docu-mental: mapping the american states of mind
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'Slow medicine', dark money, and the future of healthcare: a conversation with Dr. Victoria Sweet
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'Slow medicine', dark money, and the future of healthcare: a conversation with Dr. Victoria Sweet

vol. 3 issue 7

Greetings,

Given that January 2021 still felt a hella bunch like 2020, I am considering this month to be the start of our actual 2021, and with it, a year-long look at what healthcare, and the general policy contexts it is set within, might be like if we were to deconstruct the way we currently frame it.

Here’s where I’m headed with this:

…it’s tantamount to immorality to let our policymakers rail on about irrelevant factors like cutting healthcare costs when what really needs attention is the cultural belief system in which all our other systems, including “healthcare”, operate.

Are we shaping our culture to fit our policies, or are we letting our policies shape our culture? That is the key question for evaluating the effectiveness of our policymakers.


My first impulse is to remind everyone that healthcare is a construct of economics, not the actual care of the sick, which is the practice of medicine. Things like “patient care”, the so-called triple aim of “the best patient experience, with the best possible outcome, for the lowest possible cost”, or patient “throughput”, the operational term used to describe how long a patient remains the responsibility of a discrete health system – these have absolutely nothing to do with actual healing. Nothing.

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docu-mental: mapping the american states of mind
the docu-mental podcast
For citizens seeking deep mental roots, not lists of shallow instructions.