Archives for posts with tag: health system

Your previous actions that were done in error now have consequences.
Karma.

My father has cancer. And an eye problem.
The cancer is being treated in a public hospital while the eye problem is taken care of at a private facility.
In the last couple of days we have visited them both.

Besides the obvious differences there’s a huge, and overpowering, ‘common ground’.
The money problem.

No, not the money you have to fork out if you want to be treated in a private facility.
The fact that money has been elevated to goal status.

Functionally speaking, health-care is a ‘social function’. By helping each member to remain healthy, the society – as a whole – preserves it’s overall health. It preserves it’s functionality. It’s ability to survive and to thrive.
By helping my father with his medical conditions, the society makes it possible for me and my family to remain productive. Instead of taking care of him – which we can’t do properly – we can continue to do what we’re good at.

And no, the subject of this post is not ‘who should pay for health care’.
There is no ‘free’ anything so everything has to be paid, one way or another.
The problem is the fact that money becoming the main goal has consequences.

Instead of trying to maintain the well being of the population – in an economically sensible manner – the health industry is focused on making profit.
Instead of trying to maintain the well being of the population – in an economically sensible manner – the public health system is focused on being ‘thrifty’.
The consequences are similar. Overworked doctors, crowded waiting rooms, impatient personnel, long waiting hours, irritation… And no spare capacity to cover ‘mass emergencies’!

Unfortunately, things go way deeper than this.

Do you remember what else ‘surfaced’ in the winter of 2020?

Put two and two together and it becomes a lot easier to understand how and why a huge number of people ended up believing that COVID-19 was a scam.
A scam concocted by Big Pharma to convince us to buy their products…

In retrospect, what happened doesn’t make much sense, does it?
So many people who had died because so many of us didn’t have enough trust in masks and vaccines…
So many of us were convinced that we were being played! For money…

Because it had already happened!

“These consumers were getting a raw deal. They were being exposed to Mylan’s price increases and excluded from the market forces that might cushion them. They were getting ripped off. And it’s no wonder they got angry.”

Imagine having a festering boil. On your ass, for good measure.
You may take to the doctor, for treatment.
Or you may wait, hoping your organism will be strong enough to heal itself.
This being your call.
Nobody else but you has anything to say about this situation.
Let’s say you have chosen to go to the hospital.
Once there, the matter has gotten somewhat ‘out of your hands’. You still have the last word but the doctor calls the more important shots. Pun indended, of course.
He can simply open up the boil, put you on a course of antibiotics and send you home.
He might decide to check you up and see whether the boil is a symptom of something deeper.
He might attempt to rip you off by ordering, all at once, a host of complex tests and of fancy treatments.
Or all at once.
Cut up your boil, set you on a course of antibiotics, order a decent set of tests and still rip you off.
‘Is there a point to all these?’
Yep!
How the ‘good’ doctor will choose to treat you is the consequence of how you have chosen him. And of how the community you belong to had chosen to organise its health system.
But the more consequential decision, whether to go to the doctor in the first place, is yours.
I’m not going to analyse the factors you have to balance – we’d go back to how the community you belong to had chosen to organise its health system.
I’m only going to parade the possible outcomes.
A nice scar on your butt and a decent tab for you – or for your insurer, to pick up on your way out.
Acompanied, hopefully, by an otherwise clean bill of health.
A nice scar, and a clean bill of health, accompanied by an outrageous invoice.
These being the ‘good’ outcomes.
The doctor might find out, after reading the test results, that you also have, say, a blood disease. One perfectly treatable by modern medicine. But which would have easily killed you if you had waited much longer.
The doctor might also find out, after reading the test results, that the boil is the symptom of an incurable disease. One which will kill you for sure. Only now you’ll die in the relative comfort of the available paliative treatment you can afford.
Or you might choose to nurse your boil at home.
Get out fine. And a lot cheaper!
Die of an apparently unrelated disease six months later.
Or pass out because of a sepsis which had eventually became untreatable. Due to your own prevarications….
‘And what has the boil on my ass to do with Covid?!?’
Covid is a boil on our collective ass.
We might decide to treat it ‘on the go’, hoping that on the ‘other side’ our lives will return to normal.
Or we might decide to use it as an opportunity!
An opportunity to clean up our act….