Saturday, June 28, 2003

I was listening to the radio the other day (NPR, of course) and there was a story about an elderly woman who could barely afford to buy the medication she needs to be able to stay alive. She actually was not that old - I think they said she was 70 or so. But she was on Medicare and slowly but surely, over the past several years, her prescription drug coverage has diminished and now she pays some obscene amount for medicine that keeps her alive. "Again, this health care crisis," I thought to myself. But as I heard the woman list off the various medications she takes, I started to have a different point of view. She has one pill that helps lower her cholesterol. Another helps her control her adult-onset diabetes. And another helped keep the bood flowing to her heart. And then it occured to me. We don't have a health care crisis in this country. We have a disease care crisis. Because we don't have a health care system, we have a disease care system. We spend time and energy helping people get better once they get sick; we focus on curing disease. And we call it health care. But that's disease care. Why don't we spend more energy preventing the disease in the first place? Seems to me that would cost a lot less money and help keep the health care companies in business longer. Instead, we spend all our money trying to UNDO the damage people have done to themselves by not eating properly, by not exercising, by smoking. And then we spend a ton of money medicating ourselves so we won't get too depressed by all our illness and disease.

A health care system would focus on educating people from a very early age about proper nutrition, exercise and lifestyle habits that promote wellnes. A health care system would be designed to help families figure out how to pursue healthy lifestyles with limited resources. A health care system would encourage research about how to stay well, not how to get better. A health care system would thrive when people are disease free. And a health care system would ensure everyone has access to these services so that fewer people succumb to diseases that could have been avoided.

Nope, we don't have health care in the United States. We have disease care. And our disease care system sucks.

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