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issues with the health system that need to be changed

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Now as we look at reform, what are the major issues with the current system that you feel need to be changed?

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The present system is set up like an onion. A patient has a symptom or gets sick and goes to the doctor. The patient either has money, health coverage or not. After filling out a lot of paperwork, waiting for an appointment or getting on a waiting list, the patient talks to a nurse. Then the doctor comes in for a very brief time, talks with the patient, orders tests or a prescription, generically speaking.

The traditional western medicine doctor uses a process of elimination. He/she rules out what the patient doesn't have, looks at ranges of data and 'peels away more layers of the onion,' to determine what the patient has and what to do next. Now, with more information available than ever, sometimes the patient is educator before, during or after the visit, and has a notion about what is going on, and is in tune with his/her body.

If the body is not reacting in a traditional fashion, easily treated with drugs, more tests are done. The patient may have an illness, which does not reflect any known microbe and the he/she must wait for yet more study and testing. Understandably, this is the way medicine in America is set up and has been done. It is the convention. However, there are other activities, and alternative approaches that can and should be considered. The problem is that they do not follow the flow chart of the traditional medicine practioner. It requires an open mind for both the patient and the doctor.

Alternative medicine, CAM,( http://www.nccam.nih.gov) is recognized by the federal government.
"The National Center for Complementary and Alternative Medicine (NCCAM), part of the National Institutes of Health (NIH), defines complementary and alternative medicine (CAM) as a "group of diverse medical and health care systems, practices, and products that are not generally considered to ...

Solution Summary

The status of the present western health care system and preventive strategies are discussed.

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Heart disease is a chronic health issue that presents challenges to public health.
(Using a literature search as needed together with a bibliography address the following);

1. How do you foster the change process with regards to heart disease? (propose strategies to facilitate the change process with regards to heart disease within the community)
2. What is the â??creative tensionâ? with regards to heart disease? What are the tensions that arise from the difference between current reality and the public health goal regarding heart disease?

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The social construction of chronicity â?" a key to understanding chronic care transformations. Full Text Available By: Martin, Carmel M.; Peterson, Chris. Journal of Evaluation in Clinical Practice, Jun2009, Vol. 15 Issue 3, p578-585, 8p; DOI: 10.1111/j.1365-2753.2008.01025.x

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Human rights and the liberation struggle...the importance of creative tension.Full Text Available By: Houser, George M.. Africa Today, 1992 4th Quarter, Vol. 39 Issue 4, p5, 13p.

Full Text Available Economist, 9/19/2009, Vol. 392 Issue 8649, p74-75, 2p INOVATION management; CREATIVE ability in business; TEAMS in the workplace; MANAGEMENT -- Employee participation; GOOGLE Inc.

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