Thanks for your/WCA/POCA/legislative persistence over the months and years. And for the Gawande incremental article reference; he highlights “immoral” systems and that “We routinely countenance inadequate care among the most vulnerable people in our communities—including children, the elderly, and the chronically ill.” I know WCA has tried to patch this, within the confines of capitalism. Although I appreciate and come close to Gawande worship, I wish he and western medicine would become less paternalistic, recognizing individual agency—he does mention “behavior” as 1 of 4 tools medicine has, but how clients change behavior is incremental and the individual often needs more than even PCP support/conversations to learn self-monitoring strategies (sleep diary example) and follow through. Cheers for change at all ends: elementary school, disease care, health care, government $$ for the boring programs.
Thanks for your/WCA/POCA/legislative persistence over the months and years. And for the Gawande incremental article reference; he highlights “immoral” systems and that “We routinely countenance inadequate care among the most vulnerable people in our communities—including children, the elderly, and the chronically ill.” I know WCA has tried to patch this, within the confines of capitalism. Although I appreciate and come close to Gawande worship, I wish he and western medicine would become less paternalistic, recognizing individual agency—he does mention “behavior” as 1 of 4 tools medicine has, but how clients change behavior is incremental and the individual often needs more than even PCP support/conversations to learn self-monitoring strategies (sleep diary example) and follow through. Cheers for change at all ends: elementary school, disease care, health care, government $$ for the boring programs.