
© Dmitry Orlov
When I asked people to contribute content to the book on Communities that Abide, which is now nearing publication (with two chapters already at the proofreading stage), I didn't know quite to expect. The results went far beyond my expectations. This week I will highlight the chapter by James Truong, MD, who practices emergency and family medicine in rural Canada. His chapter, "Appropriate Health Care for a World In Flux: A Strategy," is a must-read for anyone thinking about founding or joining a resilient community. It is an in-depth guide to health care in a world where the Health Care System that currently exists in the developed nations of the world is inaccessible, unaffordable, or nonexistent. His subtitle reads: "Monday: feed the family. Tuesday: don't get sick." But what if you do? Dr. Truong explains the options.
Dr. Truong carefully teases apart the overwhelmingly complex subject of "health care" into elements that anyone can, and should, understand. First, he teaches us to think about health conditions, by putting them into categories: each condition is either acute or chronic, and either benign or dangerous. Each combination of these requires a different approach: acute-benign better get treated at home, acute-dangerous may require expert intervention from the community's designated health care provider(s) (whoever they may be), but with no guarantee of a positive outcome. Chronic-benign conditions (lifestyle diseases, boutique diseases such as cosmetics or gender identity) are, in this context, not handled as medical issues at all. Chronic-dangerous conditions (obesity, heart disease, hypertension, diabetes) will, to make a long story short, result in shorter lives.
Comment: Excellent! But they forgot to add in the cosmos factor into the equation: New Light on the Black Death: The Viral and Cosmic Connection.