A Call to Be Whole: The Fundamentals of Health Care Reform by Barbara J. Sowada

By Barbara J. Sowada

Examines the complicated interrelationships that tell the health and wellbeing care method. overall healthiness care, like any social platforms, is a fabricated from notion. prior to now, our collective pondering has been in keeping with attempting to deal with elements, now not the full. This publication inquires into 4 age-old questions that form all wellbeing and fitness care structures: what's wellbeing and fitness? what's care? who's accountable? How a lot is enough?

Americans have the wealthiest future health care process on the planet, but the well-being prestige of american citizens ranks within the lowest quartile one of the world's 25 industrialized countries and forty five million american citizens are with no medical health insurance. contemporary price, caliber, and entry difficulties are inter-related and will be traced to taken-for-granted assumptions and overall healthiness care's superseded organizing strategies: reductionism and materialism. larger fragmentation of care, an over-dependence on expertise, inattention to social and environmental determinants of future health, and severe financial and ethical dilemmas are the various result of the final forty years of piecemeal political and financial reform.

This booklet has 3 reasons. the 1st is to assist the reader see healthcare as a fancy system—a half in a bigger whole—and to teach how solutions to the questions, what's future health? what's care? who's dependable? How a lot is sufficient? implicitly outline the aim, effectiveness, potency, and equity of a future health care approach. the second one is to teach that modern day entry, expense, and caliber difficulties are interrelated, and come up from superseded suggestions, unquestioned assumptions, and a protracted path of inconsistent and contradictory solutions to the 4 questions. The 3rd goal is to acquaint readers with either the private and societal demanding situations of discovering coherent solutions to the 4 questions raised above and to explain the various budding experimental options that problem conventional conventions and assumptions.

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Additional info for A Call to Be Whole: The Fundamentals of Health Care Reform

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In this analogy, the smallest doll represents the individual self, the recipient of health care’s output. The next doll is the health care system, and the third doll represents our market economy. Containing all of this is the largest and least-visible doll, the worldview. WORLDVIEWS Because everything that we do begins as some kind of thought, removing blindfolds begins by acknowledging the deepest thought that informs our actions. This seems obvious, but very few people are actually aware of their thoughts on a moment-by-moment basis.

Within this second level of inquiry, we ask whether health care’s boundaries include the right elements in the right amounts to generate a productive system. Moreover, because boundaries define more than just the things—the policies, the technology, the rules, and the roles—that generate health care, we also ask, who is in and benefits, and who is out and does not,6 and why? Because social systems are generated by human thought, boundaries don’t occur by accident. They are established by a group of experts whom society has authorized and are based on data that is valid to the experts.

Dialogue: Rediscovering the Transforming Power of Conversation. New York: John Wiley & Sons, p. 45. Review of Systems 27 THE MODERN WORLDVIEW In the sixteenth and seventeenth centuries, the world became demystified. Before then, humans were enmeshed in nature and the supernatural. Early healers were typically priests, shamans, and folk healers, and sickness was attributed to forces of nature and the supernatural. Sickness was thought to be caused by such things as evil spirits, broken taboos, “unclean” persons, and bad weather and was typically treated with the use of charms and rituals, which were augmented by roots and herbs and whatever else was at the disposal of the early healers.

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