There was never a time I
considered the possibility of reforming medical care. That is a task
beyond me and I have no faith it can be accomplished. I recognize
medical care for being what it is, a process to evaluate and treat
sickness, disease and injury, and perhaps rehabilitation. Medical
personnel are trained to provide those services and there are people
who need them. Yes, medical care is inefficient and costs way too
much. But it is also ineffective for curing most of the health
problems that exist in the US and that is the core problem. A chronic
disease is a lifetime of medical care and that is way too much
medical care when many of these diseases can be prevented.
public and political focus upon medical care detracts from creating
the culture to prevent disease and improve health. Developing a
healthcare system committed to community health and reducing the need
for medical care is the most effective pathway to reform. It will
take time but it can be done. Notwithstanding the cost of medical
care, people are tired of being sick. Changing the culture is a
personal and a community effort. The process has already started.
President George H. W. Bush called such a process a “thousand
points of light”.