{"id":2667,"date":"2010-07-30T10:15:04","date_gmt":"2010-07-30T14:15:04","guid":{"rendered":"http:\/\/www.amberstults.com\/?p=2667"},"modified":"2010-07-28T22:48:19","modified_gmt":"2010-07-29T02:48:19","slug":"guest-post-by-dora-calott-wang-m-d","status":"publish","type":"post","link":"http:\/\/www.amberstults.com\/?p=2667","title":{"rendered":"Guest Post by Dora Calott Wang, M.D."},"content":{"rendered":"<p>I&#8217;m reading Dr. Calott Wang&#8217;s book right now and this guest post is a good introduction to what her book is about.<br \/>\n~Amber<\/p>\n<p><strong>Is Wall Street Making Life or Death Decisions?<br \/>\n<\/strong><\/p>\n<p>By Dora Calott Wang, M.D.,<br \/>\nAuthor of <em>The Kitchen Shrink: A Psychiatrist&#8217;s Reflections on Healing\u00c2\u00a0<br \/>\nin a Changing World<br \/>\n<\/em><br \/>\nIs your health insurance company traded on Wall Street?<\/p>\n<p>If so, is Wall Street deciding your medical care?<\/p>\n<p>It&#8217;s hard to recall that for-profit corporations were once kept out of\u00c2\u00a0<br \/>\nhealth care &#8212; in fact, for most of the 20th century. During this\u00c2\u00a0<br \/>\ntime, the nation&#8217;s medical system was built largely by non-profit and\u00c2\u00a0<br \/>\ncharitable organizations, which is why so many hospitals are named for\u00c2\u00a0<br \/>\nsaints. Courts across the country ruled that for corporations to\u00c2\u00a0<br \/>\nprofit from medical care was simply &#8220;against sound public policy.&#8221; In\u00c2\u00a0<br \/>\nthe early 1980&#8217;s, however, when the financial and airline industries\u00c2\u00a0<br \/>\nwere deregulated, a similar process occurred for American medicine.\u00c2\u00a0<br \/>\nFor-profit corporations became newly encouraged to take leadership of\u00c2\u00a0<br \/>\nhealth care. Deregulating health care into the free market was\u00c2\u00a0<br \/>\nintended to drive down costs and to improve care. After all, medical\u00c2\u00a0<br \/>\ncare in 1980 consumed a whopping 9.1 percent of the nation&#8217;s GDP.<\/p>\n<p>Never mind that after 30 years in the free market, health care costs\u00c2\u00a0<br \/>\nhave doubled to consume 18 percent of the GDP (with a third of these\u00c2\u00a0<br \/>\nprecious dollars wasted on bureaucracy). Never mind that health care\u00c2\u00a0<br \/>\nhas gotten increasingly inaccessible to the uninsured and even the\u00c2\u00a0<br \/>\ninsured, or that American health care has become an international\u00c2\u00a0<br \/>\nposter child for reform.<\/p>\n<p>The real issue is that modern medical care has simply, finally, gotten\u00c2\u00a0<br \/>\nso effective. Today, even cancer and AIDs are no longer death\u00c2\u00a0<br \/>\nsentences, and if organs fail, you try to get a new one. But prior to\u00c2\u00a0<br \/>\nthe discovery of antibiotics and vaccines in the 1930&#8217;s, leeches were\u00c2\u00a0<br \/>\nroutinely applied, and medicine was steeped in superstition. Between\u00c2\u00a0<br \/>\n1918 and 1920, three percent of the world&#8217;s population was wiped out\u00c2\u00a0<br \/>\n&#8212; by the flu.<\/p>\n<p>The fair and effective distribution of life-sustaining resources like\u00c2\u00a0<br \/>\nfood, water and shelter, is the very story of civilization. Yet now,\u00c2\u00a0<br \/>\nthanks to centuries upon centuries of civilization and scientific\u00c2\u00a0<br \/>\ninquiry, we have at last, a new life-sustaining resource &#8212; modern\u00c2\u00a0<br \/>\nmedical care, which is less than 80 years old.<\/p>\n<p>How should this powerful new resource be distributed? I believe that\u00c2\u00a0<br \/>\nmedical care shouldn&#8217;t be considered an ordinary product, like\u00c2\u00a0<br \/>\nathletic shoes or flat screen TV&#8217;s. Rather, it is quickly becoming\u00c2\u00a0<br \/>\nessential, like water. Yet there will be no easy answers when it comes\u00c2\u00a0<br \/>\nmedical care, in this brave new world in which DNA is already being\u00c2\u00a0<br \/>\ntweaked to grow completely new organs. We are embarking on a new,\u00c2\u00a0<br \/>\ncomplex and long chapter of history.<\/p>\n<p>I can&#8217;t help but think that health care reform isn&#8217;t over, and wasn&#8217;t\u00c2\u00a0<br \/>\nconcluded with the signing of the Patient Protection and Affordable\u00c2\u00a0<br \/>\nCare Act in March.<\/p>\n<p>I believe that health care reform will be our entire future.<\/p>\n<p>In the meantime, for now, how is modern medical care, a new\u00c2\u00a0<br \/>\nPrometheus&#8217; fire, being distributed and decided in the United States?