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　　回到北京，室友中午帶回一直德州扒雞，嘿，這廝何時這么會享受了，問話得知，是樓下小超市的同鄉(xiāng)小老板送的，我們幾乎每天光顧他們的小超市，很方便，很低碳，可謂萬水千山總是情，沒有樓下小超市是真不行啊。


11 March 2016 Last updated at 23:19

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Why not introduce more NHS charges?

Stethoscope and calculator

More from Nick

'Founding principles'

When it comes to charging, there are several options that could be pursued. As Reform suggested, a charge for seeing a GP could be a valuable source of income.

瀏覽原文:/news/health-31797770

來源：搜狐網(wǎng) 更新時間：2016-03-12 07:55:09 分類：科技 關(guān)鍵詞：o2o,卡拉

　　春節(jié)之后的第一個月內(nèi)，經(jīng)歷一段時空混亂，慢慢回到互聯(lián)網(wǎng)行業(yè)的思維軌道上來，春節(jié)發(fā)出去了4375元紅包，移動支付影響著我們的生活方式和社交方式，我這么節(jié)衣縮食過苦日子的人都擋不住花錢的腳步聲。

Why not introduce more NHS charges?

Why not introduce more NHS charges?

　　我們看到O2O正在連接生活中的一切，O2O的創(chuàng)新就是連接模式的創(chuàng)新，正如我在《互聯(lián)網(wǎng)沉思錄》里所講到，連接的厚度、長度、信息流速、維度等各方面的創(chuàng)新都會帶來商業(yè)模式的創(chuàng)新，懶人經(jīng)濟讓過去看起來的弱需求變成了靠譜的生意模式，這就是連接的力量讓消費者節(jié)省了大量的時間成本和選擇成本。

　　京東做O2O從零食做起，拉卡拉做社區(qū)電商從生鮮O2O切入，58同城的O2O從家政入手，各家有各家的道道，各家有各家的長處和優(yōu)勢，沒有人能統(tǒng)治O2O，在O2O領(lǐng)域，創(chuàng)業(yè)者們不需要去過于害怕BAT。因為O2O模式要成立，首先是要基于大量的線下實體店和服務(wù)機構(gòu)，沒有實體做基礎(chǔ)，O2O就變成B2C了，成本曲線就會瞬間陡峭起來。把分布式的實體服務(wù)用O2O來連接消費者，用智能手機的定位能力和APP來精準連接，這才是移動時代生活的連接法則。

Anita Charlesworth, chief economist of the Health Foundation, says that even though there are already charges in the NHS, there is still a fear that it would be seen as a "challenge to the founding principles of the NHS".

　　誰能想到滴滴打車用不到一年時間就改變了出租車行業(yè)，這就是連接成規(guī)模后的連接磁場效應(yīng)，一個個連接就是一條條磁感線，看不見，摸不著，但是力量非凡,鋒速達生產(chǎn)車間降溫設(shè)備得到了廣大客戶的一致好評，此時，你有沒有感覺到物理沒有白學。我們的很多創(chuàng)新的想法其實很多來自于物理世界的映射和靈感，O2O，兩個圈圈之間有一個2，一生二、二生三、三生萬物。

"The issue that people keep coming back to is whether this will have an impact on people accessing health services. If you deter people, it can just mean treatment is delayed and more expensive care is needed later on," she adds.

　　當我們感嘆O2O正在掀起對整個現(xiàn)實生活的生活模式大重構(gòu)的時候，有一種不敢相信的感覺。其實這是一種信任，連接創(chuàng)新構(gòu)建出來基于規(guī)則的信任機制，這是這個社會消費者關(guān)系發(fā)展歷史中的一次史無前例的進步。我們只是通過app下單或拿起電話下單，但是，一個個這樣的行為產(chǎn)生一個個生活新連接，連接聚合在一起就形成重構(gòu)生活方式的巨大力量。

　　事實上，即便是過去的互聯(lián)網(wǎng)領(lǐng)域，也并不是幾大巨頭通吃一切，百度吃搜索，騰訊吃社交和游戲，阿里吃電商，在一些媒體人眼里會容易產(chǎn)生巨頭秒殺一切的幻想，實際上，術(shù)業(yè)有專攻，阿里沒有打敗或殺死京東，支付寶也沒有打敗或殺死拉卡拉，當然，微信支付就更不在支付寶射程范圍了。


O2O大幕始開，沒有宿命論，也沒有壟斷者-搜狐IT

O2O大幕始開，沒有宿命論，也沒有壟斷者-搜狐IT

　　文/柳華芳 

　　春節(jié)紅包讓微信支付刮目相看，但是，要讓銀行卡和信用卡徹底消失而全部用移動支付確實一件不現(xiàn)實的事情，無論是騰訊，還是阿里，或是百度，都沒有能力去讓線下傳統(tǒng)零售業(yè)完全變成在線支付，但是，拉卡拉卻用自己的辦法早就解決了這個問題，這說明一個事實：支付寶是線上購物的支付界面，拉卡拉是線下購物的支付界面，只是拉卡拉不像阿里那樣有淘寶。

What is more, charging is already commonplace in many health systems. An OECD analysis of 29 leading health care systems found 20 had charges for visiting a GP, while half had some kind of fee or co-payment for hospital treatment.

