Human Cost of Wait Times

Cool heads make hard choices for the greater good, in war. Innocent people die. Others survive. War is utilitarianism writ large.

Healthcare experts often sound like military.

“As for urgent patients in pain, the public system will decide when their pain requires care. These are societal decisions. The individual is not able to decide rationally.” So said a past VP Medicine from BC.

Here’s a personal story from someone in pain, shared with permission. Continue reading “Human Cost of Wait Times”

Nature of Medicine Ignored – Why Programs Fail

david suzukiDavid Suzuki made millions telling Canadians about The Nature of Things, starting with his show by the same name.

He mixed science with story-telling to promote everything from the environment to globalism.

His descriptions became prescriptive. He told us what is, and we inferred what ought to be. Regardless of what you think of Suzuki’s politics, his methods work.

Medicine needs its own Nature of Things. Continue reading “Nature of Medicine Ignored – Why Programs Fail”

Relationship vs. Stewardship – Patients vs. System

screen-shot-2016-10-01-at-8-25-09-amFriends can speak without using words. Marketers used people sharing private looks to create a brilliant ad for Lexus. It sells cars using relationship.

Medicine starts and ends with the doctor-patient relationship.

Patients want their doctors to care most about them, not about society, or the greater good. Patients want to feel they have an exclusive relationship with their doctor; one that sees them as a unique and important.

This creates a problem:

How can doctors have exclusive, therapeutic relationships with patients and, at the same time, be stewards for the greater good?

With unlimited money, doctors can pretend to put their patient’s interests first and try to please society at the same time.

But at some point, doctors must choose: Do they do what’s best for the patient in front of them, or do they do what’s best for the community as a whole?

Medicine became loved and respected for choosing individuals. Medicine works on relationships, exclusivity and individuality. Continue reading “Relationship vs. Stewardship – Patients vs. System”