Tuesday, February 7, 2012

Key Issues Topic Continued, Health

From December 28, 2011 blog posting:

Health Systems and Delivery – Understanding and Strengthening the Body
            Keeping us well
            Recreation and training the well body
            Connecting mind and body health
            Medical research and extending the quality of life
            Financing access to medical utility

Continuing the discussion of the key topics list today is Health Care Systems and Delivery. What is it that keeps us healthy? How does health and health care relate to quality of life in the United States? And how well do we provide for this quality of life element? 

Good questions, each and every one of them. Perhaps we should begin with a definition of quality of life: (from Wikipedia) an important concern in economics and political science; a measure of the overall effect of medical issues on a patient; a socioeconomic indicator of health/wealth/well-being. 

If our body is healthy – hale, hardy, relatively free of aches and pains, functioning properly – then we are able to move about freely, experience life acutely with all of our senses, and generally become unaware of our physical being. Our mind and senses are free to be, think, perceive and process surroundings, both physical and mental. We are fully functioning and capable of performing tasks. In this state of being we can participate fully in life’s possibilities and creativity.

Absent a healthy status, we are operating on less than full power; we are hampered; our thinking processes, although strong and productive, may be short circuited by pain, annoyance, short temper, depression, and any combination of distractions which lessen our effectiveness. A healthy body is a fully functional entity; an unhealthy body is only partially functioning. 

Keeping our body well provides a strong building block for quality of life. Wellness becomes an important resource for many aspects of living well for self and others.

Recreation provides a discipline of body movements which lead to healthy, toned bodies. It is an enjoyable and stimulating method of maintaining wellness. This seems a pretty basic fact of life. Sports and recreation are associated with one another but as participation, both physical and mental. Being involved earns the wellness benefits. 

A well body is an essential element of mental health. If we feel good we think better, have a more positive attitude and mental outlook. We see possibility rather than impossibility. It is worth our nation’s effort to build strong, able bodies in order to support able mindedness and national possibility. 

If we can agree so far with the above points, then it follows that caring for ailing bodies is a priority activity, one assigned to the medical professions. It is their job to use their accumulated knowledge and skills to heal the sick and restore them to health. As years pass we accumulate more medical knowledge and seek yet more via research. Organized and directed research leads to discoveries sharable to the multitudes.  

Thus two key medical activities are pulled into focus: the need to intentionally seek desired results from disciplined research, and maintenance of delivery systems for medical practice. 

Both need the power of organization, supervision, innovation and funding. The establishment of medical institutions do a good job with these but they are not perfect. More needs to be accomplished. With the addition of insurance companies, manufacturers of medical equipment and supplies, vendors of those same supplies and equipment, medical schools, professional societies governing each specific medical specialty, many power centers develop within the medical community. Legal and liability issues arise and with it interference by state and federal regulators and law makers. With that come the lobbyists. Then the ideologues. Then the politicians. 

What is clearly a key topic of benefit for mankind becomes mired by purely human behaviors. And then the funding questions begin and along with it the control of the entire arena. Progress slows in medical research, medical education, delivery systems, government policy, insurance cooperation, and collaboration throughout the entire health care industry.  

The complications are to be expected. Runaway innovations can quickly short cut values and ethics without our being aware. Slowing down does have its benefits. But the argument of the usefulness of health care and well being provided to everyone as easily and cheaply as possible should not be lost. The utility of health care and health maintenance is apparent. 

Health is a key component of quality of life. We need to ensure its nurture is present in all of our lives. Does social policy currently support this aspiration? Or are we playing games with this concept?

February 7, 2012

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