Navigating Life as we Know It

37. The Risks of "Integrated Care"

August 18, 2021 Steven Johnson Season 2 Episode 4
37. The Risks of "Integrated Care"
Navigating Life as we Know It
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Navigating Life as we Know It
37. The Risks of "Integrated Care"
Aug 18, 2021 Season 2 Episode 4
Steven Johnson

The Space Shuttle, with over 2.5 million parts, 230 miles of wire and 1,060 plumbing valves was once described as the most complex "machine" ever made by man. For successful results it's mission requirements complex systems and a flawless degree of accountability were essential. Flaws in those complex systems resulted in the disasters of Columbia and Discovery. Our health care system, experienced from a patient perspective, appears to rival the Space Shuttle in complexity. But in the case of health care, complexity and a lack of accountability are factors that often lead to inadequate, inaccessible, unaffordable and unacceptable levels of care for our some of our most vulnerable citizens...those living with intellectual and developmental disabilities and/or mental health concerns that necessitate a lifelong array of specialized care services to live a full life and participate in their communities. As it exists today, our health care system is flawed and everyone agrees changes are needed. "Integrated Care" is the term often used to propose solutions to the complexity that haunts our health care system. However the political solutions being debated today merely "integrate" the payment side of care. These are "top down" economic solutions designed to outsource the state's responsibility to it's vulnerable citizenry to private enterprise where profitability and shareholder ROI is the #1 primary concern. Integrating care from a patient's perspective would ensure all mental and physical health care needs are adequately and appropriately met, attendant care is always available and barriers to inclusion are removed or mitigated. Integrated care should enable persons with disability to be integrated into our communities. 

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Thank you for listening to our podcast and for your continued support!

We're taking a break to recharge and plan some exciting new things for the show. We'll be back with a fresh season featuring more in-depth explorations of disability issues, along with new segments and interviews.

If you'd like to learn more about NLAWKI please visit our facebook page and if you'd like to support our program more directly, stop by our Ko-Fi and make a contribution! But the most important way you can help our program is by sharing NLAWKI with someone you know!

Show Notes

The Space Shuttle, with over 2.5 million parts, 230 miles of wire and 1,060 plumbing valves was once described as the most complex "machine" ever made by man. For successful results it's mission requirements complex systems and a flawless degree of accountability were essential. Flaws in those complex systems resulted in the disasters of Columbia and Discovery. Our health care system, experienced from a patient perspective, appears to rival the Space Shuttle in complexity. But in the case of health care, complexity and a lack of accountability are factors that often lead to inadequate, inaccessible, unaffordable and unacceptable levels of care for our some of our most vulnerable citizens...those living with intellectual and developmental disabilities and/or mental health concerns that necessitate a lifelong array of specialized care services to live a full life and participate in their communities. As it exists today, our health care system is flawed and everyone agrees changes are needed. "Integrated Care" is the term often used to propose solutions to the complexity that haunts our health care system. However the political solutions being debated today merely "integrate" the payment side of care. These are "top down" economic solutions designed to outsource the state's responsibility to it's vulnerable citizenry to private enterprise where profitability and shareholder ROI is the #1 primary concern. Integrating care from a patient's perspective would ensure all mental and physical health care needs are adequately and appropriately met, attendant care is always available and barriers to inclusion are removed or mitigated. Integrated care should enable persons with disability to be integrated into our communities. 

Support the Show.

Thank you for listening to our podcast and for your continued support!

We're taking a break to recharge and plan some exciting new things for the show. We'll be back with a fresh season featuring more in-depth explorations of disability issues, along with new segments and interviews.

If you'd like to learn more about NLAWKI please visit our facebook page and if you'd like to support our program more directly, stop by our Ko-Fi and make a contribution! But the most important way you can help our program is by sharing NLAWKI with someone you know!