Medicine
Clinician Specific Medical Education
- Als Disease Focus Is Not A Top Priority
Americans can be quite creative and this is often rewarded by a viral response. There are many things that ALS can do with dozens of millions… But as discussed previously, disease focus is a problem in the United States. Successful distractions by any...
- Pounding Poverty Providers With Pay For Performance
United States designs for health spending consistently result in less for those who already have the lowest health spending. This is accomplished by designs that send less to those that attempt the responsibility of their care. Design changes...
- Can We Have Our Billions Back Please?
Barrett's Esophagus: Another Disease Focused Failure Why would an advocate for basic health access keep hammering on disease focus? The answer is simple. For decades we have more different researchers and subspecialists creating more reasons to spend...
- What Is Killing Us Is Not Four Deadly Diseases
The Myth for the Cure and others in the Disease Focused Crowd Are Now Selling Four Diseases to the United States and to the World Health Organization. What is killing the United States is not hundreds of heart diseases or thousands of cancers or lung...
- Myth For The Cure: Essential For Disease Focus
Do no harm has lost its charm - when dollars are involved. Do no harm is difficult when the focus is eliminating disease. Nearly all of the disease-focused treatments cause harm and some cause substantial harm to people, to groups, or to entire nations....
Medicine
How the Disease Focused Abuse Health Access
Names and Naming Must Be More Important
United States leaders have developed the nasty habit of calling things what they are not. No Child Left Behind reflects a process of American education that leaves most behind. American primary care training is 70% not primary care in result even though deans and health professional associations claim otherwise.
I just searched “Health Access” to see emerging web sites. I was not surprised to be third to Health Access and Health Access Project – groups focused on consumers in California and people left behind in health access in Salt Lake County. Basic Health Access comes in 3rd perhaps due to my use of Google.
At number 6 on the listing was the Clinton Health Access Initiative. I thought perhaps this might be a good source to contact. But the site explained that it is really about access to drugs and treatments. The site is about disease focus. Granted HIV/AIDs is important and is even more important in children in Africa, but health access should be more about health and basic health care.
Where basic health access focus exists and where basic health services exist, health is going to be higher quality. This is less about the term or the services and more about the conditions reflected. When there are better designs for people, the people can focus attention on health and their health and the health of their children. People decide about healthy behaviors or not or about when to seek care or not. Improving people in the earliest years is most important regarding health outcomes. When people have better beginnings, then health actually gets a chance to exist. Also when people live under these conditions, people can also spend much less on disease and treatment and hospitals and even somewhat less on primary care – by design.
At the Clinton site “CHAI with UNITAID funding, has become the largest buyer of pediatric fixed dose combination formulas and DNA PCR tests, and the third largest buyer of ready to use therapeutic food. At least there is some recognition that disease treatment works better with better nutrition. Better nutrition for nearly all can do far more than disease treatment however. Disease treatment focus can compromise better nutrition for nearly all.
I clicked on the rural program link at CHAI which may have existed once but does not exist now.
I guess I was hoping for more from those who helped craft the 1990s brief move toward primary care and health access (business and government managed care coalition). This has been the only interruption of 32 years of steady deterioration in these areas and 32 years of domination of disease focus. This was also a brief but important move for all in the United States. This move slowed health care spending for a short time – time enough to allow the economy to catch up to be able to afford health care. This set the US on the longest run of economic progress in recent history. It was about a brief move away from disease focus - one that can result in substantial benefits for most Americans by design.
This time has passed us by long ago as health care is crippling the economy and has less and less to do with health or health care. The focus is more and more on disease research, testing, and treatment – as with this CHAI site.
Names are important as they help guide the attention of people. Access to HIV treatment is important. But when disease and treatment is the focus, the name of the foundation should reflect the focus.
Perhaps now I know why our Secretary of State focused attention upon the elimination of HIV/AIDs in recent statements.
At some point we should have a leader focused on Basic Health Access for basic health access purposes rather than cost cutting or disease focus - the two main players in the US health care design. And we will soon see the across the board cuts that will only slightly impact non-primary care and disease focus but will devastate primary care.
Thanks to all 12,000 who have visited Basic Health Access in 2011.
Robert C. Bowman, M.D. Basic Health Access Web Basic Health Access Blog
SMART Basic Health Access World of Rural Medical Education
Basic Health Access Blogspot 2011 - Summaries and Links for 2011
Dr. Bowman is the North American Co-Editor of Rural and Remote Health and a Professor in Family Medicine at A T Still University School of Osteopathic Medicine. He was the founding chair of the Rural Medical Educators Group of the National Rural Health Association, he was the long term chair of the STFM Group on Rural Health, he is the founding director of Priority Infrastructure at http://www.infrastructureamerica.org/ and he is the author of the World of Rural Medical Education, and Physician Workforce Studies
Meeting Primary Care Needs in the Last Half of the 21st Century - Really!.
Clinician Specific Medical Education
- Als Disease Focus Is Not A Top Priority
Americans can be quite creative and this is often rewarded by a viral response. There are many things that ALS can do with dozens of millions… But as discussed previously, disease focus is a problem in the United States. Successful distractions by any...
- Pounding Poverty Providers With Pay For Performance
United States designs for health spending consistently result in less for those who already have the lowest health spending. This is accomplished by designs that send less to those that attempt the responsibility of their care. Design changes...
- Can We Have Our Billions Back Please?
Barrett's Esophagus: Another Disease Focused Failure Why would an advocate for basic health access keep hammering on disease focus? The answer is simple. For decades we have more different researchers and subspecialists creating more reasons to spend...
- What Is Killing Us Is Not Four Deadly Diseases
The Myth for the Cure and others in the Disease Focused Crowd Are Now Selling Four Diseases to the United States and to the World Health Organization. What is killing the United States is not hundreds of heart diseases or thousands of cancers or lung...
- Myth For The Cure: Essential For Disease Focus
Do no harm has lost its charm - when dollars are involved. Do no harm is difficult when the focus is eliminating disease. Nearly all of the disease-focused treatments cause harm and some cause substantial harm to people, to groups, or to entire nations....