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So what are health services trying to do?

They will suggest they want to keep you alive and fit for ever or some variation on that theme:

- So why do we mostly treat people who are already ill; seems a bit late?
- Why are we so bad at helping people with long-term illness?
- But health services are very unequally available



Why do health services mostly treat people who are already ill?

Mostly from tradition. Doctors, as a profession like to deal with sick people, rather than well ones, because the body has a natural tendency to get better. We can then take all the credit for what Mother Nature does naturally. Incidentally, the human body was very badly built, but has great back-up facilities. So we can manage with about a third of our liver, less than half of our two kidneys, one lung, quite a small amount of our brain, as long as we miss a few vital bits. Frontal lobectomies consisted of making holes and stirring the frontal lobes, causing extensive damage. People were pretty quiet after, but they survived.

And as for our DNA, well there are yards of that that seems to be doing very little. 

Why are we so bad at helping people with long-term illness

Because they don't get better. They are a constant reminder of our inabilities.

Inequalities

Inequalities in health are prevalent in most countries, most notably in developing countries, especially Southern Asia and the Southern states of Africa.

Yet, even in the UK and other developed countries there are huge inequalities in the healthiness of different groups of people. This is most easily expressed in terms of the wealth of the individuals - poor people die younger and have more illness than rich. A House of Commons report in 2009 was the latest approach to sum this up for the UK. This is in the form of an online Google Document.


 

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The Government have passed a bill making General Practitioners the lead professionals in purchasing the services run by the NHS. The government believe that GPs know what patients want.... But do they know what they need? Interestingly the government have now retracted from their original plans to some extent, so that hospital doctors and other professionals will be involved in purchasing care. Read
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Norman Vetter
Cardiff

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Last edited:  04/04/2012          Copyright 2011 -- Norman Vetter