Obama wrote: Overall, 20 percent of patients account for 80 percent of the care, and if we can prevent diseases from occurring or manage their effects through simple interventions like making sure patients control their diets or take their medicines regularly, we can dramatically improve patient outcomes and save the system a great deal of money.
I'm all for prevention of disease... of course that would take a major shift in the way the medical industry practices medicine (right now it is more worried with treating illness than preventing it) not just a plan some politician puts together... but that is another discussion.
What caught my eye was the part about simple interventions... exactly why does he think we have the ability to make patients control their diets and take their medicine? Many health problems are caused by a lifetime of unhealthy diets/choices (heart disease, diabetes, some cancers) and not taking medicines is one of the largest problems facing the mentally ill. It may sound nice to say a "simple intervention" would force people to change their lifestyles and start taking medicine as they should, but I think that the audacity of hope in that statement is bordering on wishful thinking.
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As a side note... I've been following this thread for awhile and haven't gotten involved until now. I haven't made up my mind on Obama yet, but I certainly would rather see him than any of the other democratic candidates at this point. My thinking is, Hillary is his biggest hurdle/enemy right now. If he makes it past her, I think he has a real shot at this. An Obama/Giuliani race could be very very interesting.