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The staggering annual expenditure of 765 billion USD on unnecessary treatments and procedures in the United States, equivalent to a quarter of the total health spend, underscores the consequences of a disease-centric system. Simultaneously, 55 million people in India fall into extreme poverty due to health-related expenses. These alarming figures highlight the urgent need for a paradigm shift.


In the current landscape, health systems predominantly operate on a fee-for-service model, where revenue is generated when patients seek medical services. This inherent structure creates a paradox where the health industry, in principle, thrives on illness, lacking a fundamental interest in fostering health.


Traditional approaches, even within healthcare non-profits, often address the consequences of this financial incentivization rather than challenging the root cause.

The core mission of the Rypple Foundation is to revolutionize health systems by aligning sustainable behaviors with financial incentives.

At the Foundation we are setting up three key pillars: 

  1. Policy Entrepreneurship: The first pillar will focus on consulting policymakers. Working at the nexus between research and policymaking, the foundation intends to support knowledge translation. The foundation will concentrate its research efforts on financially incentivizing the transformation to salutogenic healthcare system. 

  2. Salutogenic Incubator Network: The second pillar will focus on supporting the growth of salutogenic innovations (startups and businesses). Here, the foundation intends to link salutogenic startups with established salutogenic businesses, creating a collaborative space, engaging in sustainable and salutogenic innovation. 

  3. Salutogenesis Advocacy Work: In the domain of salutogenesis advocacy, the Rypple Foundation is steadfastly committed to amplifying the impact of Aaron Antonovsky's model. We center our efforts on promoting and advancing the principles of Salutogenesis, recognizing its significance in fostering health and well-being. Through our work, we aim to elevate awareness and understanding of Antonovsky's model, contributing to a broader conversation on promoting positive health outcomes. This is the pillar which will come after the establishment of the first two pillars. 

We’re looking for enthusiasts, that are interested in shaping a revolutionary concept of financially incentivized salutogenesis, challenging the current health system's disease-centric nature and envisioning a future where health and financial sustainability are harmoniously intertwined.

The goal is to collectively explore and generate creative solutions for transforming existing health systems into ones where salutogenic behaviors and decisions are thoughtfully incentivized.

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Looking for Health Economists

Policy Entrepreneurship:


At the foundation of incentivizing salutogenic behavior lies Aaron Antonovsky’s ease/dis-ease continuum. The initial stride involves visualizing the financial dynamics leaning towards ease and those steering towards disease, using Antonovsky's framework as a guide. Essentially, this entails a meticulous calculation to discern who is benefiting financially and to what extent on the ease side versus the disease side. Once this financial landscape is illuminated, the subsequent step involves modeling the long-term impact of specific policies on health outcomes. This approach allows for a comprehensive understanding of the economic forces at play and aids in formulating strategies that promote sustainable health and well-being.


Salutogenic Incubator Network:


To establish an incubator network successfully, we aim to forge connections within a spectrum of businesses, encompassing both established enterprises and startups aligned with the "ease" side of the ease/dis-ease continuum. Understanding the unique needs of these businesses is paramount, enabling us to pinpoint gaps where the foundation can strategically contribute to the establishment and fortification of such a network. This approach ensures a nuanced comprehension of the entrepreneurial landscape, facilitating targeted and impactful support for businesses fostering salutogenic practices.


If this work sounds interesting to you, I’d love to hear from you. Please send me some information about yourself and your experience. 

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