Friday, July 25, 2014

Election in Brazil!

The Brazilian Election is ON!

Brazil is a democratic republic where one citizen, one vote is the RULE! We have 141.824.607 votes on dispute! It may sound incredible but the election results in Brazil takes less than 12 hours to be known! This is due to an electronic voting apparatus (see image) and counting system. The apparatus is quite simple with a screen to show the face of the candidate and his election number. A keyboard with number and 3 special button, to vote "White" (no candidate, valid vote to parties in a very complex mathematical calculus!), a red button to cancel and restart the voting and a green button to "Confirm" the vote. All an person has to do to cast a vote is to type in the candidate number and confirm the vote! DONE in lass than 10 seconds! On this year election, the casting vote time shall be 40 seconds due to the fact that there are State and Federal Deputies, Senator, Governor and Presidential votes to cast! 

This electronic voting system has serious defenders and attackers! Accusations of fraud and vote manipulation has pop-up since the system was introduced, but so far no one has come with solid proves that the system is corrupted in any way! On the contrary, the system has proven solid and democratic! 

On the side of Parties, well I can only say that this is done by our politicians! So we have parties for rent and serious ones! Parties for rent are just that! A party has no fundamental moral or guidelines (even that they published it and says they follow it! In true, it is just a JOKE!!) that they follow and defend! They exist to confuse an illiterate voter and get paid to do so! Our elections has a funny, free ads campaign on TV that makes each second very valuable! So parties for rent get to sell his little time! I really mean SELL IT!

Brazilian Parties as found on Wikipedia
(http://pt.wikipedia.org/wiki/Anexo:Lista_de_partidos_pol%C3%ADticos_no_Brasil#Partidos_ativos)
Brazilian Communist Party (PCB) 21 Far Left, Socialism, Communism, Marxism-Leninism, Khrushchevismo
(LWA) 19 Centrism National Labour Party, Labour, Nationalism
14 center-left Brazilian Labor Party (PTB), Nationalism, Labour,
Brazilian Socialist Party (PSB) 40 Left, Democratic Socialism,
65 Far-Communist left, Market Socialism, Communism, Marxism-Leninism, Maoism, Reformism, Party of Brazil (PC do B)
Party of the Brazilian Democratic Movement (PMDB) 15 Centrism, Democracy, political syncretism, patronage.
Democratic Labor Party (PDT) 12 center-left Social-Democracy, Humanism, Labour, patronage
Workers Party (PT) 13 Left, democratic socialism, reformism, Marxism
National Mobilization Party (PMN) 33 center-left, Mobilization
Democrats (DEM) 25 center-right, liberal conservatism, economic liberalism, neoliberalism, Christian Democracy
Social Christian Party (PSC) 20 center-right Conservative, Christian Democracy
Centre-right Christian Labor Party (PTC), 36 Conservative, Christian Democracy
Social Green Party (PV) 43 center-left, Environmentalism, Liberalism
Party of Brazilian Social Democracy (PSDB) 45 center right, Third Way, parliamentarism, Social-Democracy
Labour Party of Brazil (PTdoB) 70 Centrism, Labour, Nationalism
Republican Progressive Party (PRP) 44 Centrism, Republicanism, Progressivism
Popular Socialist Party (PPS) 23 center-left Social Democracy, Democratic Socialism
Unified Socialist Party of Workers (PSTU) 16 Far Left, Socialism, Communism, Marxism-Leninism, Trotskyism (Morenoite)
Social Liberal Party (PSL) 17 Centrism, social liberalism, economic liberalism
Brazilian Labour Renewal Party (PRTB) 28 Centrism, Labour, Participatismo, Conservatism, patronage
Social Christian Democratic Party (CSDP) 27 center-right Christian Democracy
Humanist Party of Solidarity (PHS) 31 Centrism, Monarchism, patronage
Progressive Party (PP) 11 Centrism, Progressivism, liberal democracy, patronage
Workers' Cause Party (PCO) 29 Far Left, Socialism, Communism, Marxism-Leninism, Trotskyism (altamirista)
Brazilian Republican Party (PRB) 10 Centrism, Christian Democracy, patronage
Socialism and Freedom Party (PSoL) 50 Left, Socialism, Marxism, Trotskyism (Morenoite, Mandelite and grantista), Ecosocialism
Party of the Republic (PR) 22 Centrism, Republicanism, social liberalism, protectionism, patronage
Free Fatherland Party (PPL) 54 Left, Marxism, scientific socialism,
Republican Party of Social Order (PROS) 90 center-left Social-Democracy, Republicanism, patronage
Social Democratic Party (PSD) 55 Centrism, political syncretism, patronage
(PEN) National Green Party 51 Centrism, Sustainability, Christian Democracy, patronage
Solidarity (SDD) 77

As you can see, Brazil has a long way to refine its political system! This is no surprise since our education system was systematically destroyed by the military dictatorship from 1964 to 1985!

