Access to Healthcare

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It turns out that "access to healthcare" is actually an incredibly complex sociological concept:

Facilitating access is concerned with helping people to command appropriate health care resources in order to preserve or improve their health. Access is a complex concept and at least four aspects require evaluation. If services are available and there is an adequate supply of services, then the opportunity to obtain health care exists, and a population may 'have access' to services. The extent to which a population 'gains access' also depends on financial, organisational and social or cultural barriers that limit the utilisation of services. Thus access measured in terms of utilisation is dependent on the affordability, physical accessibility and acceptability of services and not merely adequacy of supply. Services available must be relevant and effective if the population is to 'gain access to satisfactory health outcomes'. The availability of services, and barriers to access, have to be considered in the context of the differing perspectives, health needs and material and cultural settings of diverse groups in society. Equity of access may be measured in terms of the availability, utilisation or outcomes of services. Both horizontal and vertical dimensions of equity require consideration.

And here I thought "access to healthcare" meant you could get whatever medical services you want, and somebody else would pay for them.

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The healthcare debate in America is idiotic.

Seventh Day Adventists live on average 7 years longer than the average, in the population. That means healthier people, and lower health-care costs. Diet is one key.

Among European nations, life expectancy differs up to 15 years, with Russia at the bottom end, Switzerland, at the top end. So, that should tell us that biologically, how long humans live can vary, up to 20%, depending on input variables.

Another key is physical mobility levels, whic can be measured. In numerous, well documented studies, highly active people live 15 years longer than the inactive. That means lower healthcare costs. So everything must be done, to help people become more active.

Finland did this by slowly re-designing Helsinki, over 20 years, to encourage mobility. It has worked, and most health problems associated with advanced technological societies, are on the decline, in Finland. Things like, lower rates of heart attacks. That means lower health care costs.

American city design, and transportation systems seem specifically designed to produce an obese population.

One way to control health care costs, is to shut down fast food outlets, and tax them into oblivion. Declare a War on Fast Food. Tax on food and restaurants should be based on nutritional ratings. The healthier the food, the lower the tax. Re-jig the farm subsidy system, to encourage organic, locally grown produce, would help. Mandate every school to have free, healthy, nutritious breakfasts, and lunches, and make sure every child takes gardening and cooking classes, so they know what real food is, and won't tolerate the pig-slop they currently are fed.

Farm animals often eat better than the average Big-Mac eating American. The healthcare crisis is really a bad food crises, and a couch potato crises.

Implement very strong tax incentives for all kinds of things to encourage physical mobility. Tax incentives for anyone living in walkable communities, including residents, builders, property owners. Punish those in outlying areas, and builders of these communites, with high taxes.

That would encourage physical mobility. Americans are the fattest people, in human history. We are a blob on the evolutionary ladder. How about building more bike trails, and tax free sporting equipment of all kinds? Maybe even subsidized equipment. Every form of physical mobility should be given incentives. Your kid wants you to spend $200 on Karate lessons? You should get a $400 tax credit.

Right now, 'health care" in America means pumping morbidly obese, inactive people, full of drugs, that often do more harm than good. This is called "health care" in America. Republicans and Democrats fight over the right way to keep a retarded, bankrupt system going, without any serious debate, about the deeper causes.

Like a bunch of spoiled teenagers, everyone, when talking about healthcare, uses simple minded, ego-based stupidity: It's a "right". And the drug companies encourage this stupidity, that passes for public policy. Why not? Like Wall Street, they are morally bankrupt. They are making tens of billions in profits. What do they care if their "cures" are stupid, and most often just cover up symptoms, without attacking the cause of the problems. Often, they suppress real treatment, because they can't patent it. Then they pad the wallets of Republicans and Democrats, at election time, so that nothing real gets done.

The drug companies are too immoral to acknowledge they are part of a process of keeping a corrupt political and medical system going on, blindly and stupidly.

Americans drive through fast food pickups, by the millions each day, eating garbage I wouldn't feed a pig, sit in cars all day, have inactive jobs, go through drive through pharmacies, and wonder why they aren't we feeling so good? Well, duh.

Look in the mirror, Porky.

And if you don't have a mirror, turn on Jerry Springer, and look at the audience.

America: this is you!

America is the most unnatural country, in history.

How did humans evolve? We move around all day. We are hunters. We didn't evolve, sitting on a rock, er chair, over the course of our human evolution. And we didn't evolve eating diets of 3000 calories, like many Americans eat. There's your solution to healthcare: Live as we evolved to live, not as we are, blobs waiting to go extinct.


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This page contains a single entry by Kevin published on March 2, 2009 4:22 PM.

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