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Liberal democracies can learn these lessons from China:Only permit people with IQs above 140 to run your country. Governing is the most difficult job in the world and only smart people can do it well.Only allow professionals to run your country. Since governing is harder than rocket science, only allow lifelong, dedicated professionals to do it.Only promote honest officials. The higher they climb the more honest they must be and the more transparent their lives. At China’s highest levels, no-one is permitted to hold one-on-one meetings: every meeting must be monitored, for example.Only allow experts to speak publicly about policies. Amateur criticisms are no more useful in policy making than in brain surgery.Set ambitious goals. In 500 BC Confucius imagined a xiaokang society free of poverty and then a datong, radically sharing community. Mao set them as goals for the nation in 1949, Deng set 2021 as the deadline for xiaokang and after that, China will go for datong. So the whole society is on the same page and moving in the same direction.Ask, ask, ask! says as author Jeff J. Brown, “My Beijing neighborhood committee and town hall are constantly putting up announcements, inviting groups of people–renters, homeowners, over seventies, women under forty, those with or without medical insurance, retirees–to answer surveys. The CPC is the world’s biggest pollster for a reason: China’s democratic ‘dictatorship of the people’ is highly engaged at the day-to-day, citizen-on-the-street level. I know, because I live in a middle class Chinese community and I question them all the time. I find their government much more responsive and democratic than the dog-and-pony shows back home, and I mean that seriously.”After free and open debate, once a policy has been voted on, stop discussion and unite to implement it. This is called ‘democratic centralism,’ and it’s one reason for China’s success.Test, test, test! As Robin Daverman says, “China is a giant trial portfolio with millions of trials going on everywhere. Innovations in everything from healthcare to poverty reduction, education, energy, trade and transportation are being trialled in different communities. Every one of China’s six-hundred sixty-two cities is experimenting: Shanghai is experimenting with free trade zones; Guizhou with poverty reduction; twenty-three cities with education reforms; Northeastern provinces with SOE reform: pilot schools, pilot cities, pilot hospitals, pilot markets, pilot everything. Mayors and governors, the Primary Investigators, share their ‘lab results’ at the Central Party School and publish them in ‘scientific journals,’ the State-owned newspapers. Major policies undergo ‘clinical trials,’ beginning in small towns that generate and analyze test data. If the stats look good, they’ll add test sites and do long-term follow-ups. They test and tweak for 10-30 years then ask the 3,000-member People’s Congress to review the data and authorize national trials in three major provinces. If a national trial is successful the State Council polishes the plan and takes it back to the 3,000 Congresspeople for a final vote. It’s very transparent and, if you have good data and I don’t, your bill gets passed and mine doesn’t. People’s Congress votes are nearly unanimous because the legislation is backed by reams of data. This allows China to accomplish a great deal in a short time: your winning solution will be quickly propagated throughout the country, you’ll be a front page hero and you’ll be invited to high-level meetings in Beijing and promoted. As you can imagine, the competition to solve the country’s problems is intense.If Western liberal democracies follow these simple steps they will become as peaceful and prosperous as China.

