About Birth Origins Coding

Health Access Failure in Design: Flexible Primary Care Instead of Permanent

Facts Important in Basic Health Access

There are no sad children's faces to use for poster children for those without access to health. When people die tragically of some rare disease, one of hundreds of forms of cancer, one of any of millions of genetic defects with dozens identified each year, there is no end to the consumption of health care away from basic access to health. There are Cattleman's fund raisers for cancer research, but none for health access for Cattlemen. Loved ones die and leave millions to associations devoted to addressing a wide range of diseases, but few donate to support basic health access. Meanwhile governments appear powerless while associations are Ducking the Responsibility of Basic Health Access.

Basic nursing and basic family practice are not flashy careers and often receive the least respect (except from the patients who matter most of all, which others delivering "health care" tend to forget), receive the lowest salaries, and receive the lowest support. However basic health access workforce is the essential foundation of real health care. After basic sanitation, after basic nutrition and nurturing and child development, basic health access is the most efficient and effective vehicle to reduce morbidity, mortality, and chaos. It is a solid design that works during routine time periods, during economic disasters, for all populations, for all ages, and during pandemics, disasters, and other health care nightmares. The current design fails in routine times, fails worse in economic downturns, and actually results in even worse outcomes during surge capacity events. As the United States concentrates more people together in more vulnerable locations, as the United States concentrates more and more health care resources into fewer zip codes concentrated together (often in vulnerable flood prone, earthquake prone, and transportation locked locations), American health care fails the most when Americans need health care most and can least afford to wait. 

Current distortions have progressed beyond belief. One faction wants to reduce access to health to computerized algorithms. Another faction wants to promote a continuity home as a place forgetting that basic health care is delivered person to person not place to person. How can their be continuity care without continuity in those staying in primary care for a lifetime and working with people for a lifetime, patients and health care team members, to optimize health.

People that know and trust those who care for them are in the best position when the worst is thrown at them. Care is delivered best when colleagues, team members, and those who lead health care implement health care for specific patients meeting their specific needs.

Basic health access is so poorly understood that it is not even missed, until stressed to the breaking point. In fact, when basic health access goes, many have difficulty identifying the lack of basic access to health as the real problem. As with any system breakdown, the problems are multiple and widespread, and diminish only when nations engage in a problem solving involving the most critical basic relationships - in this case the re-establishment of a basic relationships that return basic access to health.

Health access is not difficult to understand and can easily be addressed, but as with any most worthwhile commodity the effort takes decades to accomplish. As with the painful development of medicine into a science focus, there are superstitions, assumptions, and misperceptions to overcome. This is also the same with health access. What is required is to unlearn the cheap fixes, the distortions, the assumptions, or even the methods that once worked but have not worked in recent decades.

It is not hard to understand basic access to health. There is science, logic, reason, common sense, and practicality in basic health access not found to the same level in much of health care. When groups of people understand and implement the principles of health access patiently and as a top priority, basic health access is the result. When people ignore basic health access and tolerate a design that results in basic health access compromised by the infinite growth of "doing everything possible to prevent a death that is inevitable" then basic health access is compromised for more and more Americans.

When more and more funds are invested in health care, more and more Americans are deprived of the most important thing of all - the opportunity to rise above their "social programming" to be much more - in life, in career, in health, in communities, and as a nation.