The healthcare system in the C.I. is already advanced by U.S. standards. Health insurance, like car insurance, is required by law, so everyone is managed in a defined risk pool. A national insurance corporation and healthcare system provide all levels of care for approximately 70% of the country, the remainder provided by private practice and payers, so choice is accommodated, but care is ensured. In November, the Cayman Islands Ministry of Health sponsored an international conference on healthcare reform, with the intent of further defining an already existing path of change towards a high quality, economically sustainable healthcare system for the nation. Here's a link to the speakers: Healthcare 2020 Conference. I presented a lecture about the role of information technology and electronic medical records in healthcare transformation, but I also spent a good deal of time talking about fundamental business models and motives because technology alone is simply white wash on a dirty fence. Here's a link to those slides: Role of Technology in Healthcare Reform.
The essence of the message is simple:
Contrary to popular anthropological belief, we are not Homo Sapiens. We are Homo Economicus and our behaviors are primarily driven by our desire to gain additional wealth, and usually at the expense of others.
Change the economic model and you change the behavior, regardless of what you do with technology.