Healthy Living A Principled Together With Pragmatic Approach To Healthcare Reform
On 8/13/09, Paul Begala's Washington Post article titled Progress Over Perfection made the illustration that our province needs the "right blend of regulation in addition to pragmatism" in addition to nosotros ought non to prefer "glorious defeat to an incremental victory." The primary issue, imo, is how to possess got an approach I discussed inwards the past, i.e., (1) define what nosotros have to (ought to, should, must) do inwards monastic say for our healthcare reform strategy last judged equally principled and, at the same time, (2) define what nosotros can exercise in monastic say for it to last judged equally pragmatic. Following is how I run across it.
To last principled, nosotros ought to ensure that our strategy last guided past times empathy ("putting yourself inwards others' shoes" to empathize what they are going through) in addition to compassion (caring what others are going through in addition to doing what nosotros reasonably tin exercise to help those inwards distress). Failure to exercise in addition to so makes the strategy inhumane, fosters civil unrest, in addition to causes cognitive noise that is ofttimes resolved past times heartless, selfish, ignorant rationalizations (e.g., blaming the victim or believing that y'all are somehow to a greater extent than worthy than those less fortunate). As I possess got written inwards my blog, many humans are brusque on empathy in addition to compassion, in addition to our pathologically mutated shape of capitalism breeds this disgusting tendency. When it comes to healthcare reform, a humanely principled strategy, therefore, way giving all Americans ready access to affordable summit lineament (high value, toll effective) care. Hence, we must possess got closed to kind of universal coverage in addition to the way to continually improve the lineament in addition to lower the cost of treating persons amongst biomedical in addition to psychological problems, equally good equally enabling people to possess got skilful attention of themselves to preclude in addition to effectively deal those problems.
To last pragmatic, nosotros ought to find fair in addition to effective ways to pay for the tactics aimed at realizing the 2 primary objectives of a principled strategy: (1) providing universal coverage in addition to (2) continually improving attention effectiveness in addition to efficiency leading to ever-better in addition to to a greater extent than affordable approaches to care. The methods for financing these tactics must last sustainable over the long term, in addition to at that spot must last ample reliable oversight in addition to transparency to assure no 1 is gaming the organisation for their ain unprincipled selfish gains at other expense. These requirements are non slow to satisfy, particularly since our social club tends to focus on short-sighted, quick-fix solutions that are brusque on empathy in addition to pity for Earth good, in addition to besides neglect to promote self dependent champaign in addition to personal responsibleness & accountability. This points to the need for substantial governmental reform aimed at minimizing lobbyists' influence, quid pro quo favors to political party benefactors, operational inefficiencies, etc.
Some of the major healthcare reform tactics beingness discussed include Earth selection vs. co-ops, tort reform, in addition to care coordination (e.g., through patient-centered medical homes, which includes giving primary attention physicians to a greater extent than equitable income compared to specialists), (b) complementary in addition to choice (CAM) approaches to attention inwards add-on to conventional Western allopathic approaches, (d) serious consideration of the mind-body connection, (e) supporting shared decision-making betwixt informed patients in addition to their providers, in addition to (f) evolution in addition to role of next-generation wellness data technology that provides clinical determination back upwards through implementation of patient-centered cognitive support methods.
Being overly focused on the immediate toll in addition to management of universal coverage, without a balanced focus on the urgent involve to continuously increase attention value to the consumer, volition never termination inwards a amend healthcare organisation and, virtually likely, volition motility farther deterioration of attention lineament in addition to substantial ascension of costs over time! Need farther evidence? American Values in addition to Healthcare Reform
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