The cost of chronic disease and the lack of NHS reform

A good realistic view with loads of detail. Makes a nice change from the usual partisan shouting about slogans and headlines from both sides on the NHS.

A Better NHS

The irony is that the healthier Western society becomes, the more medicine it craves … Immense pressures are created – by the medical profession, by the media, by the high pressure advertising of pharmaceutical companies to expand the diagnosis of treatable illnesses. Scares are created, people are bamboozled into lab tests, often of dubious reliability. Thanks to diagnostic creep or leap, ever more disorders are revealed, extensive and expensive treatments are then urged … [This] is endemic to a system in which an expanding medical establishment, faced with a healthier population, is driven to medicalising normal events, converting risks into diseases and treating trivial complaints with fancy procedures … The law of diminishing returns necessarily applies. Extending life becomes feasible, but it may be a life exposed to degrading neglect as resources grow overstretched. What an ignominious destiny if the future of medicine turns into bestowing meagre increments of unenjoyed…

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