - so many areas to capture

Potential target: Efficiency and/or Effectiveness enhancement reducing the total cost by at least 20-25% without significantly impacting the healthcare ecosystem.

If we were to accomplish this target, our team needs to be compensated accordingly. We would like to get 1% of the savings and additional bonus when we exceed expectation. Please let me know. Feel free me to email me.

Added 8/7/15

After thinking over the above suggestion, this is my second iteration - Any more iterations, if any, will be after the team starts working on the problem.

Let us add NIH (I should have added NIH in the first place), which I believe supports Affordable care act, and one large institute that is against it.

I would also like to add the following in the contract:

If we were to reach a target of even 20%, it equates to ~$600B/year.

For the next 10 years, 1% of this savings will go towards 5 states in need (proportional to size and population of the state) on a yearly basis (this will capture all the 50 states in 10 years), and will be utilized primarily for improving Quality Of Life (QOL) for the majority. Taking this suggestion into account, if U Chicago does not mind, I would like to replace U Chicago with U Michigan representative, as state of Michigan needs money too. Note: Individuals from the Universities are representatives for those Universities (even private institutions), and that state. Please put together a strong contractual agreement with that University. Make sure you get a decent share of it for your efforts, and also make sure that most of it will go towards improving the state rather than utilized towards compensation for all the big players.

Global landscape: $600B/year is a large amount, and US can win a huge good will, if some of the savings is utilized in improving QOL in other continents (10-20%). Moreover, in this flat world, comparative advantage will come into play anyway even after saving 20% of the total healthcare cost, that is people will seek more economical options in the same way companies are doing it. Hence, by channeling some of the funds around the globe, we could potentially enhance standardization of health practices across the globe, and also provide avenues for citizens to seek quality health care from other parts of the world, if necessary.

Some of the remaining amount could be utilized towards educational scholarship/entrepreneurial initiatives for citizens and international students here in US, and neighboring countries (particularly, Canada - the population in Canada certainly needs to increase way beyond 36 million for the size of the country - It could potentially help in spreading diversity and creativity, increasing consumer demand in Canada, and limit global warming; Mexico already has around 120 million people with a distinctly different demographics, and needs to be addressed in a slightly different way). I will come to Mexico soon.

Asia, South America, and Africa - Give me time - Strengthening developed economies, and distributing some of the savings is an essential part of working out a global solution.

Please note that I don't have answers for all the questions, but I am confident that with a right team, we would be able to come up with a realistic, working solution. For that reason, the team needs to be composed of people who are experienced on various fronts as well as hands-on with data, and also understands the technological landscape.

We would like to get this rolling soon to help the President in fulfilling his dreams for the country.

Once this problem is addressed, I will guide a team on the educational front.

Added on 9/2/2015

Why should we donate/help countries in the world when there are issues right here? - This was a question put forth by a citizen in Alaska

Exactly that is my point from day one. It is the reason that I had mentioned self-sufficiency first, and then comparative advantage. If you were to look at my suggestion, by optimizing the healthcare by 20-40% of the current budget, part of it will be used for the states to become self-sufficient by making the citizens of the states self-sufficient, remaining will be used for education, along with all of my initiatives to address jobs should help in self-sufficiency.

Once this is addressed, if US needs to have trading partners around the globe, it should be a two way process. By reducing the debt (to more sustainable values) sooner than later (which should further cut down on interests), and by building goodwill around the globe, US can build on to trade growth, and international relations, which forms the fourth part of my to do list.

The four being - Education, Economy, Quality of Life for citizens, and then International relations.


Time has come where performance is appreciated and appropriately compensated. I read an article titled,

Hopefully, my rights will also be restored.