(no subject)
I read the article by Professor Crown today in the Irish Times and there are parts of it here I love the fact that he pointed out that some of the best services are in small places, not in large places, that some of the large services are overlarge and unwieldy. I've been saying that while centralised is good, you're dealing with PEOPLE here, not with abstracts, it's not money, it's not numbers, it should stop being these things and start being patient centric.
Many years ago when a fire happened your neighbours helped you, and then someone realised that they could hire someone to do the job. And they did, and the companies who were founded to fight fires got more and more people to get them to use them to fight their fires. Thus fire insurance was born. But people got greedy and protection rackets happened. Then local authorities and government got involved and took over the job of fire fighting to stop the corruption and the fact that a fire could get out of control because people were getting in the way of each other to fight the fire and make the money.
There are many other things that the local authorites and government took over to make them less corrupt and more organised. Ignoring what works and trying to make it into an ideal that doesn't include humanity is stupid. Getting your cancer care hours away from where you live is inhumane. It would be something like expecting people to be happy with having the best firefighting coming from Sligo when they live in Galway. I think the attitude that things need to be sold off and need to have more "efficiency" rather than trying to do the best for the mind, body and spirit of the patient and any system that doesn't take a wholistic approach to any treatment is blind and will not thrive.
ETA: Dear Bertie, Breast Cancer may be a high cause of death with women, its still not the ONLY cancer women get. Oh and there are a few men who get it as well, and their cause is sometimes harder.
Many years ago when a fire happened your neighbours helped you, and then someone realised that they could hire someone to do the job. And they did, and the companies who were founded to fight fires got more and more people to get them to use them to fight their fires. Thus fire insurance was born. But people got greedy and protection rackets happened. Then local authorities and government got involved and took over the job of fire fighting to stop the corruption and the fact that a fire could get out of control because people were getting in the way of each other to fight the fire and make the money.
There are many other things that the local authorites and government took over to make them less corrupt and more organised. Ignoring what works and trying to make it into an ideal that doesn't include humanity is stupid. Getting your cancer care hours away from where you live is inhumane. It would be something like expecting people to be happy with having the best firefighting coming from Sligo when they live in Galway. I think the attitude that things need to be sold off and need to have more "efficiency" rather than trying to do the best for the mind, body and spirit of the patient and any system that doesn't take a wholistic approach to any treatment is blind and will not thrive.
ETA: Dear Bertie, Breast Cancer may be a high cause of death with women, its still not the ONLY cancer women get. Oh and there are a few men who get it as well, and their cause is sometimes harder.