We are all human, though some have difficulty admitting it. When there is a problem, we identify (or name) the culprit, generally picking on the most obvious person, and shame him or her by assigning the blame. Unfortunately, we think that by using this “name, blame, and shame” approach, we actually fix things. Not so.
Consider the use of Name, Blame, and Shame in healthcare.
• Insurance companies are heartless, stingy bastards.
• Doctors don’t care, are unavailable, and obsessed with money.
• My nurse has no time for me and doesn’t speak English.
• Medical malpractice lawyers will take any case no matter how frivolous and will do anything to win.
• Hospitals charge obscene prices and do not provide service.
• Drug companies charge so much that we cannot afford our medications.
• The unions are bankrupting the big employers with their bloated health care benefit packages.
• The Federal government is caught up in the constant re-election cycle and partisan bickering.
Did I miss anyone?
While there is a small kernel of truth in every statement above, they are all gross exaggerations, over-simplifications, and often more wrong than right. More fundamental: if everyone is to blame, then the problem is everyone. What should we do if everyone – in aggregate called The System – is to blame?
If the system is to blame, fix the system.
In subsequent Posts, we need to explore the reality, causality and solutions for each of the assertions above. Watch for it.
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