Having recently witnessed , first hand, our Medical System in operation, I most certainly do not envy any person or organization tasked with the responsibility of addressing the various problems that it presents.
Thanks Bill, I know you and many others like the multiple site placement and this might be a good idea for essential primary care services and of course for collaborative care. Some specialties who do out-patient work of a routine nature can also provide benefit as we all know. However, let us never forget that for serious, most often life-threatening disease, we do need highly skilled
individuals and resources in centers for trauma, technically difficult surgery, complicated ER cases, stroke, heart disease and cancer;along with the need for many specialized Intensive Care Units and advanced imaging to work with the sickest and most difficult cases to manage. Thus for some specialties and sub-specialties it would be unwise to unpackage their expertise. Be careful what you wish for and support. Someday you might need the tertiary care center to care for you or even save your life. Just a post note to a good overview on your part. Pursuing ‘simplicity’ and ignoring ‘complexity’ is a recipe for disaster in a good health care system, in my opinion, as we need both for different reasons.
Having recently witnessed , first hand, our Medical System in operation, I most certainly do not envy any person or organization tasked with the responsibility of addressing the various problems that it presents.
Bob MacKenzie | May 7, 2017 |
Thanks Bill, I know you and many others like the multiple site placement and this might be a good idea for essential primary care services and of course for collaborative care. Some specialties who do out-patient work of a routine nature can also provide benefit as we all know. However, let us never forget that for serious, most often life-threatening disease, we do need highly skilled
individuals and resources in centers for trauma, technically difficult surgery, complicated ER cases, stroke, heart disease and cancer;along with the need for many specialized Intensive Care Units and advanced imaging to work with the sickest and most difficult cases to manage. Thus for some specialties and sub-specialties it would be unwise to unpackage their expertise. Be careful what you wish for and support. Someday you might need the tertiary care center to care for you or even save your life. Just a post note to a good overview on your part. Pursuing ‘simplicity’ and ignoring ‘complexity’ is a recipe for disaster in a good health care system, in my opinion, as we need both for different reasons.
Allan Purdy | May 5, 2017 |