The election this year has 3 Presidential Candidates, President Dilma for re-electing, Aécio Neves for the PSDB and Eduardo Campos for PSB parties! All three parties are serious parties, even that the approaches to solve Brazilian problems are quite different!

Next publication I will write about these parties approaches to solve Brazilian Problems, as I see it!

All the best,

Thursday, July 24, 2014

My Thoughts : Mobile in the Brazilian Universal Health System!

My Thoughts : Mobile in the Brazilian Universal Health System!: Mobile App and a 165 million health users! Is it a good opportunity? The Brazilian universal health system is very, very large and a...

Mobile in the Brazilian Universal Health System!

Mobile App and a 165 million health users! Is it a good opportunity?

The Brazilian universal health system is very, very large and as most of very large organizations, it needs urgent improvements and innovations. A simple 1% improvement means hundreds of millions of US dollars in savings per year! There are several characteristics of the Brazilian SUS that will be virtually impossible for me to explain simply because I can’t understand myself! My explanation lays on corruption and illiterate! But I know the problem is quite complex! But a system this big has great opportunities to offer in Mobile App. So let´s focus on our Mobile solution!

In Brazil several solutions are being developed aimed at the high end, rich customers! There is a good reason for it! They are 20% of the Brazilian population or 40 million potential customers!

I prefer to develop a solution that embraces the 165 million SUS users and the 40 million rich will follow! As in all my Mobile App that I develop, this must be FREE for users and monetization solutions must come from innovative solutions, which does not cost my users a cent! In a post doctor visit health solutions! There are at least two classes of users in our solotion, patient and doctors! I know the more users’ class you have, the bigger nightmare you are entering! But before seeing Fred Kruger, let´s read a bit more!

So first question: What value must I bring to these 165 million SUS users in my Mobile App? If you ask this simple question: “Would you like to buy good quality drugs as cheap as possible?” I bet you are thinking this cannot be asked in a validation since it is obvious that everybody wants cheap and quality drugs! But don’t forget that for these 165 million SUS users this IS CRITICAL! So I got the very first thing that would bring value to customer, finding cheaper and good quality drugs!

If my Mobile App can find cheaper drugs, why does it cannot find everything else that a patient needs after seeing his doctor? Exams, Glasses, Hospital exams, Laboratory services, etc. This took my brain power for quite a while, but I got it! IT CAN!!

So if value to patients is solve with several improvements, What about doctors? Accordingly to IHO, if you take 9 or more drugs you have 100% of having a drug interaction problem! OK, 9 drugs?? Wait until you get to 70 plus years and lived a poor life and 9 drugs is nothing! Our solution will help doctors when prescribing and it will check on real time if what has been prescribed has bad drug interaction with anything that patient is taking! There is more added values to doctors in our solution! One of the most innovative is a virtual nurse on your smartphone! This virtual nurse will reminds you automatically which drugs to take, when and how often! This nurse will help doctors to know if you are following the prescribed treatment or not!

So value to patients and doctors we had covered! How do we get users? That is the magic of a health system! People go to hospitals, health center, pharmacies, etc. So all we need is to set up a marketing campaign based on banners and flyers located at the entrance of these places! The places will be our partners, so they will allow us to do it!

A significant number of potential users are elderly citizens that most do not like or know how to use a mobile App! How to reach them? Proxy care taker! An elderly citizen, in most cases in Brazil, has a young parent (grandson, nephew, etc.) that has a smartphone and can help in the health care of his elderly parent!

So, values and getting users are covered! Even that I am not saying all! So let´s move to the real issue, MAKING MONEY!  Like I said before, FREE for Doctors and Patients!

