Healthcare Providers Quotes

You understand that you are being manipulated by others and you become overwhelmed by hospital bureaucracy. It feels as though you have been violated by administrators who have robbed you of your passion for helping children. That passion that drove you to become a healthcare provider is replaced with mistrust, negativity, and hopeless skepticism.

The stigma of chronic pain is one of the most difficult aspects of living with chronic pain. If you have chronic pain, people can sometimes judge you for it. Specifically, they can sometimes disapprovingly judge you for how you are coping with it. If you rest or nap because of the pain, they think you rest or nap too much. If they catch you crying, they become impatient and think you cry too much. If you don’t work because of the pain, you face scrutiny over why you don’t. If you go to your healthcare provider, they ask, “Are you going to the doctor again?” Maybe, they think that you take too many medications. In any of these ways, they disapprove of how you are coping with pain. These disapproving judgments are the stigma of living with chronic pain.

Wouldn't it be great if health-care plans included a list of Buddhist monks among the network providers?

What was to be a relatively innocuous federal government, operating from a defined enumeration of specific grants of power, has become an ever-present and unaccountable force. It is the nation’s largest creditor, debtor, lender, employer, consumer, contractor, grantor, property owner, tenant, insurer, health-care provider, and pension guarantor. Moreover, with aggrandized police powers, what it does not control directly it bans or mandates by regulation.

Let's be clear. The debate over health care in this country is not a debate about medical treatment or the best way to prevent disease. It is a debate about economics and class politics. Either we maintain a profit-driven health care system whose main function is to enrich certain individuals and institutions, or we develop a nonprofit, cost-effective system that provides quality health care for all people as a right of citizenship.

Healing is a biological process, not an art. It is as much a function of the living organism as respiration, digestion, circulation, excretion, cell proliferation, or nerve activity. It is a ceaseless process, as constant as the turning of the earth on its axis. Man can neither duplicate nor imitate nor provide a substitute for the process. All schools of healing are frauds.

The more we live as 'free individuals' . . . the more we are effectively non-free, caught within the existing frame of possibilities--we have to be impelled or disturbed into freedom. . . . This paradox thoroughly pervades the form of subjectivity that characterizes 'permissive' liberal society. Since permissiveness and free choice are elevated into a supreme value, social control and domination can no longer appear as infringing on subjects' freedom: they have to appear as (and be sustained by) individuals experiencing themselves as free. There is a multitude of forms of this appearing of un-freedom in the guise of its opposite: in being deprived of universal healthcare, we are told that we are being given a new freedom of choice (to choose our healthcare provider); when we can no longer rely on long-term employment and are compelled to search for a new precarious job every couple of years, we are told that we are being given the opportunity to reinvent ourselves and discover our creative potential; when we have to pay for the education of our children, we are told that we are now able to become 'entrepreneurs of the self," acting like a capitalist freely choosing how to invest the resources he possesses (or has borrowed). In education, health, travel . . . we are constantly bombarded by imposed 'free choices'; forced to make decisions for which we are mostly not qualified (or do not possess enough information), we increasingly experience our freedom as a burden that causes unbearable anxiety. Unable to break out of this vicious cycle alone, as isolated individuals--since the more we act freely the more we become enslaved by the system--we need to be 'awakened' from this 'dogmatic slumber' of fake freedom.

PinkNews coined the term "trans broken arm syndrome" to describe it: "Healthcare providers assume that all medical issues are a result of a person being trans. Everything—from mental health problems to, yes, broken arms.

According to Project Drawdown, four of the most effective strategies for mitigating global warming are reducing food waste, educating girls, providing family planning and reproductive healthcare, and collectively shifting to a plant-rich diet. The benefits of these advancements extend far beyond the reduction of greenhouse gas emissions, and their primary cost is our collective effort.

Not again, Draper," Frank sighed. "You're not going to stop us from crossing. You and I know that the one thing the Government does even more poorly than provide healthcare is secure its borders.

It was the reason neither Florida nor any of her friends could afford health insurance—the industry had nothing to do with providing healthcare; it was designed to extract the maximum amount of money from each person.

How ironic it is that some of the voices most outspoken against executing murderers also promote contraception, abortion, and euthanasia. They are living a contradiction of God’s plan; they have defied holy innocence. And that’s why shedders of innocent blood have to use the language of deceit — that is, euphemisms. Abortionists are called “health-care providers.

When we play it safe, we sabotage our chance to make our mark in a memorable, authentic way. Health care organizations confront pressures to provide more responsive, personal care with cost efficiency, striving to provide the industry’s “patient-centered care” goal. However, when every hospital system and specialty clinic cautiously claims to provide “patient-centered care”— because all of their competitors claim to provide “patient-centered care”—their claim becomes so safe that they disappear into the din of their competitors’ identical claims.

However, taking action based on what a given study recommends would require personal initiative on the part of individual healthcare providers. But as corporate culture goes, so goes medical culture. We live in the age of consensus and groupthink, where otherwise curious and capable professionals avoid being singled out by huddling in the center of the herd. The herd, in turn, waits for an authority figure to lead the way. So if there is no authority figure acknowledging the importance of a given article’s findings, nothing happens. It’s as though it were never written.

Good nutrition and vitamins do not directly cure disease, the body does. You provide the raw materials and the inborn wisdom of your body makes the repairs. Someday healthcare without megavitamin therapy will be seen as we today see childbirth without sanitation or surgery without anaesthetic.

The United States spends more than twice as much per capita on health care as other rich capitalist countries —around $9,400 compared to around $3,600—and for that money its citizens can expect lives that are three years shorter. The United States spends more per capita on health care than any other country in the world, but 39 countries have longer life expectancies. [...] Under the current US system, rich, insured patients visit doctors more than they need, running up costs, while poor patients cannot afford even simple, inexpensive treatments and die younger than they should. Doctors spend time that could be used to save lives or treat illness by providing unnecessary, meaningless care. What a tragic waste of physician care.

As algorithms come to know us so well, authoritarian governments could gain absolute control over their citizens, even more so than in Nazi Germany, and resistance to such regimes might be utterly impossible. Not only will the regime know exactly how you feel, but it could make you feel whatever it wants. The dictator might not be able to provide citizens with healthcare or equality, but he could make them love him and hate his opponents. Democracy in its present form cannot survive the merger of biotech and infotech. Either democracy will successfully reinvent itself in a radically new form or humans will come to live in “digital dictatorships.

The implications are enormous – not just to corporations, but to governments as well. If everything can be dis-intermediated and decentralized, what about the services governments provide – healthcare, welfare and education? The bureaucratic middleman megalith that makes them so inefficient and expensive could be circumvented altogether.