The move in 1952 was controversial, but did enough to get the NHS out of a tricky hole. With the finances tight again, should extending charges be under consideration now?

　　社區(qū)電商是線下淘寶，別小看拉卡拉

But despite all this, it's very unlikely that the issue of charging will be put forward by any of the main political parties in the forthcoming election campaign. Why?

If that seems unfair, consider this: under the government's plan for a cap on care costs people in care homes will still having to pay about ?33 a night in living costs.

　　懶人經(jīng)濟成就未來，連接創(chuàng)新是O2O的貢獻

Like the NHS for eye tests, dentistry and prescriptions, exemptions often exist for children, older people and the least well-off.

　　社區(qū)電商本質(zhì)上就是拉卡拉公司的線下淘寶，他們正在研發(fā)社區(qū)電商APP，用移動電商和定位技術(shù)來打造一個LBS式的分布式O2O平臺，數(shù)萬計的身邊小店就像一個個淘寶店一樣，用螞蟻雄兵的方式可以構(gòu)建出驚人的社區(qū)電商交易規(guī)模。想想一個個淘寶小店的創(chuàng)富之路，社區(qū)小店能否在拉卡拉推動下實現(xiàn)逆襲，是否會出現(xiàn)社區(qū)服裝店或XX店，一切皆有可能。社區(qū)小店可以通過拉卡拉的社區(qū)電商平臺擴展自己的經(jīng)營類目，并不需要完全的實物庫存，拉卡拉可以幫他們實現(xiàn)動態(tài)庫存，那么，身邊小店真的要沖出物理貨架空間限制了，這樣的O2O模式，你能小看他么？

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NHS charges: A short history
Nurses at work. Pic courtesy of Addenbrooke's Hospital
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Perhaps the most thorough piece of research on this issue was done in the 1960s by RAND in the US. Overall it found there was little impact on health outcomes from the introduction of charges for most people.

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Does charging pay?
Bank card
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　　電商雖然沖擊了線下傳統(tǒng)零售業(yè)，但是，線下零售業(yè)依舊是零售業(yè)的核心部分，我們依舊要回到社區(qū)里生活，總不可能宅在家里做穴居動物。在O2O大潮啟發(fā)下，拉卡拉重新發(fā)現(xiàn)了社區(qū)小店的價值，推出以生鮮O2O為嘗試的社區(qū)電商計劃，身邊小店成為一個個分布式的社區(qū)零售流量入口，并成為拉卡拉借助O2O模式殺入移動電商的燎原星火。

If this was scrapped, alongside the exemptions for pregnant women and some children, the prescription charge could be reduced from the current level of ?8.05 to ?2.50 and an extra ?1bn would still be raised.

It is a question that has been asked several times in recent years. Research in 2013 by Reform, a centre-right think-tank, found a ?10 charge for GP consultations could raise ?1.2bn a year even with exemptions for age and income.

For example, the over 60s get free prescriptions, but have to pay for dentistry. It is one of the reasons why less than 10% of prescriptions are paid for.

There are an estimated 340m consultations each year - so the potential to raise money is obvious. Although with the move towards email and telephone consultations and the increasing use of practice nurses to deliver them, a flat fee might not work.

　　O2O，這個像一張笑臉的專業(yè)名字又火了一把，總理政府工作報告里提及了它，做社區(qū)O2O的拉卡拉興奮地瘋狂刷屏朋友圈，做O2O媒體的哥們樂的屁顛屁顛的，好日子看來真的要到來了。在O2O大時代里,鋒速達喇叭式負壓風機得到了廣大客戶的一致好評，格局會是怎樣，業(yè)態(tài)贏家會是誰，微信支付和支付寶真能一統(tǒng)江湖么，拉卡拉的角色又會是怎樣呢？

　　昨日看到一個觀點說“如支付寶錢包、微信支付等移動支付市場份額巨大，在O2O大背景下，拉卡拉這樣過去深耕線下的支付企業(yè)可能會被邊緣化、甚至被殺死”，這樣的說法聽起來很嚇人，仿佛移動支付要統(tǒng)治世界、寸草不生，但是，這種觀點忽視了最重要的一個邏輯：移動支付只是O2O的支付界面之一，O2O本質(zhì)還是線下的服務(wù)場景，移動支付是為場景服務(wù)的界面和連接器，而不是O2O本身，就像過去支付寶、網(wǎng)銀、貨到付款等方式服務(wù)的是電商一樣。

This is why last year the Barker Commission, set up by the King's Fund to look at how the NHS and care system should be organised in the future, concluded introducing new charges "fail the criterion of equity" and, therefore, there was "little scope for introducing them".

