1、昨日2小时，总计52小时；2、阅读《必然》、《1453》、会计。
3、【摘录】
未来30年中的最大财富和最有意思的文化创新都会出现在这一领域。到2050年，最大、发展最迅速、盈利最多的企业将是掌握了当下还不可见、尚未被重视的共享要素的企业。任何可以被共享的事物——思想、情绪、金钱、健康、时间，都将在适当的条件和适当的回报下被共享。任何可以被共享的都能以上百万种我们今天尚未实现的方式被更好、更快、更便利、更长久地共享。在我们历史的这一时刻，将从未被共享过的东西进行共享，或者以一种新的方式来共享，是事物增值的最可靠的方式。
4、【感想】
我突然想起“共享单车”的模式，其实共享单车本身是一件很好的事情，也符合大趋势，但是资本介入过多，最后的重点就不是共享本身。过快进入资本运作其实是杀死共享单车最大的凶手。成也萧何、败也萧何。不过，共享单车以后还是趋势。
5、【单词】 In so far as any inquiry is a secret one, it naturally limits all those engaged in carrying it out from effective contact with their fellow scientists either in other countries or in universities, or even, often enough, in other departments of the same firm.
<词汇> in so far as 在…的范围内 （Man has rights only in so far as they are a correlative of duty. ）
313. 杜威并不主张世上存在着固定不变的物质或对象。认为有“独立于人”的对象存在于意识“之外”，这种实在论学说被杜威称为旁观者的知识理论（spectator theory of knowledge）。
从形而上学观来看，对于所谓的永恒真理进行抽象思考无非就是逃避现实；因此我们就容易理解了，为什么杜威主要关注的是实际问题，为什么他如此积极地参与社会、政治和教育方面的改革运动。
杜威是一位卓有成效的社会活动家。
他强调的不是抽象的学习和灌输式的教学，而是实验和实际操作----这就是杜威影响的结果。
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Blockchain：
4.
To get the most out of this book
1. Let go of the hype and really try to understand what blockchain does and
doesn't do.
2. Check out the projects mentioned and see which, if any, apply to your
plans. You might save yourself a lot of work.
3. Think about how decentralization might help or hurt your goals.
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Django document ：5pages @djangoproject.com
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昨日阅读 3 h
累计 554.5 h
Material: Michael E.Porter ‘s paper named a Strategy for Health Care Reform- toward a value based system issued in Jul.09,2009 the New England Journal of Medicine.
Reflection: what we need now is a clear national comprehensive vision for the kind of health care system we want to achieve and a path for getting there. The central focus shall be increasing value for patients –the health outcomes achieved per dollar spent. Good outcomes that are achieved efficiently are the goal, not the false savings from cost shifting and restricted service. The only way to truly contain costs in health care is to improve outcomes: in a value-based system, achieving and maintaining good health is inherently less costly than dealing with poor health. True reform will require both moving toward universal insurance coverage and restructuring the care delivery system. How can we achieve universal coverage in a way that will support, rather than impede, a fundamental reorientation of the delivery system around value for patients? There are several critical steps. First, we must change the nature of health insurance competition. We must introduce regulation to end coverage and price discrimination based on health risks or existing health problems. In addition, health plan shall be required to measure and report their subscriber’s health outcomes, starting with a group of important medical conditions. Second, we must keep employers in the insurance system; third, we need to address the unfair burden on people who has no access to employers-based coverage who therefore face higher premiums and greater difficulty on securing coverage. Fourth, to make individual insurance affordable, we need large statewide or multistate insurance pools, fifth, income-based subsidies will be needed to help lower income people to buy insurance, finally once a value-based insurance market had been established, everyone must be required to purchase the insurance so that young and healthier people could not opt out. For restructuring the delivery system where most of the value is created and most of the costs are incurred. First, measurement and dissemination of health outcomes shall become mandatory for every provider and every medical conditions. Second, we need to radically reexamine how to organize the delivery of prevention, wellness, screening and routine health maintenance services. Third, we need to reorganize care delivery around medical condition. Fourth, we need a reimbursement system that aligns everyone’s interests around improving value for patients. Fifth, we must expect and require providers to compete for patients, based on value at the medical-condition level, both within and across state borders. Sixth, electronic medical records will enable value improvement, but only if they support integrated care and outcome measurement. Finally consumers must become much more involved in their health and health care. Michael port did not mention why this is the right strategy.
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