If America is going to provide insurance coverage for millions of more people than we do currently and we already can't handle the current load, then how in the world are we going to be able to do that? It seems so clear to me. The model must change and we must adapt to the reality. I think we could do it with a new model of care where the most common medical interaction is not one to one but one to many. Groups. Medical groups. Medical communities. Clans. That's what I learned in Fiji. Care can be delivered within a different model and one more suitable to caring for chronic issues. We can't continue to deliver care in the model we use; it does not work. People need more -- not more technology or more pharmaceuticals -- just more care and attention. Attention to their whole being. Thoughts, beliefs, feelings, longings. These all matter. This cannot be done with cramming in more one on one appointments. We will kill the doctors and our society. It is an entire paradigm shift -- a complete shift of values and priorities. But it is the way we are meant to be; our nature. We are pack animals craving our pack.
It is now 3 days after "Liberation Day". Sunday afternoon 12:30 pm. February 28th, 2010. Three days ago, Dr. Mohsin Saeed at Scripps Clinic opened my left jugular vein with angioplasty and my right jugular vein with angioplasty followed by a stent. The procedure is called by its inventor, Dr. Paolo Zamboni, The Liberation Procedure. It is a revolutionary treatment for an old, disabling disease -- Multiple Sclerosis. Until about 3 months ago, the only theory I knew about MS was that it was an autoimmune disease which attacked and destroyed myelin, the external coating around nerves. For unknown reasons, nerve conduction was slowed while plaques formed in the brain. It was always unclear why or when attacks would happen but they did and were difficult to control. Modern medicine responded with anti-inflammatory drugs and immune suppressants following the line of reasoning that if the disease was caused by an immune response, then stopping the immune response would stop the dise...
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