MEDICAL MINUTE
Today most people only see their health care provider when they’re already sick. By that point, you’re already feeling unwell, your provider might not even be available, and their response is focused on reacting only to you immediate symptoms. Rather than a “healthcare” system, it’s a “sick” care system. Healthcare, as we know it, is backwards. It’s a system where a single stitch might run you $500 and where understanding insurance payments require a degree and a dictionary.
The American healthcare system is one of the world’s most expensive, yet health outcomes frequently are no better than other developed nations. Why is this happening? Currently, the health care system is based on a reactive approach to illness. We wait until people are sick before we treat them and focus on symptoms and disease treatment, rather than proactively addressing their overall health and wellbeing. This is referred to as a “sick care” mindset. While this seems like an appropriate way to approach your health, it’s no longer working for today’s climate of illness and disease.
Chronic diseases and conditions are on the rise worldwide due to an aging population and changes in societal behaviors. According to the CDC, 6 in 10 adults in the US have a chronic disease and 4 in 10 adults have two or more. The sick care mindset is causing unnecessary pressures on our health care system because we’re dealing with illnesses that have advanced to a critical state, rather than managing them in the early stages or even preventing them. We need to shift our mindset from ‘sick care’ to ‘health care’. The concept of proactive and preventative health is not new. We see this successfully implemented in dental care. Proactive health initiatives encourage patients to take their health in their own hands, allowing providers to work together with patients to address health problems before they advance.
In both medical school education and in-office education, future and current physicians spend a minuscule amount of time on how lifestyle components (such as nutrition, exercise, and mental health) affect physical health and disease prevention. In fact, during four years of medical school, most students spend fewer than 20 hours on nutrition and even less on understanding the benefits of exercise— lifestyle components that their patients make choices around dozens of times each week. With limited education, providers aren’t prepared to talk to their patients about nutrition or exercise, so many avoid the subject altogether in favor of medications to treat the symptoms of disease.
And if you are lucky enough to get a provider who offers lifestyle advice in your appointments, the advice is often vague and not specific for you. Sure, one should “eat healthfully and work out,” but what does that actually mean to each individual patient? Gone are the days when health care providers have a personal relationship with their patients, built on years of trust and continued visits.