The Nursery of Life

2030 ◽  
2010 ◽  
Author(s):  
Rutger van Santen ◽  
Djan Khoe ◽  
Bram Vermeer

Human beings are much more complex than any technology we could devise today. How many machines are good for 80 or 90 years of service? Our immune system—set up at birth—is able to repel diseases that don’t even exist yet. Most viruses that proliferate 50 years after we were born can be defeated just as easily as maladies that have been dogging humans for generations. Effective health care means that—in most regions of the planet—we are living longer and longer. All the same, human beings are not perfect: We get sick and we wear out over time. In the wealthier regions, we spend a great deal of money trying to get as close as possible to a 100-year span. Our greatest task is to bring a long and healthy life within the reach of as many people as possible. New technology is required to hold down the cost of health care, to nip outbreaks of disease in the bud, and to ease discomfort in our old age. Scientists believe that substantial benefits can be gained by identifying abnormalities earlier. A cancerous growth measuring just a few millimeters is still relatively harmless, and an infection caught in its early stages won’t leave any scars. Although techniques for accurately diagnosing incipient abnormalities can often be very expensive, prompt diagnosis generally means that treatment will be easier, cheaper, and more likely to succeed. Thus, we can end up saving money despite the need for expensive equipment. To adequately fight the outbreak of diseases in the future, our technology must be able to respond more rapidly. This could pose a particular challenge because there is also a trend at present toward superspecialization, which is fragmenting medical knowledge and slowing down responses. Take the science of ophthalmology in which the various specializations focus on extremely specific parts of the eye. This is fine once a precise diagnosis has been made, but it could be a significant problem if the patient consults the wrong doctor at the outset. The way we currently approach diagnosis needs to change.

2009 ◽  
Vol 361 (15) ◽  
pp. 1421-1423 ◽  
Author(s):  
Atul A. Gawande ◽  
Elliott S. Fisher ◽  
Jonathan Gruber ◽  
Meredith B. Rosenthal

Author(s):  
Kijpokin Kasemsap

This chapter reveals the overview of telemedicine; telemedicine in developing countries; Electronic Health Record (EHR); and mobile health technologies. Telemedicine and Electronic Health (e-health) are modern technologies toward improving quality of care and increasing patient safety in developing countries. Telemedicine and e-health are the utilization of medical information exchanged from one site to another site via electronic communications. Telemedicine and e-health help health care organizations share data contained in the largely proprietary EHR systems in developing countries. Telemedicine and e-health help reduce the cost of health care and increases the efficiency through better management of chronic diseases, shared health professional staffing, reduced travel times, and shorter hospital stays. The chapter argues that utilizing telemedicine and e-health has the potential to enhance health care performance and reach strategic goals in developing countries.


1998 ◽  
Vol 26 (2) ◽  
pp. 138-148 ◽  
Author(s):  
Ted Schrecker

Toronto physician Brian Goldman had thought about “joining the camp that favours private health care for Canada.” Writing in the Canadian Medical Association Journal, he tells us that he changed his mind after one of his cats experienced a series of illnesses and misadventures that resulted in a Can$3,101 medical bill. “I’m just glad,” he says, “that the cost of health care never entered my deliberations.”’Canadian citizens and permanent residents are similarly free from most worries about the direct costs of their own medical care, and have been for more than a generation. This reflects a fundamental difference between the Canadian and United States contexts for health policy. Since the failure of President Clinton's first-term efforts to provide something approximating universal health insurance, reforms to the existing regime of providing and financing health care in the United States have been incremental, and primarily responsive to the changing nature of the health care marketplace. In Canada, universal publicly funded first-dollar coverage for most physicians’ and hospitals’ services has been a reality since the early 1970s.


JAMA ◽  
2009 ◽  
Vol 302 (9) ◽  
pp. 999 ◽  
Author(s):  
Victor R. Fuchs

The Lancet ◽  
1970 ◽  
Vol 296 (7673) ◽  
pp. 601-603 ◽  
Author(s):  
Peter Draper

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