It was a lucky accident that I heard an interview this morning on the local Omaha news/talk radio station with Mark Makary, MD about his book released yesterday: "The Price We Pay,"
"Financial toxicity" is the term he uses to describe the main problem with our broken healthcare delivery system with issues such as inappropriate care, over treatment, excessive billing practices, etc.
I'll probably take the deep dive into his book tonight, and develop this story further. Stay tuned.
UPDATE
Thought I'd share the toc:
Wednesday, September 11, 2019
9/11 Memories
Eighteen years ago, I was standing on a hilltop on the northern tip of Staten Island, looking at the smoke billowing from the World Trade Center towers some 6 miles away, when the first tower crumbled to the ground.
The small group of people I was with, looked at each other, but no one could say a word. With the hard blue, cloudless sky, it seemed that the colors were enhanced, and the impression I remember is that it seemed like watching a disaster movie, it was that cinematic and incomprehensible.
I walked back to my condo, and stowed a video camera in a backpack along with a hospital ID. I thought that this would allow me to board the ferry and volunteer in whatever capacity I could. This was my week of vacation from the surgery program at the local hospital.
The scene at the ferry terminal was chaotic, cell phone service was down and just before I went to board the mostly empty ferry, some inner voice struck me, saying "don't go." Perhaps it was more curiosity than altruism that was goading me on. I turned around, and went back, watching the day unfold along with the rest of the nation.
I remember walking out again, looking up to see fighter jets in the sky at about 2:30 in the afternoon, thinking that why was this such a late response.
I was called to return to the hospital since it was not known how many wounded would be sent there, but it turned out extra staff were not needed. I spoke with one of the surgeons who went into Manhattan, and he said there was nothing much for additional medical professionals to do there. He said he left when it came down to a group of doctors arguing about the arrangement of cots at a potential receiving facility.
In later weeks debris from the cleanup effort was transported to 48 of the 2,200-acre Fresh Kills landfill on Staten Island. The name may seem tragically ironic, but the name (from the Middle Dutch word kille, meaning "riverbed" or "water channel") comes from the landfill's location along the banks of the Fresh Kills estuary in western Staten Island. Until its closing soon after, it was the only landfill that accepted New York City's residential waste. To the dismay of the survivors it would become the final resting place for the remains of some of the victims.
When I eventually took the ferry into Manhattan, there was a noticeable difference throughout. What I was used to navigating the hurried stream of people on the sidewalk, rushing to some important meeting. Now, it was different. People looked into others faces, regarding them wordlessly. like the group I was with on that hill on the eleventh.
The small group of people I was with, looked at each other, but no one could say a word. With the hard blue, cloudless sky, it seemed that the colors were enhanced, and the impression I remember is that it seemed like watching a disaster movie, it was that cinematic and incomprehensible.
I walked back to my condo, and stowed a video camera in a backpack along with a hospital ID. I thought that this would allow me to board the ferry and volunteer in whatever capacity I could. This was my week of vacation from the surgery program at the local hospital.
The scene at the ferry terminal was chaotic, cell phone service was down and just before I went to board the mostly empty ferry, some inner voice struck me, saying "don't go." Perhaps it was more curiosity than altruism that was goading me on. I turned around, and went back, watching the day unfold along with the rest of the nation.
I remember walking out again, looking up to see fighter jets in the sky at about 2:30 in the afternoon, thinking that why was this such a late response.
I was called to return to the hospital since it was not known how many wounded would be sent there, but it turned out extra staff were not needed. I spoke with one of the surgeons who went into Manhattan, and he said there was nothing much for additional medical professionals to do there. He said he left when it came down to a group of doctors arguing about the arrangement of cots at a potential receiving facility.
In later weeks debris from the cleanup effort was transported to 48 of the 2,200-acre Fresh Kills landfill on Staten Island. The name may seem tragically ironic, but the name (from the Middle Dutch word kille, meaning "riverbed" or "water channel") comes from the landfill's location along the banks of the Fresh Kills estuary in western Staten Island. Until its closing soon after, it was the only landfill that accepted New York City's residential waste. To the dismay of the survivors it would become the final resting place for the remains of some of the victims.
When I eventually took the ferry into Manhattan, there was a noticeable difference throughout. What I was used to navigating the hurried stream of people on the sidewalk, rushing to some important meeting. Now, it was different. People looked into others faces, regarding them wordlessly. like the group I was with on that hill on the eleventh.
Sunday, September 8, 2019
Elder Lives, a newborn blog
I guess I should begin with a statement of purpose for the vision I have for this blog and the organization it represents.
Among the many movements in the health care field to "raise awareness" about some disease or condition, the issue of an aging population in America requires that the elders in our society become even more engaged. We can talk about the ethics and responsibilities we have, but for me I'd rather discuss practical solutions to very specific problems.
Part of this involved dispelling myths about aging, such as declining mental and physical abilities that disheartens the elderly from taking a more active approach to living. This leads into the myth that change, adaption and learning is only for the young.
Besides myself, many are writing on this topic, and I'll recommending and reviewing the materials that are the most useful and compelling. Afterall, a blog is all about curated content.
Also, it's necessary to keep in mind the younger generation need to be inspired to follow their instincts as well as study the disciplines to create the world they will later pass on to their descendants.
To see aging as a continuum, as a natural process, is my goal.
(more to follow...)
Among the many movements in the health care field to "raise awareness" about some disease or condition, the issue of an aging population in America requires that the elders in our society become even more engaged. We can talk about the ethics and responsibilities we have, but for me I'd rather discuss practical solutions to very specific problems.
Part of this involved dispelling myths about aging, such as declining mental and physical abilities that disheartens the elderly from taking a more active approach to living. This leads into the myth that change, adaption and learning is only for the young.
Besides myself, many are writing on this topic, and I'll recommending and reviewing the materials that are the most useful and compelling. Afterall, a blog is all about curated content.
Also, it's necessary to keep in mind the younger generation need to be inspired to follow their instincts as well as study the disciplines to create the world they will later pass on to their descendants.
To see aging as a continuum, as a natural process, is my goal.
(more to follow...)
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