You are a physician in a busy urban primary care clinic that is owned by a giant not-for-profit healthcare company, MegaCare. Your patients are primarily low-income (Medicaid), racially and ethnically diverse from you, and you are aware that they frequently canâ??t make appointments due to economic barriers, including the $10 co-pay, inability to get time off from work, and the embarrassment of not being able to afford prescriptions. Some have trouble understanding MegaCareâ??s bills and, because they trust you, bring them in for you to look at. Some are teenagers with issues related to sexual behavior, some are elderly with multiple medications to figure out, and some are hard-working adults with tobacco and alcohol use problems. You read a quote from another doctor named Paul Frame, who said, â??An ounce of prevention is a ton of workâ? and you agree wholeheartedly.
Q: What are the issues that make you, as a physician, agree so quickly? What are the issues you would anticipate without the â??ton of workâ? that is necessary to produce â??an ounce of prevention?â? And, what are the costs and benefits that attend the two different choices with respect to prevention?
The issues that make me agree on the statement that an ounce of prevention is a ton of work are varied and mostly related to socio-economic conditions. One issue surround the economic situation that most of the patients are in. In order to address the issue of the co-pay, the non profit health care corporation would need to secure some outside funding source, either through fund raising activities, charitable contributions or some other means, such as securing a government grant. ...
Benefits of taking a preventive stance are included.