Health reform to worsen doctor shortage by 50% in 2015

Unfortunately, says a new report from the the Association of American Medical Colleges, the U.S. health insurance legislation will worsen a shortage of physicians as millions of newly insured patients seek care, Reuters reports.

The group's "Center for Workforce Studies" released new estimates that showed shortages would be 50 percent worse in 2015 than forecast.

'While previous projections showed a baseline shortage of 39,600 doctors in 2015, current estimates bring that number closer to 63,000, with a worsening of shortages through 2025,' the group says.

'The United States already was struggling with a critical physician shortage and the problem will only be exacerbated as 32 million Americans acquire health care coverage, and an additional 36 million people enter Medicare, the report says.

Other groups, such as the nonprofit Rand Corporation and the Institute of Medicine, have also projected various physician shortages.

Once might infer something else, as well. Since medical care is subject to laws of supply and demand, just as any other commodity would be, the effect of increasing demand without increasing supply will cause costs to go up. You might remember this very basic relationship from high school or college economics. 

It isn't exactly an "unintended consequence." Observers, not limited to medical practitioners, had been warning of just that problem before the health insurance reform was made law.

Health reform to worsen doctor shortage: group | Reuters

T-Mobile Says 4G Can Wait

It isn't clear whether the latest statements from T-Mobile USA about fourth-generation networks, its preference for air interface or its timetable for 4G migration necessarily add much new insight about what T-Mobile USA might do in the future about its own 4G choices.

Some will speculate that the firm's clear preference for LTE mean it would not invest in Clearwire under any circumstances.

That is among the inferences one could draw, but not by any means the only conclusion. It is correct that T-Mobile USA has some time to make a firm 4G decision, given its recent HSPA+ upgrade that will support bandwidth highly comparable to LTE.

As far as its ultimate migration to 4G, it remains unclear whether there is any path for gaining the needed 4G spectrum other than leasing it from a partner, or possibly investing in Clearwire or some other firm that does have spectrum assets.

Some will point to T-Mobile USA's preference for LTE, not WiMAX, as evidence an investment in Clearwire, or buying wholesale capacity from Clearwire, is not a likely option. But that assumes Clearwire will run WiMAX as its own protocol, and will not, in fact, light an LTE network that runs alongside its current WiMAX network.

Both Clearwire and Sprint Nextel executives (Sprint is the majority owner of Clearwire) have said there is no technological barrier to running LTE alongside WiMAX, or ultimately even in some mode that essentially replaces WiMAX.

“We’ll look towards LTE at the right point in time for us,” Neville Ray, T-Mobile USA’s chief network officer, told Bloomberg.

“That ecosystem is going to be much richer than the competing one from WiMax, which is really a niche play,” Ray said. Most observers now would agree with the general outlines of that position.

Fourth-generation LTE networks promise average download speeds of about 10 megabits per second, compared with 1.7 megabits per second for 3G. But HSPA+ boasts speeds comparable to the LTE speeds AT&T and Verizon Wireless have been saying would be available commercially.

T-Mobile Says 4G Can Wait, Clearwire WiMax Is ‘Niche’

Social Media Someday Will be as Foundational a Tool as Email

One day, the tools we call "social media" will be like the fax machine or email. We’ll wonder how business got done without them.

We aren't there yet, but it's coming. Social media will as routine as customer service and technical support groups, a routine part of the sales and marketing mix.

Mission Unaccomplished | jatiN mahindrA doT coM

Google on Display Ad Future

Looking forward, Google believes that what we today know as “display” advertising will just be “advertising,” a single platform that can coordinate an advertiser’s campaign across streaming audio ads in car stereos, interactive mobile experiences on smartphones, and high-definition video ads on set-top boxes, for example.

Of course, Google expects it will be well positioned to be the manager of campaigns using such diverse channels. Google expects it will provide a single platform to optimize such campaigns, automatically delivering the best-performing ads, best returns and best mix, across all those platforms.

Display advertising is about much more than ads in web browsers, Google now believes.

People are watching video, reading newspapers, magazines, books and listening to digital music at an ever-increasing rate, on a wider range of devices.

So Google intends to give publishers a single base that can deliver ads into this expanding world, including streaming video and mobile ad delivery.

