| Good Morning! | |
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I'm Michael Kaufman with InnovationLabs. You're going to be learning more about us and the process we'll be going through in just a moment, but first I'd like to ask you to come up here and participate in an activity looking at the last 105 years. We call this a history wall. Please come up and place events that have influenced where we are in healthcare today and events that have lead to the need for a summit like this. After you've written what you want, find a partner and share your stories. Once everyone is finished we'll come back together as a large group and talk about what's up here. |
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| 1900 - 1935 | |
There's a suggestion that there are more significant events at the beginning of this era because of the war. We pay more attention to what goes on during and after a war. This is the time when medical standards were starting to come into play. This was the beginning of national communication. I didn't see anything about TV. I think the technology came out during this time. It depends on when your family got one. (laughter) This is an important point. There is always a lag between when the technology is available and when it is in widespread use in the public domain. Government's influence on society and the idea of it taking care of people started after World War 1 and the depression. With the AFL-CIO there was also the idea of advocacy groups and social security. |
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| 1935 - 1970 | |
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We had three wars during this time. We thought that after the second world war there was a boom in technology, but we've listed hardly anything there. Most of what we've listed is in the next 35 years. I know someone who has been doing oral histories of people in nursing homes. An interesting point from her work is that the most important person for people of an age who lived through WW2, outside of their families, was FDR. We're misisng how the AMA was significant in setting healthcare policy. Significant in the technology role of the late 60's was the development of commercial aviation. In terms of medicine, this was an era of great medical activism. We need to list the development of radar, sonar and jet propulsion. There was also a change in the burden of disease. In the 1920 census, there was the first evidence of a majority of people who died of chronic diseases instead of acute illnesses. We're also missing the atomic bomb and the polio vaccine. These things impacted the motivation and financial ability of some people to go to college. Life span needs to be up there. Because of the increase in age of the average person, societal expectations have changed. This means we also need to put up fast food. |
| 1970 - 2005 | |
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AIDS as a phenomena spreading worldwide needs to be up there. There was an increase of (or return to) non-traditional medical practices which is where we started on this timeline. The struggle of homeopathy with allopathic medicine goes on again now as it did back in the early 1900s. The cost and burden of healthcare needs to be up there. You could put that same trend back in 1900's. That's one of the reasons why the unions went on strike. It's been an issue of balancing care with cost. Some of these things seem to wax and wane over time. The number of medical schools increased by a lot in the late 60s, early 70s. In 1992 we decided that we had too many healthcare professionals and now we have too few. I believe it is more that the demand has increased but the number of healthcare professionals has roughly stayed the same. Nonphysician professionals have increased. This is an exponential change. Let's put cell phones up there. Telemedicine is already up there. We forgot to put up the Red Sox! (laughter) - which we can do in put in both centuries. |
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| Michael Kaufman | |
A simple overview of this whole story was discussed yesterday during our sponsor meeting. In the 1900s there was a direct relationship between the patient and the professional, (which were called quacks at that point). People had a choice of what kind of treatment they wanted. In 105 years, we have qualified professionals but we've moved to a position where there is a long list of entities and organizations that exist in the middle of that relationship. That's what you get when you try to regulate anything. Then you need someone to regulate the regulators. |
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