What Is the Heart of Medicine?

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The heart of medicine is that person in that rural village in India, getting care that they can't get. But, they don't die of a heart attack because the nearest hospital with linkaging machine is three hours away. The heart of medicine is the 40 million uninsured in this country who can't go to a doctor.

Unless, it's so bad they have to go to emergency room. A heart of medicine is being able to get much more accurate diagnosis. Do you know misdiagnosis is the biggest killer in this country than automobile accidents or breast cancer? That's the heart of medicine. The heart of medicine is about being much more caring about a patient.

About reaching out to a mental health patients when they're sitting in their room, getting worse. And because of getting worse they get off their medicine, and stop eating and stop calling friends. That's the heart of medicine. Not this notion that the physician in this white coat will come address you.

I've got great health care, because I've got concierge doctor, but most people don't. And it's okay to talk about this idealized view of medicine, I get it. I can call my doctor anytime, but most people don't. And the average MD is not like that because he is not MD is swamped, he has too many patients, he has too many things to do, he spends 1/3 of his time just filling paper work.

They had missed on the burden, the constraints on them. They are so large because of the system that's more worried about not getting sued. Now, we talk about saving health care costs. You don't want to be sued so you do all these extra casts. Maybe even extra surgeries, and then hidden disease in the health care system, where you can talk about reducing health care cost, but every dollar saved is a dollar of profit lost caused by somebody.

Guess what? Are they incented[Ssp?] to change it? No, the best meaning of a physicians can change the pressure. 60 minutes on Sunday had this thing about driving more people from emergency into a hospital admissions. But the system won't change from the inside. The system will change because the empowered consumers push it to change.

And then probably these french consumers, that one in shops, or that rural patient in India, or people who just want to be CEOs of their own health and technology allows them to take charge and challenge their doctor, or challenge their insurance, or their health care system.