In his forward to Chinese Medical Qigong page 1 (1) Marc S. Micozzi M.D. PHD states “current political debates in the US about healthcare “reform” amount only to “rearranging the deck chairs on the SS Titanic”.
Personally I would extend this description of healthcare to Britain as well, because in my experience current welfare and NHS “reform” amounts to the same superficial, short sighted rearrangement. (2)
In global economic recession poverty and therefore health problems are on the rise.
In the book ‘Violence, inequality and human freedom’ by Peter Iadicola and Anson Shupe; ‘structural violence’ is described as ‘violence of institutions’, ‘for example, violence can be an outcome of how we have organised society in terms of access to basic necessities of survival’ (3). The implications of which are limited access to medical care and education for the poor.
In the wake of the economic sinking ship there is the question; how to tackle health problems when poverty is on the rise?
The NICE Guidelines for clinical excellence (4) lay out the ‘stepped approach’ for mental health problems and recommend therapies such as Cognitive Behavioural Therapy, counselling and access to health care services which should be available to combat common mental health disorders. NICE lays out all guidelines for healthcare in Britain.
It is unfortunate that the resources to provide for these guidelines are being cut, or in some cases are simply not there at all (5). Additionally changes to the benefit system are being made which negatively impact upon the emotional health of the sick and disabled (6).
The situation is not helped by competition for the little work that is available. It is easier to manage health with an income and something to occupy the mind such as a job, in my experience.
What possible solutions are there to these problems?
Could the application of systems theory (7) be the beginning of change in bringing information about health to the masses?
In her book ‘Your Health is Your Wealth’, Jacqueline Harvey appears to be supporting the view that self-education and self-care and responsibility are the way forward in terms of a long term solutions to integrative health. (8)
I support this whole heartedly, as in my experience holistic health practices such as yoga (9) and tai chi (10) are very beneficial for health and promote self-care and self-education. They encourage the exploration of body, nutrition/diet and psychological personal development.
It would be nice to think that children have the opportunity to access these types of exercises and mindfulness practices, as well as physical education and sports so that in the future they did not need to access Dialectical Behavioural Therapy (11) for health conditions like personality disorder. DBT has some basis in Buddhist mindfulness practice. Would it therefore be cost effective to build mindfully based approaches to health into the education and health system from an early age?
In the circumstances the building of networks, social or otherwise, and communities on a local, national and worldwide scale; made up of existing established resources, practices and health resources seem like the way forward in tipping the balance towards preventing health problems and managing conditions.
I think I am a little bit ‘evangelical’ about promoting personal health care exploration.
God bless the World Wide Web.
And finally:http://www.drfranklipman.com/motivation-and-personality/ an after thought but very relevent.
(1) Chinese Medical Qigong – Editor in Chief: Tianjun Liu, OMD Associate Editor in Chief: Kevin W Chen, Ph.D.
(3) Violence, Inequality and Human Freedom by Peter Iadicola and Anson Shupe ISBN:0-7425-1923-6 Rowman and Littlefield Publishers, Inc
mine came free with http://www.ommagazine.com/ October 2012