Aug. 13th, 2012

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"The yuck factor informs a lot of health policy in this country." Learning today about needle exchange programs to reduce HIV transmission among injection drug users, which is considered "harm reduction". Supervised injecting facilities are a step beyond, present in countries which are not the United States. The idea is providing a safe, clean environment, an improvement over using discarded needles found in the street. From a preventive medicine standpoint, this is wonderful. From a War on Drugs perspective, this is a major backward step.



caprices: (Default)
"The yuck factor informs a lot of health policy in this country." Learning today about needle exchange programs to reduce HIV transmission among injection drug users, which is considered "harm reduction". Supervised injecting facilities are a step beyond, present in countries which are not the United States. The idea is providing a safe, clean environment, an improvement over using discarded needles found in the street. From a preventive medicine standpoint, this is wonderful. From a War on Drugs perspective, this is a major backward step.
caprices: (Default)
Beginning draft:
 IN the discussion of the health care system, a term much bandied about is the private sector health delivery reform. This essentially refers to the business of medicine at the ground level, how individual clinics are run based on the choices of individual practitioners and patients seeking care. The nuts and bolts of medicine. The current system has divorced practice from financial considerations, leading to the current difficulties in establishing a cost-effective nationwide system. A team approach is needed. The fee for service in insurance program rewards inefficiency. Market forces being what they are, this leads to ballooning market prices and very little control inside or outside of the industry. Doctors who need to pay back medical school loans, people with insurance...there's a certain mentality here which does not allow for much consideration of the greater good.

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