Author’s summary by Stephen C Schimpff, MD
Health Care in the United States is a paradox. We are the most abundant, highly advanced market in the world, where research, commitment of providers, and dollars spent are unmatched. And yet… medical care is not uniformly available, is much too expensive and the quality of care is all too often less than satisfactory and not nearly safe enough. It is time for a different approach. .
There are many disruptive, often transformational changes coming, which will further complicate matters for the average patient. These changes are being driven by an aging population, our adverse lifestyles and behaviors, an increasing shortage of providers, our attitudes about the end of life, and a nascent rise in consumerism.
One of the most important changes is a shift from acute illness (e.g. pneumonia, appendicitis) to chronic diseases (e.g., diabetes with complications, heart failure and cancer) which are lifelong once developed, difficult to manage and very expensive to treat – yet mostly preventable.
There are also many misconceptions about what medical care delivery is and what it could and should be. For example, Read the rest of this entry »