　　拉卡拉的模式本質(zhì)上也是一種移動支付，POS機和智能終端都是可移動的支付工具，可刷卡購物、還信用卡、水煤電繳費等，拉卡拉正是依托此模式建立了區(qū)別于支付寶的線下零售支付解決方案，而此時，移動支付正在火熱，拉卡拉也開始布局移動支付和社區(qū)電商，前者打通線下線上，后者釋放社區(qū)小店的入口價值。

But there was one exception: people on the lowest incomes, who are most likely to have the worst health in the first place.

來源：Bbc 更新時間：2016-03-12 10:29:24 分類：News

　　

　　話說電商一出來那會兒，也是各種質(zhì)疑聲，還燒錢不眨眼，當支付問題和物流快遞問題解決之后，大家開始愛上了電商，懶人經(jīng)濟也越來越登上大雅之堂。京東商城的更快更好配送能力讓懶人可以更放肆，所以，京東成功了，劉強東不信命，傻大黑粗地闖出一條B2C大路。

瀏覽原文:/20160312/n409667642.shtml

It comes down to access. Those involved with the NHS are proud of the fact that in the UK cost is not considered a barrier to seeking health care - as these figures from the Commonwealth Fund show.

The issue was also discussed at British Medical Association and Royal College of Nursing conferences last year. Although at both the motions drawn up calling on more charging to be introduced were not passed.

　　移動支付不是O2O全部，本質(zhì)是場景界面

　　微信公眾號：小芳  分享此文給你的朋友一起探討O2O

Charges for visiting A&E would generate less income unless they were set a a higher level as there are only just over 22m visits a year and introducing could prove problematic given the busy nature of departments.

In the early 1950s, the NHS was going through a tough period. Money was tight and demand was rising. So ministers came up with a radical plan - they introduced charges for dentistry, prescriptions and spectacles.

Another option that gets an airing from time-to-time are "hotel" charges for hospital stays. At anyone time there are about 120,000 beds occupied so a ?10 charge would raise ?450m a year or a ?50 charge, ?2.25bn.

　　一談及O2O，勢必很多人會拿出BAT來嚇唬人，但是，O2O覆蓋到生活的方方面面，社區(qū)電商、上門美甲、上門洗車等等各個領(lǐng)域都在涌現(xiàn)出O2O式模式創(chuàng)新，可以說，生活有多大，O2O就有多大。當然，沒有一家公司能壟斷人們的生活方方面面，馬云也要吃飯睡覺，馬化騰也要按摩洗車，李彥宏也要找別人設(shè)計衣服,鋒速達車間負壓通風降溫設(shè)計得到了廣大客戶的一致好評，上帝創(chuàng)造了生物多樣性，自然有他老人家的道理。

If anything, the review said it might make more sense to reduce charges to increase revenues. Confused? One of the problems with the current system is the anomalies that exist in terms of exemptions for fees.

　　阿里的強大主要是淘寶巨大的交易量 ，讓支付寶的價值得以展現(xiàn)出來并金融化，二者構(gòu)建出了阿里帝國的根基。拉卡拉過去做線下傳統(tǒng)零售的移動終端支付起家，在自己所在領(lǐng)域也是第一，但是，拉卡拉沒法在線下建立一個淘寶，再建一個淘寶或京東也是難如登天。所以，拉卡拉無法與阿里比肩，但是，他們常年積累的線下傳統(tǒng)零售業(yè)客戶資源和場景占有也是阿里所無法攻破的，阿里在支付寶最鼎盛時期也沒法打敗拉卡拉，可見場景戰(zhàn)爭不是比誰財大氣粗，而是比場景消費習慣和便利度。

　　如今，O2O時代，上門做美甲、上門洗車、上門送菜，讓懶人可以更舒服一些，而拉卡拉的社區(qū)電商也是利用了身邊小店可以五分鐘送貨上門的優(yōu)勢。懶人經(jīng)濟是這么強大，體驗越來越好，服務(wù)越來越便利，O2O模式通過互聯(lián)網(wǎng)和移動互聯(lián)網(wǎng)讓懶人和服務(wù)更加緊密實時連接，構(gòu)成了實時經(jīng)濟模式（此提法是柳華芳同學首創(chuàng)，請幫我申請諾貝爾經(jīng)濟學獎，謝謝）。

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