Basic Health Access

Population Based Care is a beginning for I OM . How about Basic Health Access for Most Americans? The Institutes of Medicine plays a key role as a designer of health care. Up and coming health care designers and those established as designers are a part of the infrastructure of IOM. Designers move around between associations, corporations, institutions, and foundations to gain credentials to reach the IOM and other positions of influence. Is the reality of designs and designers gone awry finally taking hold at IOM? Can IOM move from academic focus to a population based focus with more academics focused upon population health? IOM has just now established a Roundtable on Population Health This is decades after some understanding of the impact of smoking cessation upon population health - an impact greater than cancer research regarding evaluation and treatment until about 15 years ago. Until that time, population health mattered more than all of the research and development, th

--> Highlights of the Sanders' Primary Care Report are Number ed and ar e fo llowed by Critique Senator Sanders and Fi tzhugh Mullan MD are respected individuals. Their reports about health access make great contributions. The re are errors in their assumptions about primary care workforce. Strong solutions can help recover primary care. Dilute primary care training solutions resulting in low proportions of graduates found in primary care workforce will not recover primary care. For primary care rec overy the United States must focus upon  M o st primary care delivery per primary care graduate Mo st primary care where needed More primary care spending, and  More spending where health care spending is multiple times per person lower.  National experts that truly want to recover primary care and basic health access must support these princ iples. Interventions must be consi stent with these principles and m ust not result in the opposite effec t