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Despite the fact
that the United States spends more on medicine than any other
nation, the country is facing a health care crisis as its
health care system is in danger of collapse.
The current health
care system is increasingly failing patients and medical staff,
and its flaws could become evident in the event of a biological
attach, according to neuroscientist-physician Dr. Floyd Bloom,
president of the American Association for the Advancement
of Science (AAAS).
The American health
care system needs to be redrawn, according to Bloom, and there
are four major reasons why:
- Costs of medications
are exceeding the ability of employers to pay for them
- Patients are
not satisfied with their care
- High rates of
malpractice insurance are demoralizing physicians about
the practice of medicine
- It is becoming
increasingly difficult to recruit nurses
Other reasons mentioned
include rising health insurance premiums, shortages of expertise
in a number of specialties and outdated methods of information
management.
Another major flaw
in the system is its reliance on hi-tech surgical procedures
and drugs. The system is "reactive" in that it waits
until someone is sick and then looks for a way to solve the
problem. Preventive medicine, rather than drugs and surgeries,
should be the foundation for the system.
Communication is
also a problem. For example, there are more than 10,000 drugs
available for treating the increasingly elderly population.
Many of these drugs can cause interactions, but patients typically
see several doctors who do not know what drugs the others
are prescribing.
One overriding
theme is that simple measures should be taken first, rather
than waiting for hi-tech discoveries to change the system.
Human genome research is an over-anticipated breakthrough
that is not likely to provide any dramatic results for years,
according to Bloom. There are simpler things that can, and
should, be done right away that can produce significant benefits.
British
Medical Journal February 22, 2003;326:416
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