There's something in the language typical of healthcare debates that makes a lot of people zone out. I sense a pervasive attitude of, "wake me when they get to the part about keeping insurance affordable."
Confusion comes in two flavors: the kind that prompts you to ask a question and the kind that makes you feel so lost and stupid you don't dare say anything --i.e. "please clarify" verses "totally over my head."
Healthcare issues provoke a lot of the latter. Some topics are quite technical --e.g., stem cells, anti-retrovirals, cancer risks. If you don't have a basic familiarity with the science, it's probably best for all concerned if you STFU.
However much of the confusion lately can be chalked up to vague or meaningless verbiage. Speakers often go on for paragraphs saying nothing at all to an audience apparently listening respectfully. Truly amazing to behold.
Case in point:
There are many physicians working at the front lines of health care delivery that embrace both the wellness model and clinical outcome based science. In many cases they have chosen their specialties because they consider understanding medical science an essential part of their professionalism and hold ethical decision-making a higher priority than financial profit. Seems obvious, but it may inform arguments that consider the middle ground in this debate negligible. Certainly, generalization, sensationalism and vilification of physicians is less likely to lead to the improved health status all parties seem to want to argue for.
Reading the above you might think to ask, what does the speaker mean by "wellness model"? But estimating the odds that the answer will bore you to tears while leaving you none the wiser, you probably won't bother.
Here's my model: we figure out the risks and benefits of some intervention, then base our recommendations on that.
I call it the "what is true" model. It kicks the wellness model's ass then steals its lunch money.
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