Taking an abolitionist stance does not mean refusing to engage in incremental change, nor does it mean abandoning efforts to improve conditions inside prisons. Rather, abolitionists engage in 'abolitionist reforms' or 'non-reformist reforms.' These are reforms that either directly undermine the prison industrial complex or provide support to prisoners through strategies that weaken, rather than strengthen, the prison system itself. For example, rather than lobbying for bigger prison health budgets to care for elderly prisoners, an abolitionist reform strategy would aim to get elderly prisoners out on compassionate release to obtain healthcare in the community. --S. Lamble

The bad news is that our healthcare system does not provide any added values that come along with paying more.

Any humane, modern society must provide a reliable, well-financed, state-of-the-art health system, which supports and promotes a prosperous and morally responsible society.

Medicare, which pays hospitals based on their costs, plus overhead and a small profit margin, for providing each service, would have paid about $825 for all three tests. Also

I use “anticapitalist” because conservative defenders of capitalism regularly say their liberal and socialist opponents are against capitalism. They say efforts to provide a safety net for all people are “anticapitalist.” They say attempts to prevent monopolies are “anticapitalist.” They say efforts that strengthen weak unions and weaken exploitative owners are “anticapitalist.” They say plans to normalize worker ownership and regulations protecting consumers, workers, and environments from big business are “anticapitalist.” They say laws taxing the richest more than the middle class, redistributing pilfered wealth, and guaranteeing basic incomes are “anticapitalist.” They say wars to end poverty are “anticapitalist.” They say campaigns to remove the profit motive from essential life sectors like education, healthcare, utilities, mass media, and incarceration are “anticapitalist.” In doing so, these conservative defenders are defining capitalism. They define capitalism as the freedom to exploit people into economic ruin; the freedom to assassinate unions; the freedom to prey on unprotected consumers, workers, and environments; the freedom to value quarterly profits over climate change; the freedom to undermine small businesses and cushion corporations; the freedom from competition; the freedom not to pay taxes; the freedom to heave the tax burden onto the middle and lower classes; the freedom to commodify everything and everyone; the freedom to keep poor people poor and middle-income people struggling to stay middle income, and make rich people richer. The history of capitalism—of world warring, classing, slave trading, enslaving, colonizing, depressing wages, and dispossessing land and labor and resources and rights—bears out the conservative definition of capitalism.

A Right to Health Avi Kerendian is a book about the challenges and opportunities of using telehealth and AI to improve global health. It provides a roadmap for policymakers and health care professionals to improve access to health care for all.

The only healthcare available to Native people living on reservations is provided by the Indian Health Service (IHS), an operating division within the U.S. Department of Health and Human Services that’s consistently rated as the worst healthcare provider in America. IHS is also grossly underfunded: in 2016, Congress allotted $4.8 billion for IHS, which came out to approximately $1,297 per person. For comparison, each inmate in the federal prison system receives an average of about $6,973 in healthcare each year.

ECONOMIC RULES OF THE DYSFUNCTIONAL MEDICAL MARKET More treatment is always better. Default to the most expensive option. A lifetime of treatment is preferable to a cure. Amenities and marketing matter more than good care. As technologies age, prices can rise rather than fall. There is no free choice. Patients are stuck. And they’re stuck buying American. More competitors vying for business doesn’t mean better prices; it can drive prices up, not down. Economies of scale don’t translate to lower prices. With their market power, big providers can simply demand more. There is no such thing as a fixed price for a procedure or test. And the uninsured pay the highest prices of all. There are no standards for billing. There’s money to be made in billing for anything and everything. Prices will rise to whatever the market will bear.

Poor health was not just the result of random acts, bad luck, bad behavior or unfortunate genetics. Deliberate public policy decision about housing, education, parks and streets were the key drivers of racial differences in mortality. Crime kept people off the streets and limited their ability to exercise. The lack of grocery stores limited dietary choices. The lack of primary care doctors and specialists in these communities made chronic disease care more difficult. The degradation and loss of hospital services in these communities affected hospital-based outcomes. … The chronic underfunding of critical health services at Cook County Hospital and other safety-net providers contributed to these poor outcomes as well. The deleterious impact of social structures such as urban poverty and racism on health has been called 'structural violence.

In an attempt to develop a tool to help organizations begin to identify these errors, the Institute for Healthcare Improvement (IHI) developed a global trigger tool (GTT).9 Briefly, the GTT provides a standard methodology for reviewing patient records for triggers, or indicators, of potential adverse events.

In the midst of this unsettling frenzy there is something we all need to know. God is your banker. God is your social security. God is your health-care provider. You don’t need a bigger government. You have a great God. And unlike silver-tongued politicians, He can be trusted to keep His promises. I vote for Him.

Traditionally, Marxist socialism had supposed that providing adequately for human needs was a basic test of a social system’s morality. The achievement of wealth, accordingly, was a good thing since wealth brought with it better nutrition, housing, healthcare, and leisure time. And so capitalism was held to be evil because Marxists believed that it denied most of its population the ability to enjoy the fruits of wealth. But as it became clear that capitalism is very good at producing the wealth and delivering the fruits—and that socialism is very bad at it—two new variations on Left thought turned this argument on its head and began to condemn capitalism precisely for being so good at producing wealth.

This is not a story which denies trans identities; nor that argues trans people deserve to lead anything other than happy lives, free of harassment, with access to good healthcare. This is a story about the underlying safety of an NHS service, the adequacy of the care it provides and its use of poorly evidenced treatments on some of the most vulnerable young people in society. And how so many people sat back, watched, and did nothing.

Unlike most other health-care systems in the world, health care in the United States is largely profit driven. The reconstruction of the U.S. medical system around managed care led to the closure of hundreds of hospitals across the country,697 leaving many cities with little surge capacity to deal with an abnormal influx of patients.698 HMO corporate stock profiles can ill afford to provide extra beds and ventilators for some indeterminate future surge of patients.

There is a multitude of forms of this appearing of un-freedom in the guise of its opposite: in being deprived of universal healthcare, we are told that we are being given a new freedom of choice (to choose our healthcare provider); when we can no longer rely on long-term employment and are compelled to search for a new precarious job every couple of years, we are told that we are being given the opportunity to reinvent ourselves and discover our creative potential; when we have to pay for the education of our children, we are told that we are now able to become “entrepreneurs of the self,” acting like a capitalist freely choosing how to invest the resources he possesses (or has borrowed). In education, health, travel we are constantly bombarded by imposed “free choices”; forced to make decisions for which we are mostly not qualified (or do not possess enough information), we increasingly experience our freedom as a burden that causes unbearable anxiety.

Despite America’s first world economy, despite all the technical progress and productivity increases, there were still large numbers of people living well below the poverty line. The government had forced it. Low income citizens were addicted to minimum wage, welfare and Medicare, and it was impossible to wean them off. The secret effect was the creation of a slave class. Low level healthcare, food and shelter were provided, but what Thomas saw as he drove were people living lives worse than that of the average institutionalized prisoner.

