A Quote by Virginia Postrel
The Internet ethos of diversity and competition runs exactly counter to uniform, gatekeeper-oriented medical culture - the technocratic philosophy of the 'one best way' embodied in our pharmaceutical regulations. On the Net, medical information is abundant, and pharmacies, domestic and foreign, operate on many different models.
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Many different relationships among patients, doctors, and drugs are possible and desirable. As in so many other areas of life, the Internet encourages experimentation. Questionnaire-based pharmacies operate between the traditional prescription and over-the-counter models.
While in medical school, I was drafted into the U.S. Army with the other medical students as part of the wartime training program, and naturalized American citizen in 1943. I greatly enjoyed my medical studies, which at the Medical College of Virginia were very clinically oriented.
The people need to understand that marijuana is an unbelievable plant that has huge medical - it's a medical plant, is the best way to describe it. It has huge benefits for us as people in many, many - so many different ways.
One strand of psychotherapy is certainly to help relieve suffering, which is a genuine medical concern. If someone is bleeding, you want to stop the bleeding. Another medical aspect is the treatment of chronic complaints that are disabling in some way. And many of our troubles are chronic. Life is chronic. So there is a reasonable, sensible, medical side to psychotherapy.
Individuals need accurate information in cancer prevention and guidance tailored to their specific medical history. They will not get it unless our medical doctors and other health professionals are adequately trained.
When we have laws that compartmentalize medical information, and when we have paper systems that compartmentalize medical information, you sometimes have a doctor who understands his specialty and is terrific on your kidneys, but he doesn't understand the totality of who you are.
In our 'don't just sit there, do something' culture, when we get sick we are supposed to become characters in a heroic medical narrative that conceals the remorselessness of pathology, the intractable fact of human vulnerability, and the inevitable inadequacies of medicine. To many of the participants in the medical drama, aggressive treatment - even when it fails - represents a quasi-religious quest for immortality and meaning.
America has the best doctors, the best nurses, the best hospitals, the best medical technology, the best medical breakthrough medicines in the world. There is absolutely no reason we should not have in this country the best health care in the world.
Developments in medical technology have long been confined to procedural or pharmaceutical advances, while neglecting a most basic and essential component of medicine: patient information management.
The health of Americans must no longer be a commodity to be traded, bought, or sold for profit by the insurance and pharmaceutical industries. We must promote medical and Medicaid home models to provide comprehensive care for body, mind, and spirit.
In 1963 and later papers, I pointed out that the special market characteristics of medical care and medical insurance could be explained by reference to differences in information among the parties involved.
We live in a culture that's been hijacked by the management consultant ethos. We want everything boiled down to a Power Point slide. We want metrics and 'show me the numbers.' That runs counter to the immensely complex nature of so many social, economic and political problems. You cannot devise an algorithm to fix them.
Over the past two decades the pharmaceutical industry has moved very far from its original high purpose of discovering and producing useful new drugs. Now primarily a marketing machine to sell drugs of dubious benefit, this industry uses its wealth and power to co-opt every institution that might stand in its way, including the US Congress, the FDA, academic medical centers, and the medical profession itself.
Reform of the medical liability system should be considered as part of a comprehensive response to surging medical malpractice premiums that endanger Americans' access to quality medical care.
Let us show the world that a difference of opinion upon medical subjects is not incompatible with medical friendships; and in so doing, let us throw the whole odium of the hostility of physicians to each other upon their competition for business and money.
The field of U.S. cancer care is organized around a medical monopoly that ensures a continuous flow of money to the pharmaceutical companies, medical technology firms, research institutes, and government agencies such as the Food and Drug Administration (FDA) and the National Cancer Institute (NCI) and quasi-public organizations such as the American Cancer Society (ACS).
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