{"id":505,"date":"2017-01-18T16:13:43","date_gmt":"2017-01-18T21:13:43","guid":{"rendered":"http:\/\/feelgoodtoday.com\/blog\/?p=505"},"modified":"2017-01-24T22:29:20","modified_gmt":"2017-01-25T03:29:20","slug":"no-magic-bullets-health-by-incremental-steps","status":"publish","type":"post","link":"https:\/\/feelgoodtoday.com\/blog\/no-magic-bullets-health-by-incremental-steps\/","title":{"rendered":"No Magic Bullets: Health By Incremental Steps"},"content":{"rendered":"

All of us have a deep-seated desire for a quick fix to our problems. We’re on the lookout for a fast and easy solution to what ails us. Sometimes, we find one; we restart the computer and everything works again. Experiences like this support the idea\u00a0that we can instantly overcome our challenges with one intervention, the miracle.<\/p>\n

We are encouraged and trained, really, to look for big-bang successes, in all realms \u2014 education, health care, politics, you name it \u2014 and while I understand the impulse to find these magic bullets \u2014 it\u2019s exciting, it\u2019s sexy, it\u2019s all those things \u2014 it strikes me that much progress if not most throughout history has really been a series of incremental gains.\u00a0(Stephen J. Dubner, Freakonomics Podcast: In Praise of Incrementalism<\/a>)<\/p><\/blockquote>\n

Miracles,\u00a0by definition, are rare and probably impossible.\u00a0That’s not the kind of solution you can count on when you need it. The\u00a0chance\u00a0of the instant win is too unlikely to rely on. When it comes to your health, you will that see\u00a0bigger changes happen over time in a series of small steps.<\/p>\n

We devote vast resources to intensive, one-off procedures, while starving the kind of steady, intimate care that often helps people more… We have a certain heroic expectation of how medicine works. (Atul Gawande, The New Yorker Annals of Medicine:\u00a0The Heroism of Incremental Care<\/a>)<\/p><\/blockquote>\n

Dr. Gawande explains that, after World War II, the use of penicillin cured bacterial infections so well that it was like finding out that water could put out fire.<\/p>\n

We built our health-care system, accordingly, to deploy firefighters. Doctors became saviors. But the model wasn\u2019t quite right. If an illness is a fire, many of them require months or years to extinguish, or can be reduced only to a low-level smolder. The treatments may have side effects and complications that require yet more attention. Chronic illness has become commonplace, and we have been poorly prepared to deal with it. Much of what ails us requires a more patient kind of skill…\u00a0Incrementalists focus on the course of a person\u2019s health over time\u2014even through a life.<\/p><\/blockquote>\n

What matters most is that\u00a0sustained progress is made over the long term, not only in the moment. We must seek to recognize problems before they happen and prevent them by staying vigilant and adapting our approach. While we can’t predict everything or prevent every problem, we must do our best to see what we can achieve together. Even though we don’t know exactly when the change will happen, we must keep working to achieve our goals.<\/p>\n

The highest-paid medical specialists are those who intervene in a difficult moment, such as surgeons.\u00a0Primary care physicians, working to bring about better health gradually through routine care, are paid less. The problem is that our health care system values the incremental approach less, even if the benefits are greater in the long run. Let’s decide to value\u00a0incremental care more. Together we can shape the future, one step at a time.<\/p>\n","protected":false},"excerpt":{"rendered":"

All of us have a deep-seated desire for a quick fix to our problems. We’re on the lookout for a fast and easy solution to what ails us. Sometimes, we find one; we restart the computer and everything works again. Experiences like this support the idea\u00a0that we can instantly overcome our challenges with one intervention, […]<\/p>\n","protected":false},"author":1,"featured_media":52,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"jetpack_publicize_message":"","jetpack_is_tweetstorm":false,"jetpack_publicize_feature_enabled":true},"categories":[7],"tags":[22,23,5,56,55,21],"jetpack_publicize_connections":[],"yoast_head":"\nNo Magic Bullets: Health By Incremental Steps - Whole Health Boston<\/title>\n<meta name=\"description\" content=\"We devote vast resources to intensive, one-off procedures, while starving the kind of steady, intimate care that often helps people more. 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