In newspapers, magazines and on television, the public has been warned off the very vitamins and other supplements that have been repeatedly proven to reduce illness in practically every instance. The effective use of food supplements and natural diet saves money, pain and lives... and you have been told not to do it. If you want something done right you have to do it yourself. This especially includes your healthcare. One of the most common questions about vitamin therapy is, are huge doses safe? This book will help answer that question once and for all, and while we are at it, here’s the answer in advance. Yes. Megadoses of vitamins are very safe. Vitamins do not cause even one death per year. Pharmaceutical drugs, taken as directed, cause over 100 000 deaths annually. Still it is granted that we need access to all the tools that medicine and technology can provide, when used with caution. We must also fully use our natural resources of therapeutic nutrition and vitamins. To limit ourselves to pharmaceutical medicine is like going into the ring to fight the champ with one hand tied behind our backs.

First, the very idea that there should be any serious kind of health insurance for Americans (beyond tiny elites) simply did not have much reality until World War II—and it was (again) the war that gave it reality. With wartime labor scarce, wage-price controls were enacted to keep bidding wars in check. Corporations, unable to offer more pay, tried to compete with benefits instead. The modern idea of widespread employer-provided health insurance developed as a strategy to attract wartime workers, and continued in many industries after the war, especially during the boom era.

Diamond Jubilee with him for extra contrition. Her father was clearly exhausted, sleeping almost all the time now, like an aged dog. Why didn’t he just go? Was he hanging on for a hundred? Two more years of this? It was mere existence—an amoeba had more life. “The triumph of the human spirit,” the new nursing sister said, new enough to talk about “positive outcomes” and “enhancement programmes”—emollient management-speak, meaningless to most of the residents of Poplar Hill, who were either dying or demented or both. It was called a “care home” but there was precious little of either to be had when you were run by a profit-based health-care provider employing

By contrast, the American left and the Democratic Party operate on the principle that “free stuff” is truly free. The proposals of free healthcare, free education and free monthly checks all come with the tantalizing promise that someone else is going to pay. Not one Democratic candidate will stand up at a rally, point his finger toward the audience, and say, “The government is going to provide, and you are the ones who are going to pay for it.” This would bring an awkward, menacing silence. The reason for the cheering is the audience’s excitement over its realization that their bills and benefits will be footed by some other guy. This isn’t social insurance; it’s theft socialism.

...public health literature often focuses on African American mistrust of the health care system in terms of historical mistrust of health services, emanating particularly from the Tuskegee experiments, which were conducted on African-American men between 1932 and 1972. The Tuskegee experiments are certainly a good reason for ongoing mistrust, but it is important not to overlook mistrust that is generated from contemporary health care experiences. If today, in twenty-first century America, African- American men have reason to believe they will be discriminated against by health service providers at a time when they are unwell and vulnerable, is it surprising that they delay or avoid seeking care?

research shows that the experiences of patients, and the attitudes of health professionals, is mixed; nonetheless, we conclude that testimonial injustice – the deflation of CFS/ME patients’ testimony on the ground of unjustified negative stereotyping – appears to be a continued problem within mainstream healthcare across a range of settings and countries. Furthermore, it would seem that the testimonial injustice is sustained and also accompanied by hermeneutical injustice because the dominant group (health professionals) may routinely fail to provide adequate training about CFS/ME, leading to prejudiced deflations of patient credibility, and/or an unfair lack of shared concepts with which to make mutual sense of the experience of the patient.

By treating patients like customers, as nurse Amy Bozeman pointed out in a Scrubs magazine article, hospitals succumb to the ingrained cultural notion that the customer is always right. “Now we are told as nurses that our patients are customers, and that we need to provide excellent service so they will maintain loyalty to our hospitals,” Bozeman wrote. “The patient is NOT always right. They just don’t have the knowledge and training.” Some hospitals have hired “customer service representatives,” but empowering these nonmedical employees to pander to patients’ whims can backfire. Comfort is not always the same thing as healthcare. As Bozeman suggested, when representatives give warm blankets to feverish patients or complimentary milk shakes to patients who are not supposed to eat, and nurses take them away, patients are not going to give high marks to the nurses.

Templates for Protest Letters 1. TO TACKLE A SURPRISE OUT-OF-NETWORK BILL Dear Sir or Madam: The bills enclosed were for out-of-network services performed on __________ during my admission to __________ Medical Center, a hospital that is in my insurance network. I went to __________ Medical Center precisely because it was in my network. I was not informed of these providers’ out-of-network status and did not consent to being treated by any out-of-network providers. Since I did not give informed consent for treatment beyond the terms and network of my insurance policy, I suggest you contact my insurer to work out payment; I will pay only that portion of the bill that I would have paid for in-network services. Please stop this effort to collect a bill I do not owe for a service I was never informed would be out-of-network. If I get another notice, I will report this collection effort to the __________ State Department of Insurance and __________ State Department of Consumer Affairs. Sincerely, 2. TO OBTAIN MEDICAL RECORDS AND ITEMIZED BILLS Dear Sirs or Madam: I have now requested my medical records/itemized bill __________ times and have yet to receive the material. It is my right to receive these

Take Canada again: why does Canada have the health-care program it does? Up until the mid-1960s, Canada and the United States had the same capitalist health service: extremely inefficient, tons of bureaucracy, huge administrative costs, millions of people with no insurance coverage―exactly what would be amplified in the United States by Clinton's proposals for "managed competition" [put forward in 1993].21 But in 1962 in Saskatchewan, where the N.D.P. is pretty strong and the unions are pretty strong, they managed to put through a kind of rational health-care program of the sort that every industrialized country in the world has by now, except the United States and South Africa. Well, when Saskatchewan first put through that program, the doctors and the insurance companies and the business community were all screaming―but it worked so well that pretty soon all the other Provinces wanted the same thing too, and within a couple years guaranteed health care had spread over the entire country. And that happened largely because of the New Democratic Party in Canada, which does provide a kind of cover and a framework within which popular organizations like unions, and then later things like the feminist movement, have been able to get together and do things.

This was a talk to an anarchist conference, and in my view the libertarian movements have been very shortsighted in pursuing doctrine in a rigid fashion without being concerned about the human consequences. So it's perfectly proper… I mean, in my view, and that of a few others, the state is an illegitimate institution. But it does not follow from that that you should not support the state. Sometimes there is a more illegitimate institution which will take over if you do not support this illegitimate institution. So, if you're concerned with the people, let's be concrete, let's take the United States. There is a state sector that does awful things, but it also happens to do some good things. As a result of centuries of extensive popular struggle there is a minimal welfare system that provides support for poor mothers and children. That's under attack in an effort to minimize the state. Well, anarchists can't seem to understand that they are to support that. So they join with the ultra-right in saying "Yes, we've got to minimize the state," meaning put more power into the hands of private tyrannies which are completely unaccountable to the public and purely totalitarian. It's kind of reminiscent of an old Communist Party slogan back in the early thirties "The worse, the better." So there was a period when the Communist Party was refusing to combat fascism on the theory that if you combat fascism, you join the social democrats and they are not good guys, so "the worse, the better." That was the slogan I remember from childhood. Well, they got the worse: Hitler. If you care about the question of whether seven-year-old children have food to eat, you'll support the state sector at this point, recognizing that in the long term it's illegitimate. I know that a lot of people find that hard to deal with and personally I'm under constant critique from the left for not being principled. Principle to them means opposing the state sector, even though opposing the state sector at this conjuncture means placing power into the hands of private totalitarian organizations who would be delighted to see children starve. I think we have to be able to keep those ideas in our heads if we want to think constructively about the problems of the future. In fact, protecting the state sector today is a step towards abolishing the state because it maintains a public arena in which people can participate, and organize, and affect policy, and so on, though in limited ways. If that's removed, we'd go back to a [...] dictatorship or say a private dictatorship, but that's hardly a step towards liberation.

