The 4S’s of surge capacity

By Mary Odum

Welcome to the arcane and short-sighted world of public health strategic planning. This post introduces the term surge capacity, a term we will hear often in the coming months of this growing Ebola (EVD) epidemic. Surge capacity is the ability to manage sudden or prolonged increases in overall healthcare demand, and the key components are the 4 S’s of staff, stuff, structure and systems, for hospital and community preparedness (Adams, 2009). During a pandemic, lack of surge capacity in all four of these areas become key limiting factors:  hospital isolation beds (structure), healthcare providers (HCP-staff), isolation gear (stuff), and an efficient, just-in-time, high-transformity system, which is an obstacle to resilience.  Continue reading The 4S’s of surge capacity

Slapping bandaids on empire’s heart attack

Slapping bandaids on empire’s heart attack

by Mary Logan

“Before you get too exercised over the multiple idiocies and injustices of the current American medical situation just reflect for a moment that the whole creaking system cannot possibly survive no matter what the Supreme Court might have ruled or whatever Obama sought to accomplish. The US economic system is about to blow up. The banking sector has been kept technically alive on the life-support of accounting fraud since 2008, but that artful racket is coming to an end because sooner or later the abstraction called “money” must make truthful representations of itself in relation to reality, or else people cease to accept its claims of value. Without a functioning banking system none of the rackets organized into US health care can continue” (JH Kunstler, July 2, 2012).

Kunstler has succinctly summed up the big picture for American healthcare. We are slapping bandaids on empire’s heart attack. I am revisiting healthcare reform for two reasons. First, healthcare’s complexity creates a good exercise in broadening our scale of view. Secondly, now that healthcare reform is law, the question is, what does this new law mean for individuals at the small scale, and for the country at the larger national scale? Continue reading Slapping bandaids on empire’s heart attack