Health and recovery

An extract from Chapter 6 of the book Transcending Politics:

6. Health and recovery

On the face of things, the field of healthcare poses a stern challenge to the technoprogressive vision that I am championing. In countries all around the world, costs of healthcare are rocketing. Chronic diseases such as diabetes, heart disease, and dementia are consuming huge resources. National budgets are facing crises under the resulting strains and stresses.

To give one example, Simon Stevens, the CEO of Britain’s NHS (National Health Service), has spoken out on several occasions about the growing financial burden of chronic diseases. Here are his comments in an NHS England news article entitled “Get serious about obesity or bankrupt the NHS”:

Obesity is the new smoking, and it represents a slow-motion car crash in terms of avoidable illness and rising health care costs. If as a nation we keep piling on the pounds around the waistline, we’ll be piling on the pounds in terms of future taxes needed just to keep the NHS afloat.

Speakers in support of a campaign by the British Pharmacological Society emphasised the risks of runaway expenditure on medicinal drugs:

The NHS drugs bill is spiralling out of control and will bankrupt the service unless urgent action is taken, experts say. It jumped more than £1 billion between 2014/15 and 2015/16, to nearly £17 billion. This means the cost of providing medicines is the second biggest NHS expenditure after staff salaries…

The problem is partly due to an aging population, which has more health problems and a wider range of medication to treat them. However, drug wastage is also to blame. Up to 40% of patients prescribed drugs long term do not take them, wasting the equivalent of £350 million a year…

Sir Munir Pirmohamed, the society vice president, said: “We cannot carry on like this. We urgently need to reduce drug wastage and optimise the drugs patients are on to ensure they get the right drugs, and the correct number of drugs, so that they are not being over-medicated.”

Simon Maxwell, chairman and professor of clinical pharmacology at Edinburgh University, added: “This will bankrupt the NHS and is not sustainable.”

In January 2018, stirred to action by a series of fraught experiences in their hospitals over the ongoing winter period, a group of highly experienced healthcare professionals wrote a public letter to Theresa May, the British Prime Minister:

We are writing to you as Consultants in Emergency Medicine, Fellows of the Royal College of Emergency Medicine and as Clinical Leads (Consultants in charge) of our Emergency Departments, representing 68 Acute Hospitals across England and Wales…

We feel compelled to speak out in support of our hardworking and dedicated nursing, medical and allied health professional colleagues and for the very serious concerns we have for the safety of our patients.

This current level of safety compromise is at times intolerable, despite the best efforts of staff…

Meanwhile, in the United States, debt arising from medical fees is the number one cause for people to become bankrupt.

Technology is not enough

In principle, technology ought to be reversing these expenditure trends. Innovative technology has the potential to automate aspects of medical treatment, to provide timely early warnings of ill health, and to deliver targeted new therapies that are more effective than previous treatments. However, rather than being a part of the solution, it seems, worryingly, that technology is part of the growing healthcare budget problem:

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Recent Posts

New complete book awaiting reader reviews

The dawn of 2019 marks four years since the original launch of Transpolitica (January 2015).

The dawn of 2019 also marks the first full availability of the book “Sustainable Superabundance: A universal transhumanist manifesto for the 2020s and beyond“.

All twelve chapters of this Manifesto are now awaiting reader review and feedback, ideally over the next 1-2 weeks. I’ll welcome any comments, on any parts of the Manifesto that catch your attention. You can make comments via this shared Google doc.

Depending on the feedback, the Manifesto is expected to be officially published around mid January – first as an ebook, and shortly afterwards in physical and audio formats.

For people inspired by any of the ideas in the Manifesto, the final chapter sets out “options to engage”.

TAM Graphic 12

For the opening chapter and links to all the other chapters, see here.

TAM Graphic 1

I’ve actually rewritten parts of every chapter over the last couple of months, as the overall flow of the message has become clearer to me. Even if you’ve read individual chapters before, you may find new inspiration from looking at the latest versions:

  1. Advance!
  2. Superabundance ahead
  3. Beyond technology
  4. Principles and priorities
  5. Towards abundant energy
  6. Towards abundant food
  7. Towards abundant materials
  8. Towards abundant health
  9. Towards abundant intelligence
  10. Towards abundant creativity
  11. Towards abundant democracy
  12. Options to engage

For comparison, Sustainable Superabundance has 54 thousand words, in the latest draft, whereas the previous Transpolitica book, Transcending Politics, has 142 thousand words. The new book is intended to be much more accessible.

On a personal note: 2019 will see, from me, a greater focus than before on activism rather than analysis. Of course, both are needed. But whereas before my energy was divided roughly 30% activist and 70% analyst, it will now be the other way round.

Similarly, I will put less focus on being a futurist and more focus on being a transhumanist.

I’m keeping an open mind as to the best organisational structures to assist these projects. I may shortly reboot or even shut down some organisations where I’ve previously invested my time. I may wind down my links with some communities and ramp up new links with others.

For the time being, I’m directing people to use the Transpolitica mailing list discussion group, https://groups.google.com/forum/#!forum/transpolitica.

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