In crises, anxiety focuses attention. I continue to focus on the growing Ebola epidemic, which has no real restraints to keep it from becoming a global pandemic. Overpopulation, inequity, peak oil, and disturbed natural environment have converged with the problem of Ebola, to set up the conditions for a pandemic. If we add a slow response from complacent, frozen bureaucracies to this toxic mix, then we can expect a global pandemic to occur. We have met the enemy, and he is us.
Healthcare professionals need to speak up about healthcare inequity and US readiness for pandemics. And I have a particular interest in this topic, since I am potentially most exposed as a nurse to acquiring Ebola through patients shedding the virus in body fluids, and women are at high risk as typical care givers in the home and hospital. I have studied handwashing in hospital settings, with insight as to the gaps. So I will continue to perseverate here, and add my nursing voice to the choir of concerned healthcare professionals. Continue reading Ebola as a game-changer?
This week I finally read John M. Barry’s 2004 book, The Great Influenza: The story of the deadliest pandemic in history. Barry explains the lessons that we should have learned from the Great “Spanish” influenza pandemic of 1918. The book is well written, albeit with a lengthy introduction of the medical researchers and their personalities. If you don’t enjoy the history of Medicine or details of early virology research, you can skip that part. In his afterword, Barry states that a future pandemic is certain to occur, and we are in no way ready for it. Since my PhD is in Nursing-Health Policy, this is a topic that interests and worries me greatly, so I will expand on my earlier post as this threat has continued to expand and evolve. This post serves as book review and comparison of similarities and differences between the Great Influenza pandemic and the current looming threat of another pandemic, Ebola (EBOV). Continue reading A review of Barry’s “The Great Influenza”
The discussions in the US this week surrounding the constitutionality of health insurance payment mandates and the fact that my terminal degree is in health policy helped me to choose a topic for this week’s post. The US Supreme Court question that the Justices are examining this week has to do with the issue of insurance payment mandates for individuals—is it constitutional? The goal of Obama’s The Affordable Care Act is a goal of healthcare for all within the existing system. One primary argument of those supporting the plan is that, while not perfect, the plan is a good start in transitioning to a universal healthcare system. Yet the plan and the current discussions make a number of unstated assumptions about a healthcare system embedded within a capitalist, free market economic system of the wealthiest country on the planet. These assumptions need to be exposed in order to view the problem systemically. I would suggest that these assumptions are not even correct to begin with for the existing system, and that the assumptions will become even less true in a permanently declining economy associated with peak oil. Rousseau said, “Good laws lead to the making of better ones; bad laws bring about worse.” In my opinion, creating bad laws now that assume that the current system can grow infinitely only lead to further catastrophe. Continue reading Healthcare for All in the U.S?