Monday, February 28, 2011
Sunday, February 27, 2011
Bells and Whistles
Multiple Chronic Diseases
Saturday, February 26, 2011
To achieve the best health status possible for individuals and the community will be disruptive and the process will have to be creative and persistent beyond the wildest imaginings of today's reformers. And good luck with all the economic enterprise that has grown wealthy serving and abetting sickness. Don't be surprised they resemble Wall Street bankers with a bit more arrogance and even less contrition. A culture oriented to sickness is sapping the biological and economic vitality of the nation. Changing this culture is above and beyond medical care reform.
Monday, February 21, 2011
More Health For the Care
More health for the care can be achieved by placing emphasis upon primary prevention integrated into all aspects of community life. Every institution and organization is involved and responsible. A public health care system will monitor and address health status in the community. Primary care medicine that is oriented to individual and community health will be the first responders to sickness. Linking and coordinating these activities depends upon educating the public and providers alike. Everyone needs health care, medical care is for those who need it.
Thursday, February 17, 2011
Transforming the Culture of Sickness
It is possible to reduce the need for medical care by 50 percent if everyone pursued a healthy lifestyle and medical care was better organized. And it would be value added as the health status of the nation would improve. The purpose is not to take away something but, rather, to add to the quality of life by redirecting attention and effort to a more effective means of achieving optimum health status. People need to be inspired and motivated to achieve and maintain their optimum level of health.
The role of leadership is to create a vision, establish a goal and outline a pathway to achieve the goal. The President must advocate a vision of a more healthy population and establish a goal of reducing the need for Medicare and reducing Medicare by 50 percent over ten years. This is to be achieved by a more effective, efficient and ultimately smaller medical care system plus a community based public health care system that promotes and maintains healthy lifestyles. To illustrate the point, reforming federal agriculture policy would do more to improve health status of the nation than manipulating health (medical care) insurance could ever accomplish. Governors should follow suit with a goal of reducing the need for Medicaid and reducing Medicaid by 50 percent over ten years.
Reducing the need for Medicare and Medicaid and reducing Medicare and Medicaid by 50 percent over ten years is a goal comparable to the one in the 1960s of putting a man on the moon. Now, that would be leadership. And it can be done. Americans do not want to be sick but they have been taught to fear sickness more than to trust the pursuit of good health. They need to be led out of the medical care wilderness into a health care world.
Tuesday, February 15, 2011
Health Is A Community Affair
Dr. Albert Schweitzer proposed that civilization depends upon the spiritual and ethical development of the individual and the degree of worthiness of its individual members. Socioeconomic culture plays a role through the influence of personal interaction and the impact of business and finances on choices and decisions. Good health is as much a group activity as it is individual responsibility. The thoughts and ideas of a society determine what actions the society performs.
Labels: Health and Community
Sunday, February 13, 2011
Fear of Sickness
Labels: Fear of Sickness
Friday, February 11, 2011
If You Build It, Will They Come?
Medical care has too much invested to lead change or change. The politicians don't have a clue as they keep trying to reform health insurance. The insurance companies are wise to the situation as they collect premiums and slowly, reluctantly pay claims. Everyone is acting in their own best interest except the patients and the public and they are paying an awful price.
"If we've learned one thing about behavior change over the past 50 years, it's that knowledge is not enough to bring about change," said Laura Carstensen, director of the Center on Longevity at Stanford University. "Humans are exquisitely sensitive to environments. If there are mostly fast food restaurants in their neighborhoods, they eat fast food. If there are safe and appealing paths, they take walks. We must begin to think seriously about building environments that encourage all sorts of healthy behavior." (Karen Stabiner, New Lives for 'Dead' Suburban Malls, New York Times, January 21, 2011)
Labels: Changin behavior