George W. Bush’s initiative to fight AIDS around the world, the President’s Emergency Plan for AIDS Relief (PEPFAR), saved millions of lives in Africa and elsewhere. From the program’s launch in 2003 to the time Bush left office, the number of HIV-infected people in Africa getting proper treatment went from fewer than fifty thousand to two million. 19 His efforts didn’t go unnoticed by the people of the African continent. When President Bush took a farewell tour of Africa near the end of his second term, massive crowds of grateful Africans cheered for him. 20 Despite massive spending increases spearheaded by Obama, he cut funding for PEPFAR21 and deprived hundreds of thousands of people around of treatment. This inexplicable decision had a devastating effect on Africa, where most AIDS deaths occur. 22 The AIDS Healthcare Foundation was highly critical of Obama’s cuts, which came after he had promised to expand the fight against AIDS months earlier: “This latest action merely confirms what people with HIV/ AIDS and their advocates have long suspected—the President simply is not committed to fighting global AIDS. Coming on the heels of the President’s flowery rhetoric last December, the cynicism is simply breathtaking,” said Michael Weinstein, President of AIDS Healthcare Foundation, which provides free HIV/ AIDS medical care to over 125,000 people in 26 countries abroad. 23 The lesson for Africans: American friendship was fickle and patronizing and they couldn’t trust our promises. And we wonder why ISIS propaganda was so attractive to North Africans.

The Blue Mind Rx Statement Our wild waters provide vast cognitive, emotional, physical, psychological, social, and spiritual values for people from birth, through adolescence, adulthood, older age, and in death; wild waters provide a useful, widely available, and affordable range of treatments healthcare practitioners can incorporate into treatment plans. The world ocean and all waterways, including lakes, rivers, and wetlands (collectively, blue space), cover over 71% of our planet. Keeping them healthy, clean, accessible, and biodiverse is critical to human health and well-being. In addition to fostering more widely documented ecological, economic, and cultural diversities, our mental well-being, emotional diversity, and resiliency also rely on the global ecological integrity of our waters. Blue space gives us half of our oxygen, provides billions of people with jobs and food, holds the majority of Earth's biodiversity including species and ecosystems, drives climate and weather, regulates temperature, and is the sole source of hydration and hygiene for humanity throughout history. Neuroscientists and psychologists add that the ocean and wild waterways are a wellspring of happiness and relaxation, sociality and romance, peace and freedom, play and creativity, learning and memory, innovation and insight, elation and nostalgia, confidence and solitude, wonder and awe, empathy and compassion, reverence and beauty — and help manage trauma, anxiety, sleep, autism, addiction, fitness, attention/focus, stress, grief, PTSD, build personal resilience, and much more. Chronic stress and anxiety cause or intensify a range of physical and mental afflictions, including depression, ulcers, colitis, heart disease, and more. Being on, in, and near water can be among the most cost-effective ways of reducing stress and anxiety. We encourage healthcare professionals and advocates for the ocean, seas, lakes, and rivers to go deeper and incorporate the latest findings, research, and insights into their treatment plans, communications, reports, mission statements, strategies, grant proposals, media, exhibits, keynotes, and educational programs and to consider the following simple talking points: •Water is the essence of life: The ocean, healthy rivers, lakes, and wetlands are good for our minds and bodies. •Research shows that nature is therapeutic, promotes general health and well-being, and blue space in both urban and rural settings further enhances and broadens cognitive, emotional, psychological, social, physical, and spiritual benefits. •All people should have safe access to salubrious, wild, biodiverse waters for well-being, healing, and therapy. •Aquatic biodiversity has been directly correlated with the therapeutic potency of blue space. Immersive human interactions with healthy aquatic ecosystems can benefit both. •Wild waters can serve as medicine for caregivers, patient families, and all who are part of patients’ circles of support. •Realization of the full range and potential magnitude of ecological, economic, physical, intrinsic, and emotional values of wild places requires us to understand, appreciate, maintain, and improve the integrity and purity of one of our most vital of medicines — water.

Punishment is not care, and poverty is not a crime. We need to create safe, supportive pathways for reentry into the community for all people and especially young people who are left out and act out. Interventions like decriminalizing youthful indiscretions for juvenile offenders and providing foster children and their families with targeted services and support would require significant investment and deliberate collaboration at the community, state, and federal levels, as well as a concerted commitment to dismantling our carceral state. These interventions happen automatically and privately for young offenders who are not poor, whose families can access treatment and hire help, and who have the privilege of living and making mistakes in neighborhoods that are not over-policed. We need to provide, not punish, and to foster belonging and self-sufficiency for our neighbors’ kids. More, funded YMCAs and community centers and summer jobs, for example, would help do this. These kinds of interventions would benefit all the Carloses, Wesleys, Haydens, Franks, and Leons, and would benefit our collective well-being. Only if we consider ourselves bound together can we reimagine our obligation to each other as community. When we consider ourselves bound together in community, the radically civil act of redistributing resources from tables with more to tables with less is not charity, it is responsibility; it is the beginning of reparation. Here is where I tell you that we can change this story, now. If we seek to repair systemic inequalities, we cannot do it with hope and prayers; we have to build beyond the systems and begin not with rehabilitation but prevention. We must reimagine our communities, redistribute our wealth, and give our neighbors access to what they need to live healthy, sustainable lives, too. This means more generous social benefits. This means access to affordable housing, well-resourced public schools, affordable healthcare, jobs, and a higher minimum wage, and, of course, plenty of good food. People ask me what educational policy reform I would suggest investing time and money in, if I had to pick only one. I am tempted to talk about curriculum and literacy, or teacher preparation and salary, to challenge whether police belong in schools, to push back on standardized testing, or maybe debate vocational education and reiterate that educational policy is housing policy and that we cannot consider one without the other. Instead, as a place to start, I say free breakfast and lunch. A singular reform that would benefit all students is the provision of good, free food at school. (Data show that this practice yields positive results; but do we need data to know this?) Imagine what would happen if, across our communities, people had enough to feel fed.

Bariatric surgery is often referred to by healthcare providers as a “tool” to help you achieve your weight loss goals. This is realistic in regards to weight loss, but many people believe it is much more than that. Try to think of it as an “assistant,” rather than a tool as this more accurately describes its role.

