Mr Burns, you have stumbled into the abyss of the dark side of medicine. It has taken me a couple of decades in medicine to find a way out of this misinformation to find a brighter view of medicine. I’m fearful of admitting that it is actually much worse than what you have uncovered, but we can discuss the darkest parts later.
What you call Fast medicine, I call it Vending Machine medicine which has been taught for a couple of decades because it works well for the majority of medical issues. Quick and basic quality is efficient when problems are simple and straightforward. These cases can easily be managed by a well trained nurse or Physician Assistant for the majority top 10-20 diagnoses.
It fails miserably for the rest who really need the personalized eye-ball to eye-ball care. In patient who have a set of issues that don’t add up or do not improve with the standard care. There are ways to change this paradigm if all are willing to make the changes.
Reasons why healthcare is failing;
>The business of medicine which focus on the bottom line and marginal patient outcomes.
>Clinical practice micromanaged by the pharmaceutical companies, high technology, orthopedic product manufacturers, cancer and cardiovascular diagnosis and therapies.
>The “I can fix you mentality.” Which in most cases it just medicine usurping natural healing for profits. The number of joint replacement surgeries and cardiac procedures are rampant and mostly unnecessary.
>Disregard for proactive or preventative medicine.
>Disregard for myofascial pain and dysfunction and the time and hands-on care these patients need which is Myofascial Release Therapy with and without needles.
>Disregard for Alternative medicine, which should actually be primary care medicine and that is Wellness, Acupuncture, Travell/Simons trigger point therapy; dry and wet injections, Spray and Stretch and old fashion Physical Therapy.
>Disregard for wellness and balance in our chaotic lives.
>Disregard for the end of life issues and care for the elderly.
>Disregard for polypharmacy.
>Disregard for oversight for malfeasance in the operating rooms, procedure suites and board rooms as it relates to waste, fraud and abuse.
>This one I witness in my daily practice and that is how pain and dysfunction is managed. This aspect is totally ignored and is where billions are wasted and causes the most misery.
The business of medicine is in the way of the humanitarian part and there are ways of finding a balance if all parties can all agree to accept the solutions. And YES, healthcare is on track to implode with or without the ACA because the above issues have not been address. http://www.dallasnews.com/business/columnists/scott-burns/20131026-new-book-is-a-candle-in-the-darkness.ece
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