About thirty years ago, I loved hitting up the horse races at Hollywood Park and Santa Anita. I was a casual fan, I was single, had a few expendable dollars, and a couple of degenerate gambler friends that got me seasonal clubhouse passes.I loved watching these majestic animals run—pure poetry in motion (a descriptor often used and so accurate). I loved mingling with the crowds, rushing last minute to the windows to place my bet; I loved the barnyard smells, the perfumed trophy wives in the Turf Club, the grizzled hard boots at the grandstand bar. I’d “go to the nags,” as my friend Rocco used to call it, about once or twice a month. I’d leave the credit card at home.So I’m with Rocco one day at Hollywood Park, midweek, about five minutes before a race and I’m glancing over the horses’ names in the program, when I come to “Earl of Barking”—and I freeze:I frickin’ had a dream about this horse last night, running a mile on the turf, winning this race by about five lengths!Now I’d never heard of this horse before but I was certain: I really did dream it last night. But wtf? I look up at the board and the horse is going off at like 24–1. Huge longshot. I shove the program in Rocco’s face. “Dude. Had a dream last night. This horse! The four horse, Earl of Barking, wins this race!”His head swivels towards the board. “Well, you better bet the fuck outta it then.”And so . . .I didn’t. Chickened out. Didn’t trust myself. And, of course, the horse wins by about five lengths, just like in my dream. All I remember is Rocco shaking his head all the way home.So chalk it up to coincidence, right? Correlation doesn’t equal causation, or something like that.But it doesn’t end there.About two weeks later, I have another “horse racing dream.” I don’t remember the horse’s name now, but I think it went off at like 6–1. I didn’t tell anyone about this dream, not even Rocco. But I do remember waking that morning, recalling the dream, and feeling the same sense of unreal certainty that this was no ordinary dream.I got out the morning LA Times, turned to the horse racing page, looked at the day’s entries, and there it was, my horse. That it would win was a fact already written in stone—I had dreamt it—and it was insanely creepy.Later that evening, I called for the race results and listened to the recorded race recap, which revealed my horse had won. But I knew that already.Again, I was too freaked out to make a bet. I didn't trust myself, or the feeling. I was either losing my mind or adrift in some phenomenon I couldn't explain. And this journey seemed too reverently unique, too sacred to tarnish with money.For the next month or so, I dwelled on my race track dreams, applying everything I knew about science and the occult to understand them. I started reading about quantum phenomena and relativity, about parapsychology. And I waited for the next dream.And then it happensed. Smoking Mist. It’s jockey was Alex Solis. I launched into the sports page the next morning and scanned the racing entries.But there was no Smoking Mist.There was, however, a Smokey Miss. Its jockey was Alex Solis. And I had that feeling.So screw it. I hit up the bank, withdraw a tidy sum (it was for me, in those days) and headed to the track. I waited for my race. And when it arrived, I wagered the biggest bet I’ve ever made at a race track. To 'win.’ No 'place' or 'show' because . . . I knew. As the horses were loaded into the gate, I felt zero nerves. Over the PA, the track announcer barked, “And they're off!”Smokey Miss went to the front and never looked back. She won by four lengths.And then the dreams abruptly stopped.For whatever reason, in the thirty odd years since, I’ve never had another one. Maybe by profiting I had violated a secret trust the Universe had bestowed upon me. Or maybe psychologically, I just wasn't ready for more. I don't know.A skeptic by nature, In the ensuing three decades, I've opened myself up to all sorts of so-called paranormal experiences. I've investigated precognitive claims. (The author Colin Wilson detailed the report of an earl in London after WWII having precognitive race track dreams and making a small fortune. His dreams, like mine, stopped as abruptly as they started. So, I wasn't alone.)I’ve also done layman's research on the nature of time—time invariance, the arrow of time, entropy, block universe theories, wormholes, et. al. This experience has become one of the cornerstones of my life. But yet, while I have theories, I still don't have an answer.

Don't know what exactly you mean by B2C solution for EHR: Do you mean collecting personal data like exercise and weight etc and then sending it to others thru a Personal Health Record (PHR) or do you mean the consumer/patient accessing their medical records (such as lab results) stored with the physician/clinic/hospital thru a Patient Portal?There are Personal Health Records (PHR's) that are meant for consumers; Prominent examples include Health Vault (from Microsoft) and (now defunct) Google Health, as well s less famous (and possibly more focused) players like PeopleChart Peoplechart Home. There's also some noise that companies like Intuit (http://www.Intuit.com) may want to offer a consumer-centric solution, considerign they (Intuit) have a trusted brand-recognition due to their tax prepThe problem with consumer-centric approach is that clinicians (physicians, pharmacists, and other stakeholders) cannot/ do not feel completely comfortable about the completeness of data contained in the PHR's.Patient Portals allow a secure connection so that patients/consumers (or their authorized family members) can read or download patient specific data such as images or lab results. Please note that this is limited to a subset of total data for that patient; for example, in US, physicians' private notes about the patient are typically not available in the patient portal. Most modern EMR/EHR systems (from EPIC thru VistA) have some level of patient portal capability tha can be configured.