Basic Health Access

Journalists and researchers find common ground in dramatic presentations that illustrate the extremes of those doing best or those doing worst. What works to gain publication or to reap advertising revenue does not help in understanding disparities - especially those shaped by the health care design.   Choosing the worst county is a poor choice because these counties are so few and so atypical. Rural counties are also atypical as the counties have lowest concentrations of people, but not necessarily other demographics. A measure more consistent in health representation can be helpful in understanding disparities in outcomes. Categorizations that compare counties by concentrations of physicians illustrate important concepts regarding health workforce, outcomes, insurance, and demographics.    Few Ahead and Many Behind   There are only about 5 - 10 counties in most states - that have higher to highest concentrations of  physicians and health spen...

Some basic questions need to be asked and answered by those in charge of the designs. Words have histories that can help us see just how much change has occurred - from the earliest origins of the words "doctor" and "nurse" until today. One of the most important questions is... Why have health care designs taken doctors and nurses out of their original designs? The Word "Doctor" from the British Medical Journal 2011 The origin of the word 'doctor' is to teach. One of the main roles of a medical doctor is to teach the patient about their health and illness. Doctors are effective teachers given sufficient time. Patients and family members are the main agents of positive changes in health at a population level. http://www.bmj.com/rapid-response/2011/11/01/origin-word-doctor-teach It's all there. Sufficient support and the need to impact patients and families that are the main agents of positive change. Unfortunately doctors have move...