This article delves into the specifics of the proposal on a Bitcoin-enabled healthcare system, utilizing the private insurance market in the United States as a case study. Initially, I highlight the unaddressed needs within this sector. Subsequently, I outline a vision for a new bitcoin-enabled, patient-centric health plan structured as a public good, alongside a redesigned electronic health-record system where patients retain ownership of their data. The utilization of the Bitcoin network offers a promising avenue for the realization of patient-centric healthcare.

Empowering Patients to Reclaim Their Data

Healthcare generates a substantial amount of data, constituting 30% of the global total. However, control over this invaluable information, including patients' medical records, predominantly rests with institutions. These data are often siloed across disparate health systems, impeding access even for researchers striving to advance healthcare R&D efforts. In any patient-centric healthcare model, it is imperative that patients have ownership of their data.

A Bitcoin-enabled solution holds the potential to deliver high-quality, equitable, patient-centric healthcare affordably to millions of Americans.

As Satoshi Nakamoto articulated in the Bitcoin white paper, "Commerce on the Internet has come to rely almost exclusively on financial institutions serving as trusted third parties to process electronic payments."

Insurance providers, too, function as financial institutions. I propose the development of an integrated healthcare system that offers high-quality, equitable, patient-centric care at an affordable cost.

This Bitcoin-driven innovation should prioritize health empowerment.

To initiate this transformative journey, we must establish a new electronic health-record (EHR) system anchored in Web5, alongside a Bitcoin-enabled health insurance product.

A Futuristic Healthcare Model

Healthcare operates at the intersection of data-driven science. The Centers for Disease Control and Prevention (CDC) categorizes health influencers into genetics, behavior, environmental and physical factors, medical care, and social determinants.

Traditional EHR systems capture a subset of these factors, including administrative and billing data, patient demographics, medical histories, medications, and lab results. However, a forward-thinking EHR system should encompass a comprehensive array of health influencers. This entails data collection from diverse sources such as healthcare providers, patients, caregivers, wearable devices, travel, and food apps.

Built upon Web5, a decentralized web platform leveraging Bitcoin, this new EHR system empowers patients to own their digital identity and safeguard their data. Decentralized web nodes in Web5 serve as the standard for storing health data, facilitating HIPAA-compliant data transmission among various entities.

By embracing the Fast Healthcare Interoperability Resource (FHIR), developers can transcend the limitations of existing document-based EHR systems. This interoperability enables seamless data access, irrespective of the underlying EHR infrastructure.

Key Features of the Proposed Health Plan

The envisioned health plan embodies several key characteristics:

- Operation as a public good, akin to the internet, to ensure affordability and accessibility.

- Universal enrollment accessible to anyone with internet access, facilitating freedom of healthcare provider choice.

- Customizable coverage and payment options, prioritizing preventive care and offering fair credit products.

- Strong emphasis on evidence-based medicine (EBM), incentivizing proactive healthcare and early intervention.

A Path Towards Long-Term Savings

The network effect forms the cornerstone of insurance system resilience. As the proposed health plan's patient and provider networks expand, synergies and innovations emerge, fostering lower total care costs. Embracing preventive care and early intervention promotes population health, thereby reducing overall expenditure.

Pioneering a New Era in Healthcare

To conclude, this proposal serves as a preliminary blueprint. I invite collaboration and feedback from all stakeholders invested in providing high-quality, equitable, patient-centered healthcare affordably to millions of Americans. Let us work together towards a future where superior healthcare is accessible to all.