You didn’t really think that I could resist weighing in on this health care debacle, did you? For example, the board of directors that governs the entire corporation has 18 members, which is broken down as follows: the chairman is appointed by the president based on the recommendation from the Minister of Health, Welfare and Family; the chairman in turn appoints five members; heads of related governmental agencies take up four positions; unions, employer associations, consumer organizations, fishing/agricultural associations can each appoint two.
None of the people I was interacting with were my patients but they all assumed that I would have an overwhelming desire to listen to their health stories and those of their families, every one of them unique, from their mother’s gallstones (the biggest the doctor had ever seen!) to their grandfather’s prostate.
While the definitions of the various types of health care vary depending on the different cultural, political, organizational and disciplinary perspectives, there appears to be some consensus that primary care constitutes the first element of a continuing health care process, that may also include the provision of secondary and tertiary levels of care.
Money has been spent, mergers and acquisitions have occurred, companies have been funded, contracts have been awarded, people have been hired, and this sea of change is engulfing private and public sectors inside and outside health care to the tune of $3 trillion dollars annually.
It is remarkable that the American public, as tight as money is, is so fearful about some unexpected health crisis popping up, that we are willing to pay hundreds and even thousands of dollars per family each month for health insurance, which may get cancelled at the last moment anyway.