Documente Academic
Documente Profesional
Documente Cultură
Winter 2010
Featuring
Prostitution in China (p. 8) Health IT Adoption (p. 20) Exploring Songdo (p.24)
By Adam Bao By Brian De By Christopher Lee
[Winter 2010. Volume I, Issue I]
Layout Editor-In-Chief The Editorial, Design, and Operations teams have come a long way in produc-
John Good ing this first issue, and I want to thank them for their tireless efforts especially
towards the end of the production cycle. Special thanks goes to my brother
Graphics Editor Sanjay, who has provided much of the artistic and technical inspiration for
Jamar Bromley Business Sphere Magazine. We hope for continued success and expansion in
2010!
Associate Layout Editor
Nico Barawid Brian De, Editor-In-Chief
Publishing Director The Yale College Business Society was founded to address the need for a sub-
Connie Leong stantive and holistic business education for future leaders at Yale. We quickly
recognized the value of a publication dedicated to fostering a comprehensive
Business Manager understanding of business dynamics.
Andy DeWitt
In early 2009, we launched Business Sphere Magazine with the goal of forging
Distribution Manager
a link between students at Yale and the business world. By exploring global
Lindsey Raymond
trends through a unique lens, the magazine aims to shed light on enterprise as
a powerful driver for universal development.
Administrative Editors
James Zhang
Vivek Raman On behalf of YBS, I would like to thank Brian and the BSM team for working
tirelessly over the past semester on the inaugural issue. The magazine fills a
This magazine is published by Yale College crucial niche here on Yale’s campus and I look forward to the long-term suc-
students. Yale University is not responsible
for its contents. The opinions expressed by
cess of Business Sphere Magazine.
the contributers to BSM do not necessar- James Zhang, YBS President
ily reflect those of its staff or its advertis-
ers. The design and content of this maga-
zine are copyright of BSM and may not be Business Sphere Magazine • PO Box 200118 • New Haven, CT 06520-0118
reprinted without express written consent. info@BusinessSphere.org • www.BusinessSphere.org
4 Spheres of Business
by James Zhang 20 Feature: Health IT Adoption
by Brian De
16 Infographic:
Healthcare Tomorrow 30 Interview: Rustomjee Navroze
by Siddhant Jhunjhunwala
Canada Germany
Export demand may return to positive terri- After being battered by the recession, Ger-
tory as commodity prices stabilize and U.S. many should see economic growth return
economic growth recovers. Trade policy may in 2010. However, the recovery will be
focus on diversifying export markets to de- tepid as government support of the labor
veloping nations. and car markets phases out.
Venezuela Brazil
Despite a gradual global economic recovery, Thrifty economic management by the
Venezuela will remain mired in recession. ruling Workers’ Party has helped Brazil
With limited government revenues, Hugo avoid the worst blows of the recession and
Chavez is reaching the fiscal limit for his am- growth will resume in 2010.
bitious government stimulus plan.
GDP Growth: 5.8%
GDP Growth: -3.4% GDP: $1.669 bn
GDP: $333 bn GDP/capita: $8,480
GDP/capita: $11,660
4 B Business Sphere Magazine | Winter 2010
Information courtesy of The Economist and Goldman Sachs Corporation. Sources available upon request.
Looking ahead to 2010
Russia China
Russia was hit harder than most by plum- China will have to ward off the threats of
meting oil prices during the recession, but inflation, growing asset bubbles in shares
the economy may rebound due to the na- and real estate, and a bevy of bad loans,
tion’s large stimulus package, low interest all of which have been exacerbated by the
rates, and rallying oil prices economic stimulus.
India Australia
India has grown through the global down- Australia has been one of the few coun-
turn due to a resilient domestic market and tries to avoid the recession in 2009 due
low dependence on exports. A growing to successful fiscal and monetary policies.
fiscal deficit clouds an otherwise optimistic Growth in 2010 may be spurred by stronger
outlook for India. business investment and exports to China.
