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Apr 15, 2019 12:37AM
repeating what I mentioned before, we can continue to debate cost and delivery of care and Pharma until the end if time, Rather than debate those issues, what we really must begin to do is discuss the WHY. WHY does healthcare cost so much? WHY is the delivery of care so expensive? Why is Pharma so expensive?
I strongly recommend reading American Cancer Society’s medical director Otis Brawley’s book, How We Do Harm. He spreads the blame around and also blames US, as well, for the spiraling costs.
The good news could be had by reading the suggestions in Eric Topol, MD’s books. Technology is the shape of things to come in medicine. You are all seeing the beginning of what technology brings to the table...genetics, digitalized medicine. The more info out that that gets harnessed and ultimately develops patterns will lead to breakthroughs, not just in medical discoveries, but in ways that dollars can be used more effectively in delivering care.
One day, the annual population based screenings that we do will be moot. The annual check ups will be moot. Imagine for a moment repositioning all of that population based screening and check up money being used for...illnesses? Or for research?
Soon, money will be well spent because of technology. How soon? Not soon enough, but sooner than you might think. Just think about it, in the last 10 years, more and more genetics is being used by clinicians. With that said, the cost of genetic testing is diminishing AND care is improving because of it. And, treatments are becoming more tailored to each person’s genetics. Money is not and will not be spent on treatments that genetics prove unwarranted and/or unnecessary.
Finally, getting back to blame. We are going to all need to examine our own ideas and feelings. How proactive do we want to be when it comes to our own health and healthcare? Believe me, this is the hardest part to decide. I know there are many of us who despite taking care of ourselves, STILL got cancer. So, you might ask, “How proactive can we possibly be?” Well, there is no easy or short answer. Read Dr. Brawley’s book and see what he has to say about that question. You might feel uncomfortable with what he has to say, but I think it is a discussion we all need to have with ourselves as individuals and as a country.
I don’t believe in more care. I believe in better care. And once we understand what better care looks like, only then can we facilitate change
Doctor told me regarding my prognosis that I WASN'T on the Titanic! Hmmm...Really?....Okay! 02/2010 Pure Mucinous Breast Cancer, Oncotype DX 15, Stage 1, Grade 1, 1.8 cm, 0/2 nodes, ER+ 90% /PR+ 70% HER2- (+1)