This being my first blog I will identify my purpose in entering this new media environment. My intent is to comment upon the trends in healthcare that warrant increased public scrutiny. My backround and experience of more than 25 years have led me to conclude that "managed healthcare" is not either. It has certainly failed in its original goal of controlling cost. And the quality of the care delivered is often found wanting as well.

My particular area of interest is the bedsore. This condition is a pristine reflection of systemic quality and the public knows next to nothing about it. The keepers of the gate prefer that. They depend on the publics ignorance, they have a baby boom generation to exploit first.  Perhaps, once this demographic is gone they can allow a more rational solution to intrude. But not yet. Bedsores generate billions in revenue annually. The "treatment" of the bedsore is the only acceptable modality. Prevention is not considered possible or cost effective. This is bunk.

A quantum paradox exists. Health care cost can be reduced as quality improves. This message is the point and purpose of this blog. I will develop it and endeavor to encourage others to comment and perhaps even act as a result. Bedsores kill and cost billions. The "mean sheets" need changing. We might start by eradicating the bedsore altogether.