Source: www.fifa.com
By James Zhang England vs. the US, the South Afri- set to cash in on the global popular-
can government projects that over ity of the World Cup by signing a
On July 11th, 2010, football’s (soc- 450,000 international visitors will reported $2.8 billion in broadcast-
cer for Americans) World Cup – make the trip to their nation. FIFA, ing rights deals, a figure greater
arguably the world’s premier sport- football’s world governing body, is than the broadcast deals for the last
“
ing event after the Olympics– will two Cups combined. ABC/ESPN
kick off for the first time ever in an forked over $100 million for the
African country. South Africa will rights to broadcast in English in the
play host to the 19th FIFA World
Cup, a month-long tournament
Projections show that US while Univision paid $350 mil-
lion for the same rights in Spanish.
featuring the top 32 national teams the World Cup will
from around the globe. While
South Africa’s economy will receive
provide the In preparation for the tournament,
South Africa has invested $2.2 bil-
a sizable direct boost from hosting South African econo- lion in building nine new stadiums
the 2010 World Cup, a successful
tournament will have an even larger my with a net boost of across the country and billions of
dollars more in upgrades for its
impact on the nation and the conti- $7.2 billion transportation infrastructure. Such
nent’s image abroad. improvements have generated a
while generating a reported 415,000 jobs, a substan-
The World Cup is a prime example
of the commoditization of sport.
windfall $2.7 billion in tial boost in a country with almost
a quarter of its workers unem-
Because of marquee teams such as tax income from the ployed. Further, the government
Brazil, Netherlands, and Spain in
addition to the hyped matchup of
government. has promised $225 million worth of
World Cup contracts to local small
Prostitution in China
Adam Bao explores an entrenched socioeconomic phenomenon that
developed after the Cultural Revolution
By Adam Bao lull in salacious activity would only prostitution has also been associ-
last until the end of the Cultural ated with an increase in sexually
After Mao Zedong took control Revolution. Deng Xiaoping’s “Open transmitted diseases, as well as
in 1949, the Community Party of Door Policy” in 1978 paved the way organized crime, violence, and gov-
China led a series of campaigns to for economic growth and also the ernment corruption. Undoubtedly,
eliminate vices such as prostitu- revival of prostitution and other vic- prostitution constitutes a major
tion, drug use, and gambling. The es. Currently, prostitution in China problem for the Chinese govern-
government effort was zealous in has proliferated to a sizable industry ment and its population. Efforts
its revolutionary fervor, and by that represents a significant portion towards resolution should focus on
the 1970s, prostitution was almost of China’s service sector and GDP the very roots of the problem and
entirely eliminated. However, this output. Unfortunately, the rise of lean towards control rather than
“
slowly speeds back up, it is clear that
the world has avoided the worst of
In November 2009, the most recent what could have been a crisis on par
summit was held in Pittsburgh. with the Great Depression in scale.
The G20 countries While not many novel decisions Nonetheless it is inherently easier to
were made, the G20 leaders built
were determined to on the progress made in London,
destroy than to create, and the frag-
ile state of the recovering economy,
resolve the three main more definitively tightening finan- along with any progress made at the
cial regulation and granting more G20 summits, can be easily shattered
goals proposed in power to international organizations if caution is not taken. The economic
Washington: coordi- such as the IMF and the Financial leaders of the world must keep both
Stability Board. The most unex- their successes and failures in mind
nate international eco- pected move was the decision to as they prepare for the next summit
replace the G8 with the G20 as the
nomic policy, reform main international caretaker of the
in Canada this June. They must keep
a watchful eye on what they have
the global financial world’s economy. While this decision accomplished, and strive towards de-
popularly decentralized responsibil- cisive and cooperative action to see
system, and reform ity in orchestrating global economic the global economic recovery all the
international financial recovery, it also ensured deeper po- way through.
litical divides and larger bureaucracy
institutions such as the within the movement. The group Dominic Insogna is a sophomore in
concluded the Pittsburgh summit
IMF. by agreeing that that the work up
Berkeley College.
M
ed
icin
Health Care Reform
So
Blue Shield
Oxford
cia
in the United States
Humana Blue Cross
liz
ed
Risk itals
Healthcare Tomorrow
Financial
Principal
Group
For approximately 100 years, presidential
administrations in the United States have tried
to pass meaningful health care reform mea-
HealthMarkets
t
sures. It is difficult to ignore the 46+ million
s n
nd e
uninsured people in the United States and the
Fu rnm
fact that National Health Expenditures (NHE)
make up over 18% of total GDP. Horror stories
ve
Government
persist about how individuals are denied cover-
Funds
Go
age in the private market after losing their jobs,
how people are denied coverage for common
preexisting conditions such as acne and hay
fever, and how skyrocketing premiums have
Health Net
re
uled to take place in early April.
Timeline ca
Insurance
American
National
ea
!