<\/p>\n<p>Physicians and patients sit face to face and discuss medical decisions\u00c2\u00a0<br \/>\n&#8212; about whether a life-sustaining cardiac bypass surgery is\u00c2\u00a0<br \/>\nwarranted, or whether a new liver should be gotten. But ultimately,\u00c2\u00a0<br \/>\nthe purse strings on medical care are held by health insurance\u00c2\u00a0<br \/>\ncompanies.<\/p>\n<p>The new health reform laws will obligate insurance companies to\u00c2\u00a0<br \/>\nprovide &#8220;coverage&#8221; even when patients become sick or if they have a\u00c2\u00a0<br \/>\n&#8220;pre-existing condition&#8221; or what I will call &#8220;illness&#8221;. The PPACA has\u00c2\u00a0<br \/>\na provision on &#8220;administrative simplification&#8221; scheduled to take\u00c2\u00a0<br \/>\neffect in 2014, which aims to streamline the process of doctors and\u00c2\u00a0<br \/>\nhealth care providers asking for approvals from health insurance\u00c2\u00a0<br \/>\ncompanies before treatments are rendered.<\/p>\n<p>But even after the new laws are implemented, health insurance\u00c2\u00a0<br \/>\ncompanies, many of them for-profit corporations traded on Wall Street,\u00c2\u00a0<br \/>\nwill continue to hold the purse strings on medical care.<\/p>\n<p>Our recent health reform efforts are landmark progress in the right\u00c2\u00a0<br \/>\ndirection.<\/p>\n<p>However, in the last thirty years, the values of Wall Street have so\u00c2\u00a0<br \/>\ninfiltrated the values of American society that seemingly all aspects\u00c2\u00a0<br \/>\nof life are impacted, even medical care of the human body and mind,\u00c2\u00a0<br \/>\neven the everyday life or death decisions that happen in doctor\u00c2\u00a0<br \/>\noffices and hospital rooms.<\/p>\n<p>\u00c2\u00a9 2010 Dora Calott Wang, M.D., author of <em>The Kitchen Shrink: A\u00c2\u00a0<br \/>\nPsychiatrist&#8217;s Reflections on Healing in a Changing World<\/em><br \/>\n<strong><\/strong><\/p>\n<p><strong><span style=\"text-decoration: underline;\">Author Bio<\/span><\/strong><br \/>\nDora Calott Wang, M.D., is Assistant Professor of Psychiatry at the\u00c2\u00a0<br \/>\nUniversity of New Mexico School of Medicine. A graduate of the Yale\u00c2\u00a0<br \/>\nSchool of Medicine and the UCLA Neuropsychiatric Institute, she\u00c2\u00a0<br \/>\nreceived her M.A. in English literature from the University of\u00c2\u00a0<br \/>\nCalifornia, Berkeley, and has been the recipient of a writer&#8217;s\u00c2\u00a0<br \/>\nresidency from the Lannan Foundation. Her memoir, <em>The Kitchen Shrink:\u00c2\u00a0\u00c2\u00a0<br \/>\nA Psychiatrist&#8217;s Reflections on Healing in a Changing World<\/em> was\u00c2\u00a0<br \/>\npublished by Riverhead Books, The Penguin Group.<\/p>\n<p>For more information please visit www.doracalottwang.com and follow\u00c2\u00a0<br \/>\nthe author on Facebook and Twitter.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I&#8217;m reading Dr. Calott Wang&#8217;s book right now and this guest post is a good introduction to what her book is about. ~Amber Is Wall Street Making Life or Death Decisions? By Dora Calott Wang, M.D., Author of The Kitchen Shrink: A Psychiatrist&#8217;s Reflections on Healing\u00c2\u00a0 in a Changing World Is your health insurance company&hellip; <a class=\"more-link\" href=\"http:\/\/www.amberstults.com\/?p=2667\">Continue reading <span class=\"screen-reader-text\">Guest Post by Dora Calott Wang, M.D.<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[342,135,343],"class_list":["post-2667","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-dora-calott-wang-m-d","tag-guest-post","tag-the-kitchen-shrink","entry"],"aioseo_notices":[],"_links":{"self":[{"href":"http:\/\/www.amberstults.com\/index.php?rest_route=\/wp\/v2\/posts\/2667","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.amberstults.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.amberstults.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.amberstults.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/www.amberstults.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2667"}],"version-history":[{"count":6,"href":"http:\/\/www.amberstults.com\/index.php?rest_route=\/wp\/v2\/posts\/2667\/revisions"}],"predecessor-version":[{"id":2673,"href":"http:\/\/www.amberstults.com\/index.php?rest_route=\/wp\/v2\/posts\/2667\/revisions\/2673"}],"wp:attachment":[{"href":"http:\/\/www.amberstults.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2667"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.amberstults.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2667"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.amberstults.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2667"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}