Even though I passionately love technology as a geek, I know it will certainly not solve the problems that healthcare is facing now. It can facilitate healthcare renovation by providing powerful tools, data, and solutions, but patients need emotional attention and empathy from their caregivers. The lack of connectivity among people and healthcare institutions is a basic problem we struggle with worldwide.

The number of Canadians providing or expecting to provide eldercare in need is already a staggering statistic. Baby boomers are aging and this figure is likely to grow substantially.The Caregiver's Guide for Canadians will provide you with valuable advice to help you provide good eldercare while balancing all the demands on your time. It provides practical, realistic guidance; encouragement and insights to help you care for elders in need.

If poor follow-through persists, a written grid-like table is created on the home program document itself for the patient to demonstrate that he is performing the program (i.e., exercises). Patients' successful participation with resultant documentation on the grid is utilized to either provide positive

President Barack Obama declared the disease to be “a threat to global security”. The worsening outbreak could lead to “profound political, economic and security implications for all of us”. The U.S., said Obama, will now play a broader role in combatting the disease, deploying 3,000 troops to assist in relief efforts. Washington’s role will involve the building of healthcare facilities, the training of healthcare workers, providing home health care kits

To date, there is no strong empirical support for claims that automating medical record keeping will lead to major reductions in health-care costs or significant improvements in the well-being of patients. But if doctors and patients have seen few benefits from the scramble to automate record keeping, the companies that supply the systems have profited. Cerner Corporation, a medical software outfit, saw its revenues triple, from $1 billion to $3 billion, between 2005 and 2013. Cerner, as it happens, was one of five corporations that provided RAND with funding for the original 2005 study. The other sponsors, which included General Electric and Hewlett Packard, also have substantial business interests in health-care automation. As today’s flawed systems are replaced or upgraded in the future, to fix their interoperability problems and other shortcomings, information technology companies will reap further windfalls.

Abortion is one of the most commonly performed medical procedures in the United States, and it is tragic that many women who have abortions are all too often mischaracterized and stigmatized, their exercise of moral agency sullied. Their judgment is publicly and forcefully second-guessed by those in politics and religion who have no business entering the deliberation. The reality is that women demonstrate forethought and care; talk to them the way clergy do and witness their sense of responsibility. Women take abortion as seriously as any of us takes any health-care procedure. They understand the life-altering obligations of parenthood and family life. They worry over their ability to provide for a child, the impact on work, school, the children they already have, or caring for other dependents. Perhaps the woman is unable to be a single parent or is having problems with a husband or partner or other kids.2 Maybe her contraception failed her. Maybe when it came to having sex she didn’t have much choice. Maybe this pregnancy will threaten her health, making adoption an untenable option. Or perhaps a wanted pregnancy takes a bad turn and she decides on abortion. It’s pretty complicated. It’s her business to decide on the outcome of her pregnancy—not ours to intervene, to blame, or to punish. Clergy know about moral agency through pastoral work. Women and families invite us into their lives to listen, reflect, offer sympathy, prayer, or comfort. But when it comes to giving advice, we recognize that we are not the ones to live with the outcome; the patient faces the consequences. The woman bears the medical risk of a pregnancy and has to live with the results. Her determination of the medical, spiritual, and ethical dimensions holds sway. The status of her fetus, when she thinks life begins, and all the other complications are hers alone to consider. Many women know right away when a pregnancy must end or continue. Some need to think about it. Whatever a woman decides, she needs to be able to get good quality medical care and emotional and spiritual support as she works toward the outcome she seeks; she figures it out. That’s all part of “moral agency.” No one is denying that her fetus has a moral standing. We are affirming that her moral standing is higher; she comes first. Her deliberations, her considerations have priority. The patient must be the one to arrive at a conclusion and act upon it. As a rabbi, I tell people what the Jewish tradition says and describe the variety of options within the faith. They study, deliberate, conclude, and act. I cannot force them to think or do differently. People come to their decisions in their own way. People who believe the decision is up to the woman are typically called “pro-choice.” “Choice” echoes what is called “moral agency,” “conscience,” “informed will,” or “personal autonomy”—spiritually or religiously. I favor the term “informed will” because it captures the idea that we learn and decide: First, inform the will. Then exercise conscience. In Reform Judaism, for instance, an individual demonstrates “informed will” in approaching and deciding about traditional dietary rules—in a fluid process of study of traditional teaching, consideration of the personal significance of that teaching, arriving at a conclusion, and taking action. Unitarian Universalists tell me that the search for truth and meaning leads to the exercise of conscience. We witness moral agency when a member of a faith community interprets faith teachings in light of historical religious understandings and personal conscience. I know that some religious people don’t do

Consider James D. Sinegal, co-founder and CEO of Costco, a warehouse retailer. His salary in 2003 was $350,000, which is just about ten times what is earned by his top hourly employees and roughly double that of a typical Costco store manager. Costco also pays 92.5% of employee health-care costs. Sinegal could take a lot more goodies for himself, but has refused a bonus in profitable years because “we didn’t meet the standards that we had set for ourselves,” and he has sold only a modest percentage of his stock over the years. Even Costco’s compensation committee acknowledges that he is underpaid. Sinegal believes that by taking care of his people and staying close to them, they will provide better customer service, Costco will be more profitable, and everyone (including shareholders like himself) will win. Sinegal takes other steps to reduce the “power distance” between himself and other employees. He visits hundreds of Costco stores a year, constantly mixing with the employees as they work and asking questions about how he can make things better for them and Costco customers. Despite continuing skepticism from analysts about wasting money on labor costs, Costco’s earnings, profits, and stock price continue to rise. Treating employees fairly also helps the bottom line in other ways, as Costco’s “shrinkage rate” (theft by employees and customers) is only two-tenths of 1%; other retail chains suffer ten to fifteen times the amount. Sinegal just sees all this as good business because, when you are a CEO, “everybody is watching you every minute anyway. If they think the message you’re sending is phony, they are going to say, ‘Who does he think he is?

Ear Oil This is the remedy that I used on my own children and grandchildren when they would, as children do, wake up with an ear infection. I learned it from my grandmother, who, I’m sure, learned it from her grandmother. Hopefully, my grandchildren will remember and pass it on to their grandchildren. It is truly one of the best remedies for ear infections associated with colds and respiratory congestion. (It is not effective and shouldn’t be used for “swimmer’s ear” and other instances where the infection is caused by water entering the ear.) The garlic fights the infection, and the warm oil is soothing and helps relieve the pain. Of course, if the ear infection doesn’t improve with the garlic oil treatment within 24 hours, or if it gets worse, a trip to your family health-care provider is in order. Quickly. Don’t let ear infections go untreated, as they can result in a perforated eardrum and permanent hearing loss. 1–2 cloves garlic, peeled and sliced 2 tablespoons olive oil To make the oil: Combine the garlic and olive oil in the top of a double boiler. Warm over very low heat for 10 to 15 minutes, or until the oil smells strongly of garlic. Use a stainless-steel strainer lined with cheesecloth to strain out the garlic. Strain well; no garlic pieces, no matter how tiny, should be left in the oil. Pour the strained oil into a small glass dropper bottle. Store in a cool pantry or closet, where the oil will keep for several weeks, or in the refrigerator, where it will keep for several months. To use: Each time you use the oil, it needs to be warmed; just place the dropper bottle in a pan of hot water until the oil is, say, the warmth of mother’s milk. Be sure the oil is warm, not hot. If in doubt, do a test drop in your own ear. Dispense a dropperful of the warm garlic oil down each ear. The ear canals are connected and the infection can move back and forth, so always treat both ears. If possible, hold a warm, dry cloth over the ears after applying the oil, and/or gently massage around the ears. Repeat every 30 minutes, or as needed until pain subsides.