Our Mobile App will truly take the patient from where he/she is to the pharmacy entrance with the best prices for the same drug! So we will charge a fee to the pharmacy for the service done! We will do the same to all companies in the health sector that join the service! Why would they join? In Brazil, like most countries, certain drugs can only be sold with a prescription! Our solution puts the prescription on the cloud! So as the pharmacy sells the drugs, it needs to access our system to link the cloud prescription to link it to the sales invoice, thus ensuring all involved that the sell was done correctly! Our system will know the value of the sell and charge the pharmacy accordingly! In Brazil, very large pharmacies companies have e-commerce solutions, BUT they cannot sell controlled drugs on line due to lack of a prescription! Our solution solves this problem!

So what is the monetization and scalability potential of it? Brazil’s health system is about 9% of our GNP which makes over 200 billion dollars per year! Drugs alone represent over 30 billion dollars!

By the way, I was forgetting, I have a patent! So IP is also covered! I am setting up the team and in the near future our PharmaNet will be starting at Alagoas to grow to Brazil and other countries! 

My next post will in relation elections in Brazil! This year we elect the President, 1/3 of Senate, Federal and State Deputies and 27 Governors! God help us!!!

All the best,

Sunday, July 20, 2014

My Thoughts : Brazilian Universal Health Care System.

My Thoughts : Brazilian Universal Health Care System.: What is the Brazilian SUS (Universal Public Health)? Brazil has the largest universal public health system in the world. Sure China, ...

Brazilian Universal Health Care System.

What is the Brazilian SUS (Universal Public Health)?


Brazil has the largest universal public health system in the world. Sure China, India, USA and Indonesia have larger populations but none has a universal health system. By universal, Brazil means that anyone shall have health service regardless its social, economical, cultural, religion, color or origin (Brazilian or foreigner)! Brazil has one of the worse social differences in the world, we have several persons with a wealth into billion of US dollars and we still have millions into misery to take care! Our SUS has 165 million customers and an infrastructure that is not near enough but it has been improving in the last 12 years. These are the present number as found on the Health Ministry site: (http://cnes.datasus.gov.br/Mod_Ind_Unidade.asp?VEstado=00).
Some names may be confusing but it is due to bureaucracy and corruption that we have so many names!!
DISPENSARY
10.643
HEALTH CENTRE / UNIT BASIC
34.703
POLYCLINIC
6.229
GENERAL HOSPITAL
5.218
SPECIALIZED HOSPITAL
1.088
MIXED UNIT
726
PRONTO SOCORRO GENERAL
399
FIRST AID SPECIALIST
124
CONSULTORIO ISOLATED
134.921
MOBILE RIVER UNIT (Amazonian region)
23
CLINIC / CENTER SPECIALTY
36.235
SUPPORT UNIT DIAGNOSIS AND THERAPY (SADT ISOLATED)
20.870
LAND MOBILE UNIT
956
MOBILE UNIT LEVEL OF PRE-HOSPITAL IN THE AREA OF URGENT
3.518
PHARMACY
1.533
HEALTH SURVEILLANCE UNIT
1.851
COOPERATIVE
329
NORMAL CHILDBIRTH CENTER - ISOLATED
13
HOSPITAL / DAY - ISOLATED
525
CENTRAL REGULATION OF HEALTH SERVICES
296
CENTRAL PUBLIC HEALTH LABORATORY LACEN
64
DEPARTMENT OF HEALTH
5.539
CENTER OF ATTENTION AND OR HEMOTHERAPY (HAEMATOLOGICAL)
255
CENTER OF PSYCHOSOCIAL ATTENTION 
2.444
CENTER SUPPORT FOR FAMILY HEALTH
778
UNIT OF INDIGENOUS HEALTH CARE
396
READY CALL
825
POLO ACADEMY OF HEALTH
941
TELEHEALTH
54
CENTRAL REGULATION MEDICAL EMERGENCY ROOM
215
DESK HOUSEHOLD ISOLATED (HOME CARE)
208
UNIT  UNDER ATTENTION RESIDENTIAL 
12
WORKSHOP ORTOPEDICA
12
PUBLIC HEALTH LABORATORY
142
REGULATING ACCESS CENTRAL
545
TOTAL
272.630

Sure some numbers are quite short from what the IHO suggests as minimal or standard for such a large population but it has been improving steadily in the last 12 years! The entire Brazilian health system is much larger than these numbers because there is the private system which share or overlaps some of the above numbers! Remember that the top and upper middle classes in Brazil represents more than 45 million customers to a private health system! So you can imagine the level of services we have in Brazil if you have the money to pay for it!

