“The American health care delivery system is in need of fundamental change. Many patients, doctors, nurses, and health care leaders are concerned that the care delivered is not, essentially, the care we should receive The frustration levels of both patients and clinicians have probably never been higher. Yet the problems remain. Health care today harms too frequently and routinely fails to deliver its potential benefits.” That is the first paragraph of the book, Crossing the Quality Chasm written 21 years ago. Very little has changed. The National Academy of Medicine was previously known as the Institute of Medicine (IOM).
Go to Taking the First Steps in the executive summary the book. Here are the quotes that outline the first steps needed to achieve better health at lower cost:
“Health care organizations, clinicians, purchasers, and other stakeholders should then work together to:”
“…..identify a limited number of priority conditions that affect many people and account for a sizable portion of the national health burden and associated expenditures….According to the most recent survey data, the top 15 priority conditions are cancer, diabetes, emphysema, high cholesterol, HIV/AIDS, hypertension, ischemic heart disease, stroke, arthritis, asthma, gall bladder disease, stomach ulcers, back problems, Alzheimer's disease and other dementias, and depression and anxiety disorders.”
“(1) organize evidence-based care processes consistent with best practices,
(2) organize major prevention programs to target key health risk behaviors associated with the onset or progression of these conditions,
(3) develop the information infrastructure needed to support the provision of care and the ongoing measurement of care processes and patient outcomes, and
(4) align the incentives inherent in payment and accountability processes with the goal of quality improvement.”
That simple blueprint will take us to a better system.
This site, Slow Aging and Delay Chronic Disease, is about making those fundamental changes called for by the National Academy of Medicine. Partial solutions are ineffective. This is part of an effort to bring stakeholders together. We are making progress.
We are working actively with over 100 stakeholder leaders to get started. You can help. Every time you recommend Slow Aging and Delay Chronic Disease you are helping others understand. If you enroll for a paid subscription, you are aiding the cause. It you join the other stakeholders, that is especially powerful. Our current leaders have proven they will not provide a better healthcare system for you. Join us. whbester@gmail.com
Absolutely! We have been working on these goals since 1998, or earlier. My real world data mining work to create machine learning digital diagnostic information algorithms led me to the same conclusions about the same time as they did. I am glad that I was not alone and crazy! Thank Jesus, more people are waking up, and joining the righteous fight!
Here are the comments from another physician who has studied our work and decided to support us. This was the final paragraph in his letter to his colleagues:
“Finally, I must emphasize that we have inherited an inexcusable mess from the American Medical Industry, with its dismal record of 99% of costly medical devices and 94% of all the dugs marketed having no real credible evidence of safety and efficacy. Since they were ALL “expert-opinions-based”, sadly, without ANY verifiable real-world solid outcomes data to support ANY of their claims! Joseph’s work is shining light into this pitch darkness, although his work is very often arrogantly dismissed, ruthlessly defamed, and frequently ignored, and unfairly marginalized. In addition, to add insult to injury, his business operations are frequently interfered with repeatedly, his clinical validation efforts are often intentionally distorted; his research results have been cherry-picked to discredit his work; and he has been experiencing the vicious, and relentless attacks from the card-carrying members of the ACC (including the kitchen sinks)! Despite of all these push-backs, Joseph’s team has prevailed by carrying out his missionary endeavors to the fullest. As I mentioned, he decided to take on a completely opposite and righteous direction against the corrupted mainstream practice: his pristine work belongs to the top 1% created by god-fearing, compassionate, ethical, and honest small family owned producers. I am very proud to support his solid 💯% empirical-evidence-based exemplary work, which has been independently verified and validated repeatedly without any quid pro quo. That work continues to this day! His visionary work is setting the new 21st Century standards.
Thank thankfully, facing ALL ODDS, we are succeeding in contributing to a better future in this rapidly changing world of healthcare!
I hope you will look into these brilliant representations of the hard work Joseph and his team have diligently performed for over 25 years as I have and join us for our common goals to better serve our patients!
Best regards,”
Bill