Democratic, and most Republican, health-care plans don’t call for expropriating the private property of doctors and pharmaceutical companies or even for the cessation of employer-provided health care. Rather, they want to use corporations for government by proxy.

In a world of synthetic freedom, high-quality public goods would be provided for us, leaving us to get on with our lives rather than worrying about which healthcare provider to go with. Beyond the social democratic imagination, however, lie two further essentials of existence: time and money. Free time is the basic condition for self-determination and the development of our capacities.57 Equally, synthetic freedom demands the provision of a basic income to all in order for them to be fully free.58 Such a policy not only provides the monetary resources for living under capitalism, but also makes possible an increase in free time. It provides us with the capacity to choose our lives: we can experiment and build unconventional lives, choosing to foster our cultural, intellectual and physical sensibilities instead of blindly working to survive.59 Time and money therefore represent key components of freedom in any substantive sense.

A Guaranteed Way To Find A Great Skin Care Specialist In One Day You should always be as honest and communicative as possible when explaining health conditions to your doctor; in response, they are going to offer effective alternatives during your visit. In order to communicate effectively with your Skincare specialist, you need to interact by asking educated questions. If you're unhappy with your Skincare specialist, follow our recommendations to help find a much better one. When your healthcare professional practitioner announces their retirement, immediately request a referral for a new New York City Dermatologist. Searching for a new New York City Dermatologist is difficult even when you set aside the time to start your search. Do not delay in asking for referrals from your healthcare professional practitioner or his or her personnel members. It's advisable to have a list of several health care providers you could select from. Everyone looks for a Skincare specialist with knowledge, particular skills, and a lot of experience practicing medicine, as well as an appealing manner. Many patients believe that their New York City Dermatologist's age is also an important factor. Older Skincare specialists are regarded as more experienced, although they might be too old school to simply accept new technologies. In contrast, people see younger Skincare specialists as more open-minded and technologically-experienced. In every state, there is a Healthcare professional Board that exists to handle patients' complaints about health care professionals. It is within your legal rights to contact the board if you certainly are a victim of malpractice or poor treatment. The healthcare professional board handles and investigates all cases against a Skincare specialist about malpractice or negligence claims. Legally, healthcare professional records have to be maintained for a certain amount of time because it's vital to your overall health care. You ought to be aware of where your healthcare professional records are being held and how long they'll be there in the event you need to access them. It's suggested that you retain your own information, so make sure to request duplicates of your healthcare professional history, even though you are required to pay a fee in order to receive them. Some New York City Dermatologists will charge a fee for making copies of your records. Truly dedicated healthcare staff make an effort to improve the physical and emotional state of each and every person they meet by treating them with compassion and respect. A qualified healthcare professional professional can provide you with the best treatments to improve your health. Taking the time to listen to concerns and afterwards to find the best possible treatment options are two things that every great New York City Dermatologist does. If your healthcare professional professional does not fit these general rules, you should seek a new one immediately. Bobby Buka, MD For more information, Visit us at : Best Dermatologist in NYC Address : 220 Front St New York, NY 10038 Phone : (212) 385-3700

Because the American public never did—and, I believe, never will—voluntarily choose the scarcity and rationing of socialized medicine, its proponents have always resorted to trickery, telling lies about the legislation they introduce and hiding their agenda for expanding it. For that reason the left doesn’t call it “socialized medicine.” They prefer the more innocuous, sterile term of a “single-payer system.” The “single-payer” is of course the government, which would then pay every doctor and health-care provider in the country. And when the government pays, it decides: what health care you receive; which doctor you see; how much is a fair price for a product or service in an elaborate scheme of wage and price controls.

Because of preventable disparities in mental health services, a disproportionate number of minority older persons are not fully benefiting from the opportunities that others have to enjoy their older years. The major barriers include the cost of care, societal stigma, and the fragmentation of services. Additional barriers include healthcare providers’ lack of awareness of cultural issues, bias, or inability to speak the older person’s language, and the older person’s fear and mistrust of treatment

Providing an identical range of services in every hospital regardless of actual needs in a given population does not bode well for future healthcare systems worldwide. Creating networks of institutions focusing on different aspects of medicine might be a better solution.

You sign up and give Picnic permission to get your medical records from all your doctors and providers, including scans and lab results. They combine it into one easy-to-read patient dashboard that’s accessible just to you as the patient.

When there was an outbreak of Ebola in West Africa in 2014, PEPFAR-recipient countries, including Nigeria, Uganda, and Congo, were able to contain the crisis because their PEPFAR-funded labs quickly identified the disease and trained and provided health-care workers with the capacity to intervene. Liberia, Sierra Leone, Guinea, and other countries that had not been part of PEPFAR because of their low rates of HIV/AIDS infection lacked the labs and health systems necessary to detect the Ebola outbreak and thus initially were unable to contain it.

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Why the us government Should Maintain students Healthcare Claims education and learning is probably the finest ventures in ensuring the people stay a greater existence from the contemporary setting. Over time, education and learning methods have transformed to guarantee individuals gain access to it in the very best ways. Besides, the adjustment can be a purposeful relocate making sure that learning meets pupils distinct needs nowadays. Consequently, any country that is focused on establishing in the current technical period must be ready to devote in schooling no matter what. We appreciate that lots of claims have was able to meet the most affordable threshold in offering secondary and basic education. It is actually commendable for schooling is focused and attends on the needs in the present environment. In addition to, we certainly have observed reduced rates of dropouts due to correct education and learning systems into position. Nevertheless, it is not enough because there are many other factors that, in turn, lower the superiority of education. We appreciate the reality that educational costs is mainly purchased and virtually totally given through the express or low-successful businesses. Sadly, small is defined in range to be sure the unique treatment of learners. It has led to the indiscriminate govt accountability. Apart from putting everything in place, the government must also provide the proper healthcare of a learner because it' s the foundation of excellent learning. The arranged provision of health care to students is defined around the periphery, plus it is amongst the essential things that degrade the grade of training. Standard attendance is actually a necessity for pupils to acquire much more and carry out greater. For that reason, government entities need to ensure an original set up of arranged healthcare to pupils to ensure they are certainly not stored away from university because of health care problems. Re-Analyzing the goal of Government in mastering It can be only by re-dealing with government entitiesAnd#039; s role in supplying primary and secondary education and learning that people can completely set up the skewed the outdoors of learner’s health care and the desire to influence the state to reconsider it. The cause of why the government must pay for the student’s healthcare is that its responsibility is unbalanced. It provides maintained to purchase basic training effectively but has did not shield the health-related requirements of any learner. Aside from, it is suitably interested in increasing the size of young menAnd#039; s and ladiesAnd#039; s chances in obtaining technical and professional education. But it has not searched for has and aims unacceptable method of achieving the medical care requirements of any learner. As a result, education require is not met because its services are skewed. The possible lack of equilibrium in government activities replicates the malfunction to discrete primarily sharply amid the steps right for authorities financing and activities to become implemented. Financing healthcare for students, which is equally essential, is neglected, though Financing education is largely accepted. For that reason, this is a deliberate demand government entities to perform the circle by paying for student' s health care. When there is stability in federal government commitments in education and learning, its requirements will probably be fulfilled. So, the state should pay for pupil' s medical care. If they are healthful, they find out better. In addition to, a large stress will probably be lifted, and will also unquestionably raise enrolment in professional coachingcenters and colleges, along with other studying companies.

