Medicine After Oil
It could be distributed a lot more democratically
by Daniel Bednarz
Published in the July/August 2007 issue of Orion magazine
The commonsensical Honda model will emphasize public health—the prevention of disease and the promotion of health within the population as a whole—over treatment medicine, which focuses on restoring health to chronically or acutely ill individuals. Typically accomplished through the diffusion of information, low-cost therapies, and the promotion of healthful nutrition and lifestyle, preventive medicine allows people to avoid or postpone disease, and to stay clear of the costliest and most energy-intensive sectors of the medical system—doctors’ offices, pharmacies, and the hospital. In the Honda model, treatment medicine would continue, but its role would be brought into better balance with the vastly more cost-effective and energy-efficient mode of preventive health care.
The public health system arose in the early decades of the last century as a response to fears of infectious diseases in our country’s crowded cities. Its outlook is inherently egalitarian—if the entire community is not protected, then no one’s health is assured. Public health is no longer the force it was when it sent “ladies in white uniforms” into communities to preach the Gospel of Germs, explaining the relationship between hygiene and disease prevention. Today, public health is overburdened and underfunded, receiving about 5 percent of health-care dollars, with the balance going to treatment medicine and to biomedical research.
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