Our middle class has systematically denigrated the SUS system on the local and international media. SUS is used by politicians to get elected and punish adversaries! Politicians themselves don't use SUS, preferring to use the first world class private health system. Surely it is immoral, but this is just one of many immoral behaviours of all Brazilian Politicians! (Here I will discuss the education in Brazil in the near future!).

The most incredible aspect of this systematic denigration of SUS is the fact that regardless of your social status YOUR LIFE DEPENDS ON SUS! You may be wondering How? If I have the best privet health insurance money can buy, How my life do depend on the public health system? Brazil is not USA, UK or Germany, so you may be driving alone on São Paulo or Rio de Janeiro and you have a heart attack! You crash unconscious and people call SAMU (the public ambulance service, first public health service saving your sorry ass!!) SAMU will take you to the nearest public health hospital (your health insurance card may be in your pocket but Who checks it??). You get into the public hospital and the emergency services kickin and stabilizes you! Now a nurse/hospital staff will look for ID and contacts on your mobile phone (if you put the first number on your contacts as AA emergency (Brother, sister, wife or someone that will know what to do in case of emergency) they will call using your mobile and tell what happened!). As you open your eyes, you are on a public hospital! SAVED! 

So all that bad thing you sad about SUS are not confirm because SUS has just save your sorry ass! You may be thinking that this scenery will only happen if you are alone! True! But how much time do you drive alone or with someone that knows what is your private health insurance and what to call in the case of an emergency? I bet this person will call the SAMU ambulance service and may say to take you to a private hospital! So public service still save your sorry ass! If you are driving on the countryside, there is no hope! All there is SUS or you are as dead as a Dudle!!!

So don't ask what SUS can do for you, but what you can do for SUS!

Middle class in Brazil has this strange behavior of denigrate all that is public or government related, but do not participate in the actual improvement of it! Middle class prefers to pay a private health insurance than to help to improve the SUS! It is personal choice, but I think it is time to review this position!

My next post will be on Health System in Brazil looking into mobile opportunities within SUS!

All the best,


Wednesday, July 16, 2014

My Thoughts : The Numbers are out!

My Thoughts : The Numbers are out!: The Brazilian Football World Cup is over! The number are simply unbelievable!  A lot has been said in all media about the Football Wor...

The Numbers are out!

The Brazilian Football World Cup is over! The number are simply unbelievable! 


A lot has been said in all media about the Football World Cup in Brazil, some are right some are so wrong that I can only laugh! But finally some number are out and they paint a clear picture about the CUP!

Internet number are just incredible, Portuguese player Cristiano Ronaldo (CR7) had more than 110 million apparence amount Facebook and Twitter! Google searches related to the CUP passed the 2 billion! Facebook says that more than 3 billion post ware made related to the CUP! In the final there were more than 88 million people posting more than 280 million interactions! This makes the CUP the most commented sport event ever! As base for comparison, the 2013 Super Bowl had 245 million interactions. Twitter went bizar! At the moment Germany was declared champion, there were 618.725 tweets per minute (TPM).

The numbers in the economic area are also very impressive! R$ 25,8 billion were invested in the CUP by Brazilian Federal Government, this represent just 0.7% of the total Federal Government investment in the period (2010-2014). 600.000 foreigner tourist visited Brazil in the 30 days of the CUP! It is expected that just the tourist from abroad spended R$ 6,7 billion. 3 million Brazilians traveled around the country during the CUP! R$ 143 billion is the expected economic turn around due to the CUP! The government got more R$ 11.0 billion in taxes!

But probably the most important number of all is the presence of Brazil in the global media during 30 days! The 95% of 600K tourist said that the CUP in Brazil was the best ever! They went home and will tell all the great things they experienced in Brazil! This will generate gains to Brazil for years to come!

On the social area, the investments made because of the CUP are and will create impacts for decades to come! Sure the investments were necessary regardless the CUP, but because of the CUP they were made in a faster paste! Airports, highways, Hotels, Hospitals, Urban mobility and many other were done and will be in Brazil helping its development and better living standards in the Brazil.

I could not finished this blog without saying that the success of the CUP will have very positive reflections on the 2016 Olympics that will take place in Rio de Janeiro. Brazil has shown that it can made a global sport event! So starting planning your trip to Rio! We will welcome you as we always do! With lots of LOVE and FRIENDSHIP!