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USA healthcare is a really expensive version of the free UK National Health Service (NHS) that provides a comparable level of service to all UK citizens.

Several business sectors, companies in healthcare, financial services, agriculture, as well as other entrepreneurs and solopreneurs are rushing to adopt the blockchain technology and secure their financial transactions to provide a clear record book among individuals with the digital coin’s technology, “cryptocurrency.” Meanwhile, many of these businesses are doing so basically because of the fear of being left behind (FOMO), without having crystal understanding about the basics of blockchain technology and how it should be applied to optimize their business performances.

For the twenty-first-century economic story, the state’s role must be rethought. Put it this way: in the film of the play, the state should be aiming all-out to win Best Supporting Actor at the Oscars—starring as the economic partner that supports the household, the commons and the market alike. First, by providing public goods—ranging from public education and healthcare to roads and street lighting—that deliver for all, not just for those who can pay, so enabling a society and its economy to thrive. Second, by supporting the core caring role of the household, such as with maternal and paternal leave policies that empower both parents, investment in early-years education and care support for seniors. Third, by unleashing the dynamism of the commons, with laws and institutions that enable their collaborative potential and protect them from encroachment. Fourth, by harnessing the power of the market by embedding it in institutions and regulations that promote the common good—from banning toxic pollutants and insider trading to protecting biodiversity and workers’ rights.

Health care providers have an indispensable value to a community's quality of health.

Health care providers have an indispensable value to a communities quality of health.

We can live and work more effectively with others when we identify their Tendencies - as coworkers and bosses, teachers and coaches, husbands and wives, parents and children, health-care providers and patients.

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I would like for us to dwell on the notion of “dictators killing their own people,” which is quite problematic and misleading. First, the notion presumes that killing one’s own people is only done by directly using weapons and prisons, as commonly cited when referring to Arab dictators, but it overlooks the many other indirect ways through which a state can kill its own people, like denying them decent, livable wages; healthy, chemical-free, non-cancerous foods; access to decent basic healthcare and good education; and many other basic human rights that are a privilege not a right in the US. Never mind that the US doesn’t even come close in providing these basic needs whose lack can easily make any state responsible for “killing its own people”, I am not disclosing a secret when I say that the US equally fails in the test of not directly killing its own people through imprisoning and shooting blacks, immigrants, and Muslims. The second serious problem with the statement of dictators “killing their own people” is the failure of many so-called academics and intellectuals who contribute to knowledge production in interrogating it in an honest manner, which, to me means that the starting point is always to look at how the US kills its own people. Once that is determined and confirmed, it would be hard to make the case that the US is in a position to go around the world hunting other authoritarian regimes who do kill their own people. This fact makes many academics and intellectuals—unless willing to pay a high price for speaking the truth—complicit with the agendas of the warmongers who have been exterminating the people of the Middle East for many decades now. As a result, one can’t help wondering whether the real job of many feeble and co-opted intellectuals and academics in America is to simply aid the establishment in promoting itself as a “free democracy”, and consequently aiding it with its false mission of “democratizing” other nations.

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I keep using the term “anticapitalist” as opposed to socialist or communist to include the people who publicly or privately question or loathe capitalism but do not identify as socialist or communist. I use “anticapitalist” because conservative defenders of capitalism regularly say their liberal and socialist opponents are against capitalism. They say efforts to provide a safety net for all people are “anticapitalist.” They say attempts to prevent monopolies are “anticapitalist.” They say efforts that strengthen weak unions and weaken exploitative owners are “anticapitalist.” They say plans to normalize worker ownership and regulations protecting consumers, workers, and environments from big business are “anticapitalist.” They say laws taxing the richest more than the middle class, redistributing pilfered wealth, and guaranteeing basic incomes are “anticapitalist.” They say wars to end poverty are “anticapitalist.” They say campaigns to remove the profit motive from essential life sectors like education, healthcare, utilities, mass media, and incarceration are “anticapitalist.” In doing so, these conservative defenders are defining capitalism. They define capitalism as the freedom to exploit people into economic ruin; the freedom to assassinate unions; the freedom to prey on unprotected consumers, workers, and environments; the freedom to value quarterly profits over climate change; the freedom to undermine small businesses and cushion corporations; the freedom from competition; the freedom not to pay taxes; the freedom to heave the tax burden onto the middle and lower classes; the freedom to commodify everything and everyone; the freedom to keep poor people poor and middle-income people struggling to stay middle income, and make rich people richer. The history of capitalism—of world warring, classing, slave trading, enslaving, colonizing, depressing wages, and dispossessing land and labor and resources and rights—bears out the conservative definition of capitalism.

High-quality medication and swift access to treatment must be provided to all free of cost. There should be no difference in the treatment recieved by the high-powered and the weakest in the state.

All one must do is remember basic math. If one system that administers medical payments require hundreds of duplicate services, equipment, software, & databases, and must make profits for passive investors, and must pay thousands of executives millions of dollars, then it is mathematically impossible for that system to be more efficient than one that must provide the same medical payments without those expenses and overhead. Not even an inordinate amount of waste and fraud in any single-payer system would likely match the legalized fraud of the private healthcare insurance system. It is simply basic math.

