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What US Health Care Needs

Medical doctor and writer Atul Gawande gave the commencement address recently at Stanford's School of Medicine. In it he lays out very precisely and in a nonpartisan way what is wrong with the institution of medical care in the US — why it is both so expensive and so ineffective at delivering quality care uniformly across the board. "Half a century ago, medicine was neither costly nor effective. Since then, however, science has... enumerated and identified... more than 13,600 diagnoses — 13,600 different ways our bodies can fail. And for each one we've discovered beneficial remedies... But those remedies now include more than six thousand drugs and four thousand medical and surgical procedures. Our job in medicine is to make sure that all of this capability is deployed, town by town, in the right way at the right time, without harm or waste of resources, for every person alive. And we're struggling. There is no industry in the world with 13,600 different service lines to deliver. ... And then there is the frightening federal debt we will face. By 2025, we will owe more money than our economy produces. One side says war spending is the problem, the other says it's the economic bailout plan. But take both away and you've made almost no difference. Our deficit problem — far and away — is the soaring and seemingly unstoppable cost of health care. ... Like politics, all medicine is local. Medicine requires the successful function of systems — of people and of technologies. Among our most profound difficulties is making them work together. If I want to give my patients the best care possible, not only must I do a good job, but a whole collection of diverse components must somehow mesh effectively. ... This will take science. It will take art. It will take innovation. It will take ambition. And it will take humility. But the fantastic thing is: This is what you get to do."

4 of 584 comments (clear)

  1. Re:And what about poor people with a handicap by RightSaidFred99 · · Score: 0, Offtopic

    Ahahaha. Troll indeed. Check parent out, simple statement of fact and it's a "Troll".

    Here - mark this as a Troll too: Bad things happen to good people. "Oooh, I don't like that fact!!!"

  2. Re:government out of economy by roman_mir · · Score: 0, Offtopic

    I have to run, so I am sorry I cannot participate in this delightful conversation, I'll be back in about 8 hours, will reply then. Cheers.

  3. You can't blame Republicans for Social Security by MikeRT · · Score: 0, Offtopic

    Johnson was the first President to raid Social Security for money for the general treasury.

    Guess where this oh so enlightened liberal spent it?

    Vietnam...

  4. RE-Legalize Cannabis! The Health BURDEN will go.. by Anonymous Coward · · Score: -1, Offtopic

    Those of you who get your information from the media, without doing your own research and applying logic, are unaware of how much of an impact cannabis use has on health. Medicinal use of cannabis cannot be properly accomplished with garbage cannabis from the black market. Prohibition is costing this country BILLIONS in additional healthcare costs due directly to the inability of the public to use cannabis freely.

    Cannabis has been used INTERNALLY for centuries to prevent diseases and assist the body in curing itself of contracted diseases. MOST Medicinal Cannabis Users don't take any Rx or pills of any kind.... except maybe a bit of aspirin/acetaminophen occasionally. WE DON'T NEED IT. Cannabis either relieves, slows or cures the problem.

    Anxiety? Cannabis
    Nausea? Cannabis.
    Cancer? Cannabis.
    Shingles? Cannabis.
    Alcoholism? Cannabis.
    Diabetes? Cannabis.
    ADD/ ADHD Cannabis.
    AIDS Cannabis.
    ALZHEIMER'S Cannabis.
    ALS Cannabis.
    AMOTIVATIONAL SYNDROME Cannabis.
    ANTI-INFLAMMATORY Cannabis.
    ANTI- OXIDANT Cannabis.
    ANOREXIA Cannabis.
    ARTHRITIS Cannabis.
    ASTHMA Cannabis.
    ATHEROSCLEROSIS Cannabis.
    AUTISM Cannabis.
    BIPOLAR DISORDER Cannabis.
    BLOOD PRESSURE Cannabis.
    CHRONIC CYSTITIS Cannabis.
    COUGH Cannabis.
    CPOD Cannabis.
    CROHN'S/IBS/ULCERATIVE COLITIS Cannabis.
    DEPRESSION Cannabis.
    DERMATITIS Cannabis.
    DYSTONIA Cannabis.
    ENDOCANNABINOID DEFICIENCY Cannabis.
    EPILEPSY Cannabis.
    FAMILIAL MEDITERRANEAN FEVER Cannabis.
    FERTILITY Cannabis.
    FEVER Cannabis.
    FIBROMYALGIA Cannabis.
    GASTRIC BYPASS Cannabis.
    GLAUCOMA/ VISION Cannabis.
    GYNOCOLOGY AND OBSTETRICS Cannabis.
    HEART DISEASE/ CARDIOVASCULAR Cannabis.
    HEPATITIS Cannabis.
    HERPES Cannabis.
    HICCUPS Cannabis.
    HUNTINGTON'S DISEASE Cannabis.
    HYSTERECTOMY Cannabis.
    IDIOPATHIC INTRACRANIAL HYPERTENSION Cannabis.
    IQ/ MEMORY/ COGNATIVE EFFECTS Cannabis.
    LUPUS Cannabis.
    MAD COW/ CRUETZFELDT-JACOB DISEASE Cannabis.
    MEIGE'S SYNDROME Cannabis.
    MIGRAINE/ HEADACHE Cannabis.
    MORNING SICKNESS Cannabis.
    MS Cannabis.
    MRSA Cannabis.
    NEUROPATHIC PAIN Cannabis.
    OBSESSIVE COMPULSIVE DISORDER Cannabis.
    OBESITY Cannabis.
    ORGAN TRANSPLANTS Cannabis.
    OSTEOPOROSIS/ BONES Cannabis.
    PAIN Cannabis.
    PANCREATITIS Cannabis.
    PARKINSON'S DISEASE Cannabis.
    POST TRAUMATIC STRESS DISORDER/ PTSD Cannabis.
    PREGNANCY Cannabis.
    PRIONS Cannabis.
    PRURITIS Cannabis.
    QUITTING OTHER DRUGS Cannabis.
    SCHIZOPHRENIA/ MENTAL DISORDERS Cannabis.
    SICKLE CELL DISEASE Cannabis.
    SLEEP MODULATION Cannabis.
    SPASTICITY Cannabis.
    SPINAL CORD INJURY Cannabis.
    STROKE Cannabis.
    TOURETTE'S SYNDROME Cannabis.
    WILSON'S DISEASE Cannabis.
    This is only a partial list of diseases that have had cannabis studies done on them. For the links, follow this url or do a search for Granny Storm Crow.
    http://forum.grasscity.com/medical-marijuana/314173-granny-storm-crows-list-2009-a.html

    Wake the hell up people. Stop eating the garbage that the media is spoon feeding you and go KILL AND EAT YOUR INFORMATION ON YOUR OWN! Prohibition is killing you, your family and your friends.... just say NO to prohibition.