Official Google Blog: Online publishers: growing the display advertising pie

The Value of a "Liker"

Newspapers and other content organizations can use social mechanisms, such as the Facebook "Like" mechanism, to drive traffic, engagement and clickthrough rates, Facebook argues. Do get those results, content publishers should use social plugins, beginning with the Like button.

When a person clicks "Like," it publishes  a story to their friends with a link back to a site, adds the article to the reader’s profile, and makes the article discoverable through search on Facebook.

Publishers also should optimize their "Like" buttons, perhaps  showing friends’ faces and placing the button near engaging content, but avoiding visual clutter with plenty of white space. That can increase clickthrough rates by three to five times.

Publishing engaging stories or status updates (things that are emotional, provocative, related to sporting events or even simple questions) increase on-page engagement by 1.3 to three times, Facebook says.

Highlighting the most-popular content on a site leads people to view more articles. Those who click on the "Activity Feed" plugin in particular generate four times as many page views as the average media site viewer. Place it above the fold on a home page and at the bottom of each article for maximum engagement.

Publishers should use the "Live Stream" to engage users during live events, as well. The live stream box can serve as a way to reach an  audience, facilitate sharing of content, and get them involved in what is streaming, be it an interview, conference, or other type of event.
People who click the Facebook "Like" button are more engaged, active and connected than the average Facebook user, Facebook says. The average “liker” has 2.4 times the amount of friends than that of a typical Facebook user. They are also more interested in exploring content they discover on Facebook. They click on 5.3 times more links to external sites than the typical Facebook user.

Many publishers are reporting increases in traffic since adding social plugins, including ABC News (+190 percent), Gawker (+200 percent),  TypePad (+200 percent), Sporting News (+500 percent), and  NBA.com (number-two referral source). Publishers have also told Facebook that people on their sites are more engaged and stay longer when their real identity and real friends are driving the experience through social plugins. For example, on NHL.com, visitors are reading 92 percent more articles, spending 85 percent more time on-site, viewing 86 percent more videos, and generating 36 percent more visits.

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Globe to offer two websites: one free, one pay

Experimentation is the watchword throughout most of the media. So the Boston Globe next year will split its digital news brands into two distinct websites, keeping Boston.com free while establishing a subscription-only pay site, BostonGlobe.com, which will feature all the content produced by the newspaper's journalists.

That will set up a clear test of end user preference for online local news.

The change, scheduled to take place during the second half of 2011, is aimed at building an audience of paid subscribers online, a strategy that newspapers across the country increasingly are moving towards. With this approach, the company also aims to maintain high traffic to Boston.com, one of the nation’s largest regional news sites and a site that generates revenue from advertising.

In the video arena, attention is focused on experiments with on-demand and online-delivered entertainment video. But one change already has occurred: cable networks are vastly more profitable than the old broadcast TV networks.

Bravo, for instance, is valued at $3.2 billion, according to research firm SNL Kagan. In contrast, Wunderlich Securities says the NBC network is worth a negative $600 million.

ABC Family is worth $3.3 billion, while ABC's value is just $1.2 billion, according to Kagan and Wunderlich estimates.

Just about everything happens faster when the Internet is involved, it is worth noting, but the vast growth of cable programming value, and the decline of broadcast networks, took decades. Few of us would suggest it will take decades for online video to have significant impact on the multichannel video entertainment business. But it wouldn't take much insight to predict a decade as a reasonable expectation for online channels to have displaced a significant percentage of today's "cable-delivered" programming.

Globe to offer two websites: one free, one pay

YouTube Leads, But Facebook 2nd-Largest Video Site

Google Sites, driven primarily by video viewing at YouTube.com, ranked as the top online video content property with 146.3 million unique viewers in September 2010.

But Facebook.com jumped one position to capture the number-two spot with 58.6 million viewers, for a total of 243 million viewing sessions. Yahoo! Sites ranked third with 53.9 million viewers, followed by VEVO with45.4 million.

Google Sites had the highest number of overall viewing sessions with 1.9 billion and average time spent per viewer at 270 minutes, or 4.5 hours.

The duration of the average online content video was 4.8 minutes, while the average online video ad was 0.4 minutes.

comScore Releases August 2010 U.S. Online Video Rankings