Risk Com
1938 – Popularity of pre-paid insurance model
In
nity H
Cigna Assurant
th
Intermountain
increases. Insurance companies advertise “three Cen
e
Health Care
HO
H al
n
ve
t
ew spi
aid, extending government health insurance
.. . Ho
to all citizens 65 and over, as well as the poor,
N
Heatlh
..
blind, and disabled.
E.
of Ohio
L
Lifewise Unitrin
YA
Medical Mutual
TO
December 1973 – President Richard M. Nixon
Hos Physicians
GO
signs the Health Maintenance Organization
Act, setting aside $375 million to finance
SCHIP
demonstration projects of H.M.Os, a type of
managed care organization that provides health
coverage through a contract with doctors, hos-
w pitals, and other health care providers.
Medicaid
ro
1993 – President Bill Clinton unveils a plan
that would provide universal coverage based
on managed competition, in which private
or
Government
insurances compete in a regulated market. This
Funds
ultimately fails due to fierce partisan politics
m
Coverage
Cadillac
Health Medicare Funds voted upon and, unlike the House bill, contains
00
P
systems can be used in conjunction the government’s role in creating a catalyze adoption, perhaps this would
with other systems so as to streamline private sector entity. The process of lead to the desired improvements in
workflows and avoid re-adoption of appointing staff to the nonprofit also health care delivery after all.
expensive technologies in the future. allows for the possibility of involving
This would be result in an increase in clinical expertise in the development The role of government
efficiency and profits over time. The of standards. The bulk of the literature suggests two
assurance of interoperable, standard- possible roles for government, in-
ized HIT solutions would induce a Increase training and detailing cluding providing financial incentives
increase in flow of benefits to physi- If the problem with HIT adoption is for HIT adoption, and the creation
cians, thus leading to more adoption in part psychological, measures to of standards. While financial incen-
and higher willingness-to-pay for the increase physician perception of the tives are definitely necessary in the
expensive HIT systems. benefits of HIT may be just as use- short term for physician adoption,
ful as features that bring about true government should also have the role
In light of the problems presented increases in benefits to physicians. of helping to involve all stakehold-
with standardization, one solu- Additionally, more positive physi- ers in the HIT adoption process so
tion proposed is to create a neutral, cian perceptions would also lead to as to reduce barriers to adoption.
nonprofit organization in the private higher perceived efficiency, profits, This can be accomplished through
sector with the authority to manage and patient welfare, thus increasing physician-benefit oriented reforms.
all aspects of health data standards. physician utility. Thus, as a solution, As for the creation of standards, the
Work on standards would be coor- it may be in the best interest of the bulk of evidence seems to suggest
dinated at this level, and standards Office of the National Coordinator of that government involvement should
would be developed as a single, HIT to use the $2 billion in discre- be limited; it appears that the private
integrated effort governed by process tionary spending allocated by the sector needs to fuel development of
rules. Governance could be provided ARRA of 2009 (“for affiliated grants standards, and the proposed creation
with a permanent staff at the top lev- and loans”) in part to inform physi- of a nonprofit to drive standards de-
els of leadership (e.g. director, deputy cians about the current capabilities velopment addresses this concern. A
director, etc.) appointed by the Of- of HIT, its integration, and its rapidly key role of government will be to dis-
fice of the National Coordinator of improving state over the next sev- seminate information as HIT rapidly
Health Information Technology. This eral years. This can be accomplished changes, and the proposed spending
setup would represent the different through a variety of methods, includ- on supporting physician detailing
US Standards-Development Orga- ing subsidies to vendors for physician and developing training programs at
nizations (SDOs), check that they detailing, or by creating and/or subsi- all levels of a physician’s development.
adhere to the scope of their work, and dizing training courses for physicians
include all other stakeholders in the at all levels to become more aware of The medical industry faces a myriad
development of standards. HIT, its uses, and its benefits. of reforms; hopefully, Health Infor-
mation Technology implementation
The operating budget could be a Rapidly changing HIT solutions need will progress smoothly and reduce
combination of membership dues, to be met with rapidly disseminated costs for providers, insurance compa-
revenue from services, and govern- information through the above solu- nies, and consumers alike.
ment funding. Previous evidence tions so that physicians are aware of
in other markets, such as the de- the true benefits of HIT. David Brail- Brian S. De is a senior in Berkeley
velopment of barcodes and coding er, former Coordinator of HIT, argues College.
for grocery stores, or the develop- that aggressive adoption will lead to
Note: This article contains material derived from Professor Howard
ment of IEEE wireless standards better quality products and lower Forman’s ECON467 seminar. Further reading and references available
for computerized devices seems to costs, and subsequently more adop- upon request.
