Differences
This shows you the differences between two versions of the page.
Both sides previous revision Previous revision Next revision | Previous revision Next revision | ||
bpaddock:todo [2017/03/26 14:19] bpaddock Delafloxcin | bpaddock:todo [2018/06/19 02:01] bpaddock New CSF Water | ||
---|---|---|---|
Line 3: | Line 3: | ||
Things that needs needs added and formatted. | Things that needs needs added and formatted. | ||
+ | ---- | ||
+ | |||
+ | New CSF Water | ||
+ | https:// | ||
+ | https:// | ||
+ | https:// | ||
+ | |||
+ | https:// | ||
+ | |||
+ | ---- | ||
+ | |||
+ | S.e. Murphy | ||
+ | |||
+ | |||
+ | Yay. I tag @John Vibes because this might interest him. While I have read widely and can suggest numerous books, in practice many of the conclusions are mine, as well as suggestions. | ||
+ | |||
+ | Having designed medical systems for large scale hospitals, but wth a background in economics, international business, and a religious, educational and cultural upbringing deep in the catholic church , I came to some thoughts LONG ago when reading into medical systems, funding, etc debates. | ||
+ | |||
+ | It has gone to hell at several points. Not least was govt being co opted by the associations that pushed for licensing of medical doctors (as opposed to private certifications) because this govt regulation, this making a crime of competing from outside of the official paradigm eliminated much choice, becae an insulator from all competition outside their paradigm and controlled education, and led to the severe pruning of medical philosophy and methods that also became ripe for the takeover of medicine by medical instrument companies and especially big pharma. | ||
+ | |||
+ | Medicine became nothing more than a business. | ||
+ | |||
+ | It was not always thus. The fact that even now so many hospitals carry legacy names, though they have nothing more in common with practice, with saints and religious orders and the like is because such hospitals were founded, run, organized as charities. Money may well have been taken from those able to pay, but pro Bono work was common and the guiding philosophy was to heal, not make money, not be in accord with the latest political dictates, or fads like " | ||
+ | |||
+ | I will not write an essay here, but as doctors were increasingly coming ONLY from medical schools , which became fewer in number after world war 2 (halving in number as the population doubled) the practicing philosophies of these doctors, amd their need for remuneration in market forces as their relative supply fell but demand increased markedly, became enormous. | ||
+ | |||
+ | I investigated some time ago the funding of doctor training and their pay, the structure od their training and internships, | ||
+ | |||
+ | They cannot practice at all in or on the NHS here in uk , and it is even worse here in other ways, and if you can find one they are cash only, cater to wealthy via private practices, and due to the lack of competition, | ||
+ | |||
+ | Which, by the way, is how any de facto monopoly systems tend to operate and is the result of collusion, and you can see this in any economic situation. | ||
+ | |||
+ | Money as motive could and should easily be taken out of the medical system by returning to its roots and drastic | ||
+ | Ly reducing govt mandates and demands. Medical insurance is to be insurance, not a pre paid all in health plan. Local Public health departments used to give taxpayer value for money by doing free check ups and the like for the public and poor . I have awareness of this from the detailed stories my grandmother told me of life raising her kids as she raised me, | ||
+ | |||
+ | Over medicating, and over medicalizing of people was essentially unheard of until the sixties as big pharma cranked up, with full govt approval. | ||
+ | |||
+ | As a side note, a truly stable, non inflated, non inflationary currency environment (and nit govt cooking books to drastically understate real inflation, but real non inflation, as largely existed through the republic until Nixon abandoned Bretton Woods as an inevitable consequence of the cost of us military/ | ||
+ | |||
+ | | ||
+ | |||
+ | Why is this important? In a significant inflation environ, | ||
+ | |||
+ | This constantly inflating costs means methods must be adopted to cope and deliver services and goods, even in a medical environment at prices that can be afforded. Sometimes this does enable better innovation, but often it means cheaper cost substitutions and drastic restrictions in labor invested into any endeavor (as labor costs escalate) and with this you see now why doctors are under severe time pressure, cannot personally take time to really know a patient, about their life, etc. | ||
+ | |||
+ | Upon a time, doctors USED to talk with patients, come to know them. Nurses especially so and nurses were always the caring faces of medical care back to ancient times. In my extensive experience as a patient I can say that that is totally gone. Other than, perhaps, some fly by chit chat while theynrush you through a weigh in or hand you a form, there is NO interaction with patients and I have seen numerous mistakes get made in forms, my forms, because of the hurried nature of the interactions . I am NOT an unpleasant person to deal with so it is not just me. I have observed this. | ||
+ | |||
+ | Numerous prophylactic measures, especially time consuming ones, have been abandoned, on cost basis (and substituted with higher routine use of antibiotics), | ||
+ | |||
+ | Full spectrum light bulbs should be the norm in sunless and all areas, and almost all patient rooms should have ability to get significant natural sunlight and patients should be given access to natural sun exposure daily as well as lots suplementary d3, vitamin c. | ||
+ | |||
+ | Copper as a surface is vastly superior to stainless steel and even silver as a self sterilizing material (but the costs of cleaning or polishing it would be labor intensive so why worry about preventing germs from surviving on surfaces, hand rails, etc when quick use of harsh chemical sprays during intermittent cleaning is "good enough" | ||
+ | |||
+ | Additionally, | ||
+ | |||
+ | But you can blame govt and special interests, and this includes the doctor associations as well, they wanted a monopoly in practice, even waging dirty tricks to suppress chiropracty and other modalities , calling anyone who does not accept their expensive and monopolistic practices as quacks amd fools, well, they largely got it, and it has been a Faustian bargain for themselves and worse for patients and society at drastic and escalating costs. | ||
+ | |||
+ | Now there is this massive push to outlaw unapproved " | ||
+ | Industry partnerships for their profit and politics, our costs. | ||
---- | ---- | ||
https:// | https:// | ||
Line 161: | Line 220: | ||
________ Forever! | ________ Forever! | ||
+ | S.e. Murphy Murphy' | ||
+ | |||
+ | The important things are always simple. | ||
+ | The simple things are usually hard. | ||
+ | The easy way is always mined. | ||
+ | No plan survives first contact with the enemy. | ||
+ | When you are short of everything except enemy, you are in combat. | ||
+ | |||
+ | Corollary statements not directly affiliated with that partial list of relevant Murphy' | ||
+ | |||
+ | Expect adversity. | ||
+ | BOHICA | ||
+ | Poor prior planning on your part does not constitute an automatic emergency for others. | ||
---- | ---- | ||