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Posts Tagged ‘medical economics’

medical morality

Tree of life : When professional morality suffers a mortality . . . human health becomes a causality !

Greatest threat to the future of  human health is  . . .

  • Not from  exotic  infectious agents , bird flu  or  mosquito  fevers
  • Not from  epidemic of cardio vascular disease
  • Not from  thousands of  published  diseases in ICD code
  • Not from  aging population and failing  vital  organs
  • Not from  lack of availability of life saving  drugs and devices
  • Not from  lack of  hospital beds.
  • Not from  good sanitation
  • Not from  hunger and poverty
  • Not from  lack of para medical workers
  • Not from  lack of health awareness and education

But from  . . .

  • The way  health care is administered in this planet .
  • The way  noble professionals are created .
  • The way  trivial health  issues prevail over  major  health crises  that  wallop the health budgets.
  • The way by which  medical morality is systematically destroyed
  • The way   “concept of  health” is  sold  as a  buyable  commodity by insurance companies.
  • The way  medical journals churns out  junk articles in the name of research.
  • The way corporates indulge in  delirious pursuit  to  increase  bed occupancy rate of their  patient  ware houses (Also called Hospitals)
  • The  way greedy drug companies aim to increase the per capita drug consumption of  ill informed  homo-sapiens  by discovering  pseudo  drugs for pseudo  illness
  • The way   health insurance policies are misused
  • The way  rich spend billions for reconstructive  cosmetic  surgery while the poor die for want of basic medicines !

 

Link to a wonderful  article  on moral education for our kids in medical school !

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Medical science is  not like mathematics or economics .

  • It is about how a  bundle of human cells(organs) behave at times of adversity .
  • It is  about how our mind  takes on the body .
  • It is also   about , how the care takers  Heal/Manipulate /Manhandle  these cells at times of distress !

We know, two persons with identical injuries , sustained in a car crash one dies within an hour  , while the other with a  many fold serious injury successfully fight the trauma and walk out of hospital with victorious  .That is the fighting spirit .This  is either  inherited  are  nurtured or both.

This implies , an accidental injury may be an  external , unpredictable  event,  while the  response to  that injury is predetermined or even a predictable response !

In the name of modern science , we “the human animals” are trying to buy this fighting spirit  with money.We are made to believe ,  survival and well-being is a commodity and  can be  bought with high cost  medicines , and high cost care .

Remember  , one of the most astonishing medical  fact is , while we  may struggle to induce  swine flu  in  a laboratory on a given  individual ( Even if ,  H1Ni  viral  concentrate is  infused or inhaled  )   , an  other person gets this disease  , while simply  flying over an  infected country  . Such is the complexity  of  the host response  system in medicine .

So , it is foolish to think health can be bought or maintained  with  money power or modern hi-tech medical care .At best it can save   few lives  with  its   life supporting drugs and devices . Ultimately,    human survival  is determined  by the way we  live  and the way  our  ancestors lived and how we fight the illness.

Yogi’s  of  Himalayas lived for more than 100 years without the need for drug eluting stents and LV assist devices .

Having totally misunderstood  the concept of health and illness the world is wondering how on earth , we can reduce the escalating cost of  healthy living  (pseudo health  !)

An article in the current NEJM ponders over ,  Why in  Grand junction,  Colorado ,USA ,  the health care cost is very much lower ,  without compromising the quality of life and survival.

The answer is very simple .There is some body in that county , who  dares to think beyond  raw  science  and adds  little  bit of common sense ! Obviously he has to be rewarded and  this  model need to be replicated  elsewhere.

http://healthpolicyandreform.nejm.org/?p=12706

This article discusses the phenomenon  of  high quality , low cost medical care , but what it misses out is , the reverse could also be true !

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