suggest that the private sector needs tion. Part of solving this HIT adop-
to fuel development of standards, tion problem seems to be inertial,
and this solution effectively manages so if the government can sufficiently
By Chris Sweeney $30.4 billion for that year alone. 52% maintain our good health, feel obli-
of awards made exceeded $1 mil- gated to protect themselves from the
Medical malpractice tort litigation lion, with the average award coming people they are trying to help; clearly,
reform is currently a hot political out to roughly $4.7 million. These something must be done.
topic in the United States because numbers are all the more staggering
of the implications reform could when one considers that, according Unfortunately, there is no “silver bul-
have on health care costs. The law in to a report made in 1999 by the Insti- let” solution that will fix every prob-
America dictates that tort litigation tute of Medicine, roughly one out of lem and reduce costs. However, there
requires those responsible for harm- one hundred hospitalizations led to are a few small steps that should be
ing or injuring others to compensate serious injury. Of that relatively small taken to help move the process in the
the affected party, often in the form number of cases, only 4-7% of those right direction. One action involves
of large cash payments. More spe- injured filed suits. These numbers instituting a set of universal caps for
cifically, tort litigation allows pa- indicate that the huge litigation costs malpractice awards based on the type
tients who have been misdiagnosed and compensation payments are of injury suffered. This standardized
or improperly treated to file a suit stemming from lawsuits made by a system would be a fair way to deter-
against their doctors in order to seek select few people. mine how much should be awarded
compensation not only for lost wages and also help differentiate among
while in the hospital, but also for Even though the aforementioned different types of malpractice cases
things that are much more difficult to numbers might already seem outra- while providing some protection to
define, such as pain and suffering. geous, they do not even scratch the the medical community by limiting
surface of the costs that come from liability. These standards could be es-
Although some states have paved the malpractice lawsuits. Many doctors tablished by a board of medical pro-
way for reform by capping the maxi- engage in what is called “defensive fessionals and lawyers, which would
mum amount of money that can be medicine,” or the practice of ordering remove many steps from the costly
paid out for a malpractice suit, many expensive and potentially unneces- litigation process by classifying cases
states have yet to do so, which occa- sary tests/examinations in order to based on relevant facts and histori-
sionally results in multi-million dol- hedge against the possibility that a cal precedents before they ever make
lar settlements. These suits affect the patient has serious health issues. The it to court. Additionally, by limiting
entire medical system by driving up Pacific Research Institute estimates the medical community’s liability, it
costs and adversely affecting doctors’ that doctors spend $200 billion per could eliminate a large portion of the
behavior out of fear of such lawsuits. year on defensive medicine practices, costs associated with defensive medi-
As Americans, we have a clear need a number which dwarfs the costs of cine practices. If a doctor or practice
for tort litigation reform as a means malpractice litigation. Upon a closer knows that it will only be liable up
of driving down medical expenses look, a 2007 study by the Massa- to a certain predetermined amount,
and protecting the doctors that do so chusetts Medical Society found that the standardized payout caps could
much for our everyday health. a staggering 48% of Massachusetts create an incentive for doctors to run
The amount of money paid out for doctors surveyed admitted that they tests that might be unnecessary at a
malpractice lawsuits in the United changed some of their daily practices less frequent rate, resulting in fewer
States is staggering. In 2007, the in order to avoid lawsuits! Not only costs for all.
actuarial consulting firm Towers are these adverse changes extremely
Perrin gathered data on medical expensive, they are also unneces- Chris Sweeney is a senior in
malpractice tort litigation and found sary in many cases. It is a sad state Berkeley College.
that costs and payments exceeded of affairs when doctors, who work to
By Christopher Lee master-planned city currently under ignated by the South Korean gov-
construction 40 miles west of Seoul. ernment as a Free Economic Zone.
How does one build a modern South Korea is not just playing Sim With a hefty price tag of $35 billion,
“city upon a hill”? Develop it with City on a hill of mud. Songdo City it comes with state-of-the-art facili-
“smart” buildings that monitor their is one of South Korea’s latest and ties built with cutting edge technolo-
own energy use? Beautify it with most important ventures to increase gy and top-notch cultural amenities,
parks, bike trails and ocean-fed ca- foreign direct investment in the next to architectural features mod-
nals? Install a city-wide data network country. Gale International, a U.S. eled after New York’s Central Park
that accepts a single smart-card real estate firm, and Posco, a Korean and Venetian canals.
