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Thread: Thoughts on #valuebased & #patientcenteredcare

Within #healthcare & #advocacy there seems to be a great deal of discussion on both #valuebased care & #PCC. #Healthcare costs have skyrocketed’ & thus a need to #reduce. I am not an #economist but as a #caregiver I 1/
definitely have seen ‘waste’. From my POV costs will continue to skyrocket even if #valuebased care is implemented. One reason (again not an economist) is the vulture ‘istic’ aspect of industries profiting from our system. The other reason is that our system is not centered 2/
around the #patient or patients needs. Thus, if the value based metric is reduced hospital admissions, this, on the face seems straight forth, however if the patients needs are not taken into account but only focused on established metric, costs could (& I will argue often r) 3/
Read 14 tweets
When I was a kid, it seemed that a favorite insult used on playgrounds, in the neighborhood, and wherever kids gathered, was calling someone a "faggot."

I could tell, from an early age, that being a "faggot" must be a really horrible thing, but I didn't know what it was.
Later, when understanding illuminated meaning, I knew that kids, well, now teens, who were contemptuously deriding the guy that couldn't shoot straight (at basketball), or missed a catch in baseball, etc., were talking about ... me.
How could I ever tell family and friends that the word they invested with such disgust, such contempt, such disregard, was a word that described me, and people like me.
Read 24 tweets

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