Why in Healthcare and Politics Treating The Root Cause is Not The Solution (Yet)

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Yesterday I went to the cinema to watch The Invisibles. A movie about Jewish people in Berlin during the second world-war. As Hitlers’ regime declared the city “jew-free”, there were still 7000 of them underground. They basically became invisible with the help of brave fellow Germans. Unfortunately, only 1700 would see the war end. I realized the importance of the movie, as the second world war has been visualized in films time after time – but now in times where right wing politics is gaining popularity more and more it seems that the relevance of this topic is higher than ever.

One of the arguments people often bring up is that we shouldn’t forget what happened then, so we won’t repeat it now. Since most of the world-war two survivors are slowly passing away because of old age, there won’t be a lot of time left before we can only rely on history books, movies, and second hand stories for us to know what happened at the time.

The Movie Bias

What made me think though, is that all the movies about the second world war, the Vietnam war, and more recent movies about the war in Iraq, all depict the horrors and the consequences. Even though it’s important to be aware of what they were, there happened a lot before (regular) people became mass murderers.

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In comparison, 10 months ago I twisted my knee while climbing. After more or less successfully rehabilitating my knee, there was a moment during yoga class where my knee made a loud SNAP! It swelled right away and hurt like hell. A couple of days later I made an MRI, it turns out my medial meniscus was torn.

If I would make a movie about this it would be about me tearing my meniscus, all the pain I felt and how I did my rehabilitation and how I eventually resolved it, with or without surgery. Nevertheless, what happened before I injured myself? What were my thoughts, convictions, and decisions that led me to that situation in the first place?

In the case of Hitler – him writing a book explaining his philosophy is a boring movie and also speaks less to the imagination than millions of minorities killed in gas chambers. Complex belief mechanisms mixed with capitalist-communist politics and protection of interest is a lot less spectacular and hard to understand than soldiers with post traumatic stress disorder, missing limbs, helicopters shooting in the Vietnamese jungle and the napalm coming after.

Not only in movies we are biased to viewing consequences and symptoms, but also in healthcare and in politics we tend to go for short term gain instead of treating the root cause.

I believe there is a combination of two phenomena that is responsible for the fact that we end up circling through similar situations over and over.

Pain and Money

The first one is pain. In the case of our body this literal pain can be a sign of damage, but it is mostly a signal for you to pay attention. When it comes to politics there might be situations that provoke discomfort: violence, refugee crisis, lack of job opportunities and economic setbacks.

The second one, is the fact that one way provides more money and power than the other. I believe in general money leads to power and vice versa. When we look at healthcare that means that highly invasive treatments like surgery, chemotherapy, and medication are usually preferred over investing money in providing knowledge, tools, and empowerment to people so that they don’t get to a place where such treatment might be indicated in the first place.

surgery-tools

Pain and Money in Politics and Healthcare

In politics the reduction of available resources (money) or lack of control (power) provoke short term solutions as well. An example is the wall that was build between Turkey and Syria, with funding from the European Union, to block the crossing of immigrants. “We cannot control the refugees, so we literally block them from coming in at all”. This will reduce the amount of immigrants entering the European Union, that’s true, but on the other hand it increases the chances that the same people will be more susceptible to be recruited for radical purposes. Interestingly, according to the Swiss Historian Daniele Ganser, the US and the UK, together with a couple of other countries want to overthrow the Assad-regime to keep the oil flowing west.Therefore, the whole fact that these refugees want to flee Syria in the first place, is our own fault. So much for treating the root-cause.

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Back to money in healthcare. I believe that as soon as there is more money to be earned with preventive than curative medicine, the medical system will change radically. However, I think it is important to remember that the most natural solutions to our health, are far from lucrative. If you grow your own crop, buy products from your local village, and exchange other products with fellow inhabitants all the while moving on a continuous basis, there will be little to earn for big corporations.

As you can see money plays a big role both in health care as in political decisions. What I think is interesting though, is how is feasted on our lack of knowledge and capacity to deal with pain and discomfort. The amounts of times I have treated clients that preferred a shot of cortisone from the doctor than sustainable holistic treatment just because they wanted the pain to be gone. Equally, I have been proposed nothing but surgery by knee specialists for my meniscus even though it bothers me little in everyday life. I am in luck that I have an education that allows me to make more informed decisions in this case.

When we go return to politics, discomfort is capitalized on immensely as well. U.S. president Trump capitalized on the dissatisfaction of the public by shouting so loud, but most of all differently from what everybody else was doing, that people flocked his way. He managed to be very obviously different than the rest of the candidates. In a similar way president elect Jair Bolsonario in Brazil is about to succeed with an exact copy of Trumps strategy. He is in the final and deciding round of the election process with 18% more votes than his opponent Fernando Haddad.

As you might realize now the equation money/power x pain/discomfort is feasted upon continuously. Lack of knowledge and perspective leads people to be influenced easily. This holds true for politics as much as going to see a knee specialist. I personally always appreciated the informed client a lot. As things go they are the ones that have to live with their body, not me. When you are more informed I can help you better. However, it might not earn me the most money. Politicians would agree if they were looking to solve root-causes. So generally, it is best you are uninformed.

Alternatives and a Questioning Attitude

I think therefore, that it’s essential to increase your knowledge and be aware that there are always alternatives. Humans have a hard time comparing two (on the surface) unrelated things. Shall I buy the better TV for $700,- or the cheaper one for $500,- that’s less good? As you stand there scratching your head, mouth dry, and about to go for the more expensive one, you could also walk home, and buy two plane tickets for a weekend get-away.

In recent times there are still big powers at play, twisting information and trying to make money of the ignorance of people. Lucky for us however, we don’t have to rely on a couple of brave people sending underground news through the post like in the second world war. Today, within a minute you can share whatever with the world. This creates a lot of noise, but if you take control and look, in stead of consume, there is a lot of value available.

I believe that if you take control of your life, a questioning attitude is key. When it comes to health and healthcare as the decisions you are required to make in politics. On the surface things might look unrelated, but wars in the middle-east about oil, and walls to prevent refugees from crossing, and your personal health have a lot more in common than you think. For once, they might or might not be subject to your own ignorance. So I wonder therefore, what’s your next question going to be?

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