house key for a subway ride, movie steelmaker, are the main backers of
rental, parking meter and more? its development. Built on a 1,500 Touted as the largest development
acre man-made island off the coast project undertaken by the private
Welcome to Songdo City, an entire of Incheon, the city has been des- sector in world history, the complet-
By Lindsey Raymond Bernanke’s academic expertise is shortfalls. Just 7 days later, Bank of
particularly pertinent in the current America’s purchase of Merrill Lynch
As Chairman of the Federal Reserve, economic crisis. He wrote exten- for $50 bn was overshadowed by
Ben Bernanke may have one of the sively on the causes of the Great the decision of Bernanke and then
highest-pressure jobs in the world. Depression, arguing that financial Secretary of the Treasury Henry
On the other hand, Bernanke may disruptions during the early 1930s Paulson to let financial services in-
be the best prepared Federal Reserve reduced the availability of credit, dustry giant Lehman Brothers fold.
Chairman in history. depressing aggregate demand. On September 16, 2008, an $85 bn
Bernanke’s “financial accelerator” loan was extended to rescue Ameri-
Bernanke, born December 13, 1953, theory, which explains how slight can International Group (AIG). The
displayed flashes of brilliance as a economic downturns are worsened loan was heavily scrutinized because
student in South Carolina. At age by lending restrictions, strengthens AIG was an insurance company, not
eleven, Bernanke won the South his argument about the importance a bank, and therefore not under the
Carolina State Spelling Bee. Class of credit availability during depres- jurisdiction of Bernanke. The Fed
valedictorian in high school, Ber- sions. Bernanke’s interest in credit also introduced a temporary pro-
nanke chose to continue his educa- led to the idea of a “savings glut,” gram of low-cost overnight loans to
tion at Harvard University. Bernan- or that a worldwide oversupply of investment banks, poured almost
ke graduated from Harvard in 1975 savings finances the current US ac- $300 bn into global credit markets,
summa cum laude with a B.A. in count deficit and keeps interest rates announced a program to buy up
economics and he later received his low. Today, Bernanke is primarily companies’ unsecured debt, and
Ph.D. in economics from MIT with identified by his stance on inflation. attempted to shore up confidence
a thesis entitled “Long-Term Com- Bernanke was recently criticized by in money market mutual funds.
mitments, Dynamic Optimization, the media for being soft on inflation Although inflation will be one of the
and the Business Cycle.” after saying, “People know that infla- most important concerns moving
tion erodes the real value of the gov- forward as the Federal Reserve be-
Bernanke then went on to teach ernment’s debt, and therefore, that it gins to unwind its stimulus package,
at Stanford’s Graduate School of is in the interest of the government Bernanke’s response to the financial
Business and New York University, to create some inflation.” In the same crisis has been generally approved of
before settling down at Princeton, 2002 speech, Bernanke stated the by economists and led to his reap-
where he obtained tenure and served government can always avoid defla- pointment as Federal Reserve Chair-
as chair of the Economics Depart- tion by issuing more money, earning man by President Obama.
ment from 1996 to 2002. A former him the nickname “Helicopter Ben.”
editor of the American Economic Bernanke’s most difficult tasks lie
Review, Bernanke also wrote four Under Bernanke, the Federal Re- ahead. Given his drive towards aca-
textbooks on economics during his serve has engaged in some of the demic success, it is unsurprising to
time at Princeton and is among the most controversial monetary and fis- see that Bernanke is fully committed
50 most published economists in cal policy measures in recent memo- to doing whatever it takes to steer
the world. A member of the Board ry. On September 7, 2008, Bernanke America out of the recession.
of Governors of the Federal Reserve was involved in the seizure of Fannie
System from 2002 to 2005, Bernanke Mae and Freddie Mac, committing Lindsey Raymond is a sophomore in
was appointed Alan Greenspan’s up to $100 bn to each corporation Timothy Dwight College.
successor in February 2006. in order to backstop any capital
Business Sphere Magazine is supported by the Yale College Business Society (YBS) and the
Yale Undergraduate Healthcare Society (YHS). If you are interested in sponsoring or adver-
tising in Business Sphere Magazine please contact us at info@BusinessSphere.org
Learn from the insights and experiences of those who have made
it to the top of academia, business and politics. Listen to our key-
note speakers, including Daniel Esty, Rakesh Mohan, and Kishore
Mahbubani, as they share insights on sustainable capitalism today
and in the years ahead. Get the chance to interact face-to-face with
dozens of top leaders, and gain valuable networking opportunities.