Manuel Laureano-Vega M.S., M.D.
Medical Homes or Medical Jails (corrals)?
It has been several years that the Government has been moving all of us in a direction that will re-establish the concept of medical homes as a way of treating the poor within the governmental health care system. This was tried before and it really did not work, I don’t know why it is being tried again. The longer I live in the United States mainland the more I realize that the system seems to recycle itself. If you live long enough you see the same old models used and reintroduced as new ones. I guess its generational amnesia.
Although I understand the concept of one stop shopping, I believe that this is in many cases, detrimental to good quality patient centered and controlled healthcare. What you end up with in the long run is a system that is full of mediocre employees that are permanent or tenured, and could care less about the client’s health. The poor patient has to face an increasingly hostile environment where they feel less and less empowered. These patients eventually stop coming to their medical home for care and end up with very expensive acute episodes of illness.
There should always be alternative systems of care in place for the population. Lack of choice just because individuals are disabled or indigent is plain wrong. Caging people into cramped unresponsive care units is just plain wrong. Freedom of choice should always move the health care market promoting ease of access and movement. Well yes, it is more difficult to track abuse and fraud, but why should choice and freedom of movement be limited or curtailed just because it’s hard for the FBI to track down the crooks.
June 14th, 2012 at 1:48 am Bueno, es mi primer cheque a nombre de host #! Somos un grupo de voluntarios y comenzar una nueva iniciativa en una comunidad regional en el mismo lugar exacto. Tu blog nos ha proporcionado información valiosa para trabajar. Usted ha hecho una tarea maravillosa!
July 1st, 2012 at 1:00 am vozpozitiva.leagueagainstaids.com será el blog perfecto para todo aquel que quiera saber sobre este tema. Usted sabe mucho de su difícil en la práctica para discutir con usted (no es que realmente quiero). A pesar de todo establecer un giro totalmente nuevo sobre un tema se ha escrito sobre eso por años. Cosas fantásticas, simplemente excelente!