The social and economic structure of any given society can be seen as an ocean in which people are like so many fish who have to learn how to survive in that ocean or die. The ocean itself can be health-giving, fostering life for all the fish in it; or it can be a polluted ocean in which only the bigger and more powerful fish thrive, though there is always the risk that if it becomes too polluted even the big fish will perish. All social and economic systems in the world are somewhere on a continuum between those two extremes, though the current U.S. system, and the system in many developing and all undeveloping or regressing nations, approaches the most polluted extreme. In fact, the world system as a whole, with its division into a tiny minority of staggeringly wealthy nations and a great majority of increasingly poverty-stricken ones, can be considered extremely polluted. It is futile to blame individual big fish for surviving, or for wanting to survive. So if we want to prevent violence, we will need to clean up this "ocean." We will need a system that as far as possible provides for an equal sharing of the collective wealth of the world among all individuals and all nations, while providing free education and healthcare for everyone. When the sharing comes close to being absolutely equal, as we have seen from examples at all stages of economic and cultural development, violence almost disappears. Conversely, the more unequal the social and economic environment, the more frequent and severe is the violence. If we are to succeed, the political Orwellian Newspeak that surrounds us will have to be translated into plain English. Violence serves some very powerful interests Those interests will continue to exist, and will continue to stimulate violence, until we eliminate the conflict of interest by eliminating the hierarchies and gender asymmetries.

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It is a good sign when your doctor provides you with email access to her.

Having a system for thinking deeper can provide greater insight into solving everyday problem. Such a system is shared in my book, Medical Investigation 101.

Having a system for thinking deeper can provide greater insight into solving everyday problems. Such a system is shared in my book, Medical Investigation 101.

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Former Health Minister Khaw Boon Wan has said that the public sector should always play the dominant role in providing care services, but there needs to be a private healthcare system to challenge it. In his view, the public sector is necessary to set the ethos for the entire system—which should not only be about maximization of profits, a primary focus of the private sector.

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The program is grounded in 10 design principles, the aim of which is to create innovative solutions to intractable health problems....In other words, do not be content with the status quo. The remaining principles include several obvious but often overlooked themes in routine patient care: value each person, be human, be human-centered, codesign, facilitate connections, treat with dignity, and provide a stage from which the hardest, most important stories may be told.

Issues that China Convoy nurses confronted remain relevant today: the struggle to build healthcare facilities that are sustainable and tailored to local needs; the battle against agendas driven by political or economic rather than healthcare needs; the dogged leadership and personal resilience required to provide compassionate care and high standards of nursing service in difficult and dangerous circumstances; and the recognition that health and human security are inextricably interwoven.

but this of course becomes irrelevant in a jobless future where nobody works. Governments can help their citizens not only by giving them money, but also by providing them with free or subsidized services such as roads, bridges, parks, public transportation, childcare, education, healthcare, retirement homes and internet access;

Netherlands, which has a restrictive immigration policy compared to the United States. Most European nations, including the Netherlands, after all, have universal health insurance coverage, which makes drug treatment and psychiatric treatment more available, and the Dutch government subsidizes more housing. Finally, the Netherlands’ big success was with heroin, which has effective pharmacological substitutes, methadone and Suboxone, not with meth, which lacks anything similar. But there may be fewer obstacles than appear. The Netherlands has a private health-care insurance system similar to that of the United States and covered the people who needed health care in ways similar to Medicaid and the Affordable Care Act, which significantly expanded access to drug treatment, including medically assisted treatment, in the United States.4 San Francisco subsidizes a significant quantity of housing, as we have seen. While California is larger than the Netherlands, the population of Amsterdam (872,000) is nearly identical to San Francisco’s (882,000).5 And while California’s population and geographic area are larger and more difficult to manage than those of the Netherlands, California also has significantly greater wealth and resources, constituting in 2019 the fifth-largest economy in the world.6 And the approach to breaking up open drug scenes, treating addiction, and providing psychiatric care is fundamentally the same whether in five European cities, Philadelphia, New York, or Phoenix.

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Universal healthcare, free education, access to decent and affordable housing, safe working conditions, and occupations that provide a sense of fulfillment and meaning are all pretty basic and fundamental concerns, yet, for far too many of us, what are really relatively unambitious requirements have become aspirations we can only dream of.

​“There are eight levels of control that must be obtained before you are able to create a socialist state. 1) Healthcare – Control healthcare and you control the people. 2) Poverty – Increase the Poverty level as high as possible, poor people are easier to control and will not fight back if you are providing everything for them to live. 3) Debt – Increase the debt to an unsustainable level. That way you are able to increase taxes, and this will produce more poverty. 4) Gun Control – Remove the ability to defend themselves from the Government. That way you are able to create a police state. 5) Welfare – Take control of every aspect of their lives (Food, Housing, and Income) 6) Education – Take control of what people read and listen to – take control of what children learn in school. 7) Religion – Remove the belief in God from the Government and schools 8) Class Warfare – Divide the people into the wealthy and the poor. This will cause more discontent and it will be easier to take (Tax) the wealthy with the support of the poor.”[16]

various healthcare providers to collaborate around the patient's needs or for various transport providers to collaborate in delivering an integrated logistics network.

In the current economy, for most students, colleges couldn’t possibly deliver on providing hundreds of thousands of dollars’ worth of anything. Wages aren’t budging, even though corporate profits have soared. The average CEO now makes 271 times the salary of the average American worker, whereas in 1965, the ratio was twenty-to-one. Healthcare costs are staggering—per capita health spending has increased twenty-nine times over the past four decades—and childcare costs are rising like college tuition, even as the frontline workers in both healthcare and childcare often receive poverty wages. A college degree is no guarantee of financial stability.

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South Side Healthcare Collaborative, which had already connected more than fifteen hundred patients who’d turned up in our Emergency Department with care providers they could see regularly, regardless of whether they could pay or not.

What American Healthcare Can Learn from Italy: Three Lessons It’s easy. First, learn to live like Italians. Eat their famous Mediterranean diet, drink alcohol regularly but in moderation, use feet instead of cars, stop packing pistols and dropping drugs. Second, flatten out the class structure. Shrink the gap between high and low incomes, raise pensions and minimum wages to subsistence level, fix the tax structure to favor the ninety-nine percent. And why not redistribute lifestyle too? Give working stiffs the same freedom to have kids (maternity leave), convalesce (sick leave), and relax (proper vacations) as the rich. Finally, give everybody access to health care. Not just insurance, but actual doctors, medications, and hospitals. As I write, the future of the Affordable Care Act is uncertain, but surely the country will not fall into the abyss that came before. Once they’ve had a taste of what it’s like not to be one heart attack away from bankruptcy, Americans won’t turn back the clock. Even what is lately being called Medicare for All, considered to be on the fringe left a decade ago and slammed as “socialized medicine,” is now supported by a majority of Americans, according to some polls. In practice, there’s little hope for Italian lessons one and two—the United States is making only baby steps toward improving its lifestyle, and its income inequality is worse every year. But the third lesson is more feasible. Like Italy, we can provide universal access to treatment and medications with minimal point-of-service payments and with prices kept down by government negotiation. Financial arrangements could be single-payer like Medicare or use private insurance companies as intermediaries like Switzerland, without copying the full Italian model of doctors on government salaries. Despite the death by a thousand cuts currently being inflicted on the Affordable Care Act, I am convinced that Americans will no longer stand for leaving vast numbers of the population uninsured, or denying medical coverage to people whose only sin is to be sick. The health care genie can’t be put back in the bottle.

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