Posts Tagged ‘healthcare’

Ignorance

July 18, 2017

A previous post titled “Making People Smart” discussed a course entitled “Ignorance” that has been taught at Columbia University. Guest scientists are invited to speak about what “they don’t know, what they think is critical to know, how they might get to know it, what will happen if they do find this or that thing out, or what might happen if they don’t.” The course focuses on all that is not in the textbooks and thus guides students to think about what is unknown and what could be known. The idea is to focus not on what students themselves don’t know, but what entire fields of science don’t know, with the aim of provoking and directing students to ask questions about the foundations of a scientific field. This course requires that a students ponder not just some set of scientific theories and ideas; it requires that they begin to understand what the entire community has and hasn’t mastered. This course is taught by Stuart Fierstein and he has published the book on which that course is based. The book is titled, appropriately enough, “Ignorance: How It Drives Science.”

HM has read the book. It is well written and fairly short. HM recommends this book to anyone who is interested in science. HM will not be writing further posts on this book, but he will be using it as a point of departure to consider a larger truth the book holds. Previous healthy memory blog posts have noted that the rapid improvements in life on this planet come from science, or more particularly, scientific thinking. Truly effective and innovative scientific thinking comes from looking for areas of ignorance, information that we don’t have. In the words of Donald Rumsfeld, these are unknown unknowns.

Contrast this with how most of us think. We comfort ourselves with what we know. We like to stay close to home. However, growth mindsets encourage us to grow our knowledge and skills continually till the end of life. Staying active and continuing to learn is one of the best, if not the best, means of warding off dementia. Another way of looking at this is to look for areas of our own ignorance, and pursue those areas which we would like to pursue.

Businesses that survive know that it is important to adapt to changes constantly. This is needed if they are, at worst, able to survive, or, at best, to thrive. So they are examining areas of ignorance and making decisions as to which to pursue.

What is generally ignored is that governments need to adapt to survive. They need to identify areas of ignorance and address them or difficulties will be encountered, and, eventually, even survival will be threatened. This is not to say that conservative views are not valued. But there role is to preclude foolish pursuits, not to preclude addressing pressing problems with new ideas.

A good example of this is the problem of healthcare in the United States. The problem is severe as the United States has the most expensive healthcare in the world, but health statistics characteristic of third world countries. Every advanced country has successfully addressed healthcare and is providing healthcare for all its citizens via a single payer system in which the single payer is the government.
It is unbelievable that in the United States that there are people who do not think that healthcare is a right for all people. HM regards people who do not believe this as moral degenerates, and that goes double for such people who profess religious faiths. One party believes in market forces, which are very effective under many circumstances, but not for healthcare. But they continue to believe that market forces are universally applicable. When someone has a hammer, everything looks like a nail, which is the problem here.

Perhaps it is ironic that communism is an ideology that failed because, among other factors, it was too widely applied and ignored market forces. The lesson here is that ideologies preclude effective thinking, and ideologues are the bane of an effective democracy. Think and look around. There are many effective examples of universal healthcare in all advanced countries, except one, the good old USofA.

© Douglas Griffith and healthymemory.wordpress.com, 2017. Unauthorized use and/or duplication of this material without express and written permission from this blog’s author and/or owner is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Douglas Griffith and healthymemory.wordpress.com with appropriate and specific direction to the original content.

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The Knowledge Illusion: Why We Never Think Alone (Unabridged) 2

July 2, 2017

If you have not read the immediately preceding post, please scroll down and read it. The immediate post presents HM’s thoughts about how the need to use knowledge from fellow humans fails. A good example of this can be found in the current debates about the Affordable Care Act and its replacement. Although the Affordable Care Act is flawed, information from fellow humans who have successfully dealt with this problem is being ignored.

The United States has the most expensive healthcare costs in the world, but results characteristic of a third world country. And it is the only advanced country that does not have a single payer system in which the single payer is the government. This progression did not happen all at once. It began in England after WW II and variants of it were gradually adopted over time by advanced countries with the notable exception of the United States.

How can this be explained? It can be explained most simply in one word, “beliefs.” In this case, the belief in free markets. Free markets are good, but what is frequently forgotten is that free markets do not remain free, they are manipulated and require government intervention to disrupt the development of monopolies. Moreover, free markets are not universally applicable. Economists have effectively argued that free markets are not appropriate for medical care.

However, even if one believed in the viability of free markets for medical care, how can they ignore the success of single payer systems in the developed world? The problem is that beliefs stymy new and creative thinking and using knowledge from knowledgeable people. New beliefs require thinking and thinking requires mental effort, which many people find uncomfortable.

Then there is the faux “Fair and Balanced” news. When the Affordable Care Act was being proposed, “Fair and Balanced” news featured an English Woman who had a complaint about a surgical procedure she had undergone. This woman was livid about this presentation on “Fair and Balanced” news. Although she had complaints about this one procedure, she was highly enthusiastic about the national health system in Britain. Moreover, none of the countries who have adopted a single payer system in which the single payer is the government have abandoned these programs. It should be noted that in the United States Medicare is a single payer system that works quite well. However, Medicare covers only a certain percentage of costs, so supplemental insurance is prudent.

So beliefs can thwart change and innovation. But not all beliefs are necessarily bad. Consider religion, particularly religions for which the medical suffering of fellow human beings is important. One would think that in the United States where such religious beliefs are widespread, medical care would be among the best, not the worst. What apparently happens here is compartmentalization. These religious beliefs are thwarted by beliefs about government and the supremacy of market forces. The result of this compartmentalization is that the health and finances of fellow citizens suffer.

© Douglas Griffith and healthymemory.wordpress.com, 2017. Unauthorized use and/or duplication of this material without express and written permission from this blog’s author and/or owner is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Douglas Griffith and healthymemory.wordpress.